Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

Herbal therapy is used to treat many common complaints and diseases.Physiological Adaptation

The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition.Safety and Infection Control

Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints.

Well-meaning family members might release restraints if their purpose is not clear.Safety and Infection Control

Caucasians have the highest incidence of inflammatory bowel disease (IBD).Reduction of Risk Potential

Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints.Reduction of Risk Potential

The mother’s most prominent concern is likely to be what becomes of her son after she dies. Choice 1 is important but is not likely to be her most prominent concern. Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice 4 is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son’s care.Psychosocial Integrity

In addition to the rubber tips on the ends of the crutches, the client needs to know the appropriate gait. Arm strength exercises are important, and it is critical that the client be fitted properly for the crutches.BasicCare and Comfort

The problem statement is Negative Self Concept. A successful resolution of the problem is when the client can report a positive self-concept. When the nurse determines how the client perceives himself, effort should be directed to reinforce self-worth and promote a positive self-concept,including helping a client to identify areas of strength. Assisting the client to evaluate himself and make behavior changes is a nursing intervention.Psychosocial Integrity

Choice 3 not only acknowledges the client’s fear but invites more disclosure and discussion. Reflective listening is very therapeutic and in this case acknowledges the woman’s unspoken fear that she might become depressed like her mother. When her fears have been acknowledged and she feels that the nurse understands, she will be more open to the teaching or interventions to follow. It is a myth that menopause causes depression, but to say that to this client does not acknowledge the fear she shared with the nurse and gives the impression the nurse doesn’t care about her concern. It closes down communication. It is also true that menopause is a normal developmental process. This can certainly be used in teaching but not to address her immediate concern; the client might feel the nurse doesn’t think her concern is appropriate because menopause is normal. If women experience depression during menopause, it is usually due to social stresses such as loss of loved ones, loss of roles, caregiver demands, and physical problems. Choice 4 is true but is a nontherapeutic response in this situation.Health Promotion and Maintenance

Electroencephalography is indicated for assessing clients with a seizure disorder.Reduction of Risk Potential

Staphylococcus aureus microorganisms are ubiquitous and easily transmitted by health care workers who fail to conduct routine hand washing between clients. Tuberculosis is almost always transmitted by the airborne route, and tetanus usually results from exposure to dirt. HIV is a weak virus that does not live long outside the body.Physiological Adaptation

Urinary frequency is least indicative of UTI during pregnancy because it is a common minor discomfort of pregnancy and is caused by pressure of the growing uterus on the bladder. As the uterus rises in the second trimester, there are no problems. Frequency returns in the third trimester when the uterus drops into the pelvic cavity. A UTI has the symptoms of frequency, back pain, supra pubic discomfort, and malaise and is diagnosed by laboratory findings.Physiological Adaptation

Object permanence occurs when the infant learns that something/someone still exists even though they might not be able to see it/them. This develops between 9 and 10 months of age. If the infant cries when his mother leaves the room, it might be because he believes she is no longer in the house when he can’t see her. If an infant picks up another toy after the one he is playing with rolls under the couch and the infant fails to look for it, he believes the toy that rolled under the couch no longer exists. Patty-cake is a game infants engage in but, it has nothing to do with object permanence. An infant game that does show object permanence is peek-a-boo. In thisgame, an infant continues to hunt for a hidden face because he believes it is still there.Health Promotion andMaintenance

ADH level is increased in the client with nephrogenic diabetes insipidus.Reduction of Risk Potential

The least important factor (of those listed) during an emergency situation is the number of accompanying family members.Safety and Infection Control