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NCLEX-RN Evolve questions with correct answers
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NCLEX-RN Evolve questions with correct answers
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NCLEX-RN Evolve questions with correct answersA client experiencing disturbed thought processes believes that his food
is being poisoned. Which communication technique should the nurse use
to encourage the client to eat? Correct Answer-Using open-ended
questions and silence
The nurse should plan which goals of the termination stage of group
development? Select all that apply. Correct Answer-The group evaluates
the experience
The group explores members' feelings about the group and the
impending separation.
A client diagnosed with terminal cancer says to the nurse, "I'm going to
die, and I wish my family would stop hoping for a cure! I get so angry
when they carry on like this. After all, I'm the one who's dying." Which
response by the nurse is therapeutic? Correct Answer-"You're feeling
angry that your family continues to hope for you to be 'cured'?"
On review of the client's record, the nurse notes that the admission was
voluntary. Based on this information, the nurse plans care anticipating
which client behavior? Correct Answer-A willingness to participate in
the planning of the care and treatment plan.
When reviewing the admission assessment, the nurse notes that a client
was admitted to the mental health unit involuntarily. Based on this type
of admission, the nurse should provide which intervention for this
client? Correct Answer-Monitor closely for harm to self or others.
,When a client is admitted to an inpatient mental health unit with the
diagnosis of anorexia nervosa, a cognitive behavioral approach is used
as part of the treatment plan. The nurse plans care based on which
purpose of this approach? Correct Answer-Helping the client to examine
dysfunctional thoughts and beliefs
A client experiencing a great deal of stress and anxiety is being taught to
use self-control therapy. Which statement by the client indicates a need
for further teaching about the therapy? Correct Answer-"This form of
therapy provides a negative reinforcement when the stimulus is
produced."
The nurse is caring for a client who is at risk for suicide. What is the
priority nursing action for this client? Correct Answer-Provide authority,
action, and participation.
A client comes to the emergency department after an assault and is
extremely agitated, trembling, and hyperventilating. What is the priority
nursing action for this client? Correct Answer-Remain with the client
until the anxiety decreases.
The nurse is creating a plan of care for a client who was experiencing
anxiety after the loss of a job. The client is now verbalizing concerns
regarding the ability to meet role expectations and financial obligations.
What is the prioritynursing problem for this client? Correct Answer-
Lack of ability to cope effectively
,The home care nurse is visiting an older client whose spouse died 6
months ago. Which behaviors by the client indicate effective coping?
Select all that apply. Correct Answer-2. Looking at old photographs of
family
3. Participating in a senior citizens program
4. Visiting the spouse's grave once a month
5.Decorating a wall with the spouse's pictures and awards received
A client with a diagnosis of depression who has attempted suicide says
to the nurse, "I should have died. I've always been a failure. Nothing
ever goes right for me." Which response by the nurse demonstrates
therapeutic communication? Correct Answer-"You've been feeling like a
failure for a while?"
The nurse visits a client at home. The client states, "I haven't slept at all
the last couple of nights." Which response by the nurse demonstrates
therapeutic communication? Correct Answer-"You're having difficulty
sleeping?"
A client is preparing to attend a Gamblers Anonymous meeting for the
first time. The nurse should tell the client that which is the first step in
this 12-step program? Correct Answer-Admitting to having a problem
The nurse in the mental health unit plans to use which therapeutic
communication techniques when communicating with a client? Select all
that apply. Correct Answer-1. restating
2. listening
, 4. maintaing neutral responses
5. providing acknowledgement and feedback
What is the most appropriate nursing action to help manage a manic
client who is monopolizing a group therapy session? Correct Answer-
Thank the client for the input, but inform the client that others now need
a chance to contribute.
A client is participating in a therapy group and focuses on viewing all
team members as equally important in helping the clients to meet their
goals. The nurse is implementing which therapeutic approach? Correct
Answer-Milieu therapy
The nurse is working with a client who despite making a heroic effort
was unable to rescue a neighbor trapped in a house fire. Which client-
focused action should the nurse engage in during the working phase of
the nurse-client relationship? Correct Answer-Inquiring about and
examining the client's feelings for any that may block adaptive coping
A client says to the nurse, "The federal guards were sent to kill me."
Which is the best response by the nurse to the client's concern? Correct
Answer-"Do you feel afraid that people are trying to hurt you?"
A client diagnosed with delirium becomes disoriented and confused at
night. Which intervention should the nurse implement initially? Correct
Answer-Use an indirect light source and turn off the television.
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