NCLEX Test: Foundation Of Practice Part III
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Below are 25 items NCLEX Test about Foundation of Practice
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Answers and Rationales: Foundation of Practice Part III
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- 1.
When evaluating the appropriateness of response by the family member in the developing awareness stage of grief, the nurse must be aware of the family’s:
- A.
Personality traits
- B.
Education levels
- C.
Cultural background
- D.
Past experience with death
Correct Answer
C. Cultural backgroundExplanation
In the developing awareness stage of grief, it is important for the nurse to consider the family's cultural background when evaluating the appropriateness of their response. Cultural background plays a significant role in shaping individuals' beliefs, values, and customs surrounding death and mourning. Different cultures have unique ways of grieving and expressing emotions, so understanding the family's cultural background can help the nurse provide appropriate support and interventions.Rate this question:
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- 2.
Groups are important in the emotional development of the individual because they:
- A.
Always protect their members
- B.
Are easily identified by their members
- C.
Go through the same developmental phases
- D.
Identified acceptable behavior for their members
Correct Answer
D. Identified acceptable behavior for their membersExplanation
Groups play a crucial role in the emotional development of individuals by identifying acceptable behavior for their members. Being part of a group provides individuals with a set of norms, values, and expectations that guide their behavior. These norms help individuals understand what is considered appropriate and acceptable within the group, promoting socialization and emotional growth. By adhering to these identified acceptable behaviors, individuals can develop a sense of belonging, acceptance, and emotional well-being within the group.Rate this question:
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- 3.
For emotional balance the individual always needs:
- A.
Family, work, and play
- B.
Security and social recognition
- C.
Biologic satisfaction and social acceptance
- D.
Individual recognition and group acceptance
Correct Answer
D. Individual recognition and group acceptanceExplanation
Emotional balance requires both individual recognition and group acceptance. Individual recognition refers to being acknowledged and valued for one's unique qualities, skills, and contributions. It is important for individuals to feel seen and appreciated for their individuality. On the other hand, group acceptance refers to feeling a sense of belonging and being included within a social group or community. It is important for individuals to feel connected and accepted by others. Both aspects are necessary for emotional well-being as they fulfill the individual's need for both personal identity and social connection.Rate this question:
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- 4.
To help parents cope with the behavior of young school-aged children, the nurse suggests that it would help if they:
- A.
Avoid asking specific questions
- B.
Give the child a detailed list of expectations
- C.
Be consistent and firm about established rules
- D.
Allow the child to set up his or her own routines
Correct Answer
C. Be consistent and firm about established rulesExplanation
Being consistent and firm about established rules is suggested by the nurse to help parents cope with the behavior of young school-aged children. This approach provides structure and boundaries for the child, which helps them understand what is expected of them and reduces confusion. Consistency also helps the child feel secure and understand that the rules apply at all times, leading to better behavior and discipline. Being firm ensures that parents enforce the rules consistently, which helps the child learn the importance of following rules and consequences for not doing so.Rate this question:
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- 5.
The family is most important in the emotional development of the individual because it:
- A.
Provides support for the young
- B.
Gives rewards and punishment
- C.
Helps one to learn identify and roles
- D.
Reflects the mores of a larger society
Correct Answer
C. Helps one to learn identify and rolesExplanation
The family is crucial in the emotional development of an individual because it helps them learn about their identity and roles. Within the family, individuals are exposed to different family members who serve as role models and provide guidance in understanding their own identity. Family members also play a significant role in shaping an individual's understanding of their roles and responsibilities within the family unit and society as a whole. Through interactions and experiences within the family, individuals develop a sense of self and learn how to navigate their social roles effectively.Rate this question:
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- 6.
The nurse is aware that clients attending Alcoholics Anonymous meetings will be required to:
- A.
Attend weekly meetings and speak aloud
- B.
Maintain controlled drinking after six months
- C.
Promise to attend at least 12 meetings yearly
- D.
Acknowledgement their alcoholism and their inability to control it
Correct Answer
D. Acknowledgement their alcoholism and their inability to control itExplanation
Clients attending Alcoholics Anonymous meetings are required to acknowledge their alcoholism and their inability to control it. This is a fundamental principle of the program, as it promotes acceptance and self-awareness. It is not necessary for clients to attend weekly meetings, speak aloud, maintain controlled drinking after six months, or promise to attend a specific number of meetings yearly.Rate this question:
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- 7.
Self-help groups such as Alcoholics Anonymous are successful because they meet the client’s need to:
- A.
Grow
- B.
Belong
- C.
Be trusted
- D.
Be independent
Correct Answer
B. BelongExplanation
Self-help groups such as Alcoholics Anonymous are successful because they meet the client's need to belong. Belonging to a supportive community of individuals who have experienced similar challenges creates a sense of connection and understanding. This sense of belonging helps individuals feel accepted, validated, and supported, which can be crucial in their recovery journey. Being a part of a group that shares common experiences and goals fosters a sense of camaraderie and provides a supportive network that promotes healing and personal growth.Rate this question:
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- 8.
When providing group therapy, the nurse must focus on:
- A.
Jointly experienced stress
- B.
Behavior of individual members
- C.
Confrontation between members
- D.
Personal feelings affecting behavior
Correct Answer
D. Personal feelings affecting behaviorExplanation
In group therapy, the nurse needs to prioritize understanding and addressing the personal feelings that may be influencing the behavior of the group members. By recognizing and addressing these personal feelings, the nurse can help create a safe and supportive environment for individuals to explore and work through their challenges. This approach acknowledges the impact of emotions on behavior and allows the nurse to provide appropriate support and guidance to each group member.Rate this question:
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- 9.
Communication ties people to their:
- A.
Social surroundings
- B.
Physical surroundings
- C.
Materialistic surrounding
- D.
Environmental surrounding
Correct Answer
A. Social surroundingsExplanation
Communication is the process of exchanging information and ideas between individuals. It plays a crucial role in connecting people and building relationships. By communicating, individuals are able to interact with others, share their thoughts and emotions, and establish social connections. Therefore, communication ties people to their social surroundings, as it enables them to engage with others and be part of a social network.Rate this question:
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- 10.
The effectiveness of nurse-client communication is best validated by:
- A.
Client feedback
- B.
Medical assessments
- C.
Health team conferences
- D.
Client’s physiologic adaptations
Correct Answer
A. Client feedbackExplanation
Client feedback is the best way to validate the effectiveness of nurse-client communication because it directly reflects the client's perception of the communication. It allows the nurse to understand if the information was understood, if the client's needs were met, and if there is any room for improvement. Medical assessments, health team conferences, and client's physiologic adaptations may provide valuable information, but they do not directly measure the effectiveness of the communication between the nurse and the client.Rate this question:
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- 11.
A client becomes openly hostile when learning that amputation of a gangrenous toe is being considered. The best indication that the nurse’s interaction has been therapeutic would be:
- A.
An increase in physical activity
- B.
A relaxation of tensed muscles
- C.
An absence of further outbursts
- D.
A denial that further discussion is necessary
Correct Answer
B. A relaxation of tensed musclesExplanation
In this scenario, a client's openly hostile reaction to the possibility of amputation suggests that they are experiencing high levels of stress and tension. If the nurse's interaction has been therapeutic, it would be expected to help alleviate some of this tension. Therefore, a relaxation of tensed muscles would indicate that the nurse's approach has been effective in calming the client and promoting a more positive and receptive state of mind.Rate this question:
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- 12.
During a group therapy session, a female client interrupts a male client. When the female client finishes talking, the male client is sitting rigidly, looks angry, and says, “I’m so glad that you feel like talking today.” It would be most therapeutic for the nurse to:
- A.
State that it appears that two clients are not getting along
- B.
Agree with the male client that it is good to have the female client talk
- C.
Comment on the male client’s angry behavior and his use of pleasant words
- D.
Ignore the male client’s comments and speak with him privately about his hostility
Correct Answer
C. Comment on the male client’s angry behavior and his use of pleasant wordsExplanation
The correct answer is to comment on the male client's angry behavior and his use of pleasant words. This response acknowledges the male client's emotions and behavior while also highlighting the contradiction between his angry demeanor and his choice of pleasant words. By addressing this discrepancy, the nurse can encourage the male client to explore and express his feelings in a more constructive manner.Rate this question:
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- 13.
Mentally healthy individuals can be defined as those who:
- A.
Have insight into their own problems
- B.
Do not exhibit pathological symptoms
- C.
Are able to meet their own basic needs
- D.
Are free from both physical and emotional
Correct Answer
C. Are able to meet their own basic needsExplanation
The given answer states that mentally healthy individuals are able to meet their own basic needs. This means that they are capable of taking care of themselves and fulfilling their fundamental requirements for survival and well-being. Meeting basic needs includes having access to food, water, shelter, safety, and other essential resources. It implies that mentally healthy individuals are self-sufficient and can independently manage their daily lives without relying heavily on others. This ability to meet basic needs is often considered a crucial aspect of mental health and overall well-being.Rate this question:
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- 14.
Since people need some gratifying communication to learn, to grow, and to function in a group, all events that significant curtail communication will eventually produce:
- A.
Withdrawal
- B.
Severe disturbances
- C.
Some degree of mental deficiency
- D.
Further attempts to increase communication
Correct Answer
B. Severe disturbancesExplanation
When communication is significantly curtailed, it can lead to severe disturbances. This is because communication is essential for individuals to learn, grow, and function in a group. Without adequate communication, people may become frustrated, confused, or isolated, which can result in disruptions in their mental and emotional well-being. Severe disturbances can manifest in various ways, such as increased tension, conflicts, or breakdowns in relationships. Therefore, it is reasonable to expect that when communication is limited, it will ultimately lead to severe disturbances.Rate this question:
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- 15.
The stage of sleep associated with psychologic rest is:
- A.
Stage 1
- B.
Stage 4
- C.
REM sleep
- D.
NREM sleep
Correct Answer
C. REM sleepExplanation
REM sleep is the stage of sleep associated with psychologic rest. During REM sleep, the brain is highly active, and it is the stage where most dreaming occurs. This stage is important for cognitive function, memory consolidation, and emotional regulation. The body is in a state of muscle paralysis during REM sleep, which prevents us from acting out our dreams. Overall, REM sleep plays a crucial role in promoting mental and emotional well-being.Rate this question:
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- 16.
While talking with the nurse about the problem of not being able to make friends, a teenager begins to cry. At this time it would be most therapeutic for the nurse to:
- A.
Sit quietly with the client
- B.
Point out how the client can change this
- C.
Tell the client that crying isn’t helping
- D.
Suggest that they play a game of Scrabble
Correct Answer
A. Sit quietly with the clientExplanation
In this situation, the most therapeutic response for the nurse would be to sit quietly with the client. This allows the teenager to express their emotions and feel supported without judgment or interruption. It creates a safe and comforting environment for the teenager to process their feelings and encourages a trusting relationship between the nurse and the client.Rate this question:
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- 17.
A client with history of hypertension is hospitalized with a transient ischemic attack (TIA). The client has been told to stop smoking. The nurse discovers a pack of cigarettes in the client’s bathrobe. The best course of action to take at this time is to:
- A.
Let the client know they were found
- B.
Discard them without making comments
- C.
Report the situation to the head nurse
- D.
Call the physician and request directions
Correct Answer
A. Let the client know they were foundExplanation
The best course of action in this situation is to let the client know that their cigarettes were found. This allows for open communication and honesty between the nurse and the client. By informing the client, the nurse can discuss the importance of quitting smoking and the potential risks it poses to their health, particularly in relation to their history of hypertension and recent TIA. This approach promotes a collaborative and supportive relationship with the client, which is essential for their overall well-being and successful management of their health condition.Rate this question:
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- 18.
When planning care for the parents of a newborn with abnormalities the nurse should be aware that the parents are better able to cope with this problem if informed:
- A.
When bringing the baby to the mother for the first time
- B.
When the parents ask if something is wrong with their baby
- C.
Right after delivery while the mother is still in the delivery room
- D.
After the first 24 hours, when the mother’s strength has returned
Correct Answer
C. Right after delivery while the mother is still in the delivery roomExplanation
Providing information and support to the parents right after delivery while the mother is still in the delivery room is crucial because it allows the parents to begin processing and adapting to the situation from the very beginning. This early intervention can help alleviate anxiety, provide an opportunity for the parents to ask questions, and ensure that they have accurate information about their newborn's condition. Waiting until later, such as after 24 hours when the mother's strength has returned, may cause unnecessary stress and confusion for the parents during an already challenging time.Rate this question:
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- 19.
A condyloma has been identified during a yearly gynecological examination. While awaiting the biopsy report prior to its removal, the client indicates to the nurse that she is fearful of cervical cancer. The best response by the nurse would be:
- A.
“Worrying today is not going to help the situation”
- B.
“It is very upsetting to have to wait for a biopsy report”
- C.
“Of course you don’t have cancer; a condyloma is always benign”
- D.
“No operation is done without specimens being sent to the laboratory first”
Correct Answer
B. “It is very upsetting to have to wait for a biopsy report”Explanation
The best response by the nurse would be to acknowledge the client's fear and validate her feelings by saying, "It is very upsetting to have to wait for a biopsy report." This response shows empathy and understanding towards the client's concerns, creating a supportive environment. It also acknowledges the client's emotions and allows her to express her fears and anxieties.Rate this question:
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- 20.
A female client is admitted for surgery. Although not physically distressed, the client appears apprehensive and alienated. A nursing action that may help the client to feel more at ease includes:
- A.
Telling her that everything is all right
- B.
Giving her a copy of hospital regulations
- C.
Orienting her to the environment and unit personnel
- D.
Reassuring her staff will be available if she becomes upset
Correct Answer
C. Orienting her to the environment and unit personnelExplanation
Orienting the client to the environment and unit personnel can help her feel more at ease because it provides her with a sense of familiarity and understanding of her surroundings. This can help alleviate her apprehension and make her feel more comfortable and supported during her stay in the hospital.Rate this question:
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- 21.
An obstetric client with a history of three spontaneous abortion is now 16 weeks pregnant and attending the high-risk clinic. The client expresses concerns about remaining at home during this pregnancy. The nurse should question the client to determine her knowledge of:
- A.
Causes of spontaneous abortion
- B.
Sign and symptoms of spontaneous abortion
- C.
Interrelationship among rest, normal delivery, and diet
- D.
Current status of pregnancy and availability of support
Correct Answer
D. Current status of pregnancy and availability of supportExplanation
The nurse should question the client about her current status of pregnancy and availability of support because these factors are important in determining the client's overall well-being and potential risk factors for another spontaneous abortion. By assessing the client's current status of pregnancy, the nurse can gather information about any potential complications or concerns that may need to be addressed. Additionally, assessing the availability of support can help determine if the client has a strong support system in place, which can be beneficial in managing any potential stress or anxiety during the pregnancy.Rate this question:
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- 22.
A client with preeclampsia with two preschool children is prescribed bed rest at home. To help stimulate compliance, plans for the client’s care should include:
- A.
A suggestion to find a housekeeper
- B.
An explanation as to why bed rest is necessary
- C.
A warning of the risks involved in noncompliance
- D.
A contract that 4 hours of nap time will meet the requirement
Correct Answer
B. An explanation as to why bed rest is necessaryExplanation
To ensure compliance with bed rest, it is important to provide the client with an explanation as to why bed rest is necessary. By understanding the reasons behind the prescribed bed rest, the client is more likely to be motivated to follow the instructions. This explanation can help the client understand the potential risks associated with not adhering to bed rest, such as worsening of preeclampsia symptoms or complications for both the mother and the unborn baby. It also helps the client to make informed decisions regarding their own health and the well-being of their children.Rate this question:
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- 23.
A nurse is assigned to introduce a client who has a PhD to the other clients. The client tells the nurse, “I wish to be called Doctor.” The nurse could best respond:
- A.
“Why do you insist on being called Doctor?”
- B.
“That’s fine; that is how I will introduce you them.”
- C.
“All the clients here call one another by their first names.”
- D.
“I can’t do that. It’s better if the other clients do not know you are a doctor.”
Correct Answer
B. “That’s fine; that is how I will introduce you them.”Explanation
The nurse's response of "That's fine; that is how I will introduce you to them" is the best because it acknowledges the client's preference and respects their wish to be called "Doctor." This response shows professionalism and demonstrates that the nurse values the client's accomplishments and title. It also ensures that the client's introduction is done in a way that aligns with their desired title.Rate this question:
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- 24.
“But you don’t understand” is a common statement associated with adolescents. The best response by the nurse when communication with an adolescent would be to say:
- A.
“I understand….”
- B.
“I would like to understand; let’s talk.”
- C.
“I guess you’re right; tell me what’s going on from your perspective.”
- D.
“I’m not sure I have to. I believe it’s you who has to understand and comply.”
Correct Answer
B. “I would like to understand; let’s talk.”Explanation
The best response by the nurse when communicating with an adolescent would be to say "I would like to understand; let's talk." This response shows empathy and a willingness to listen to the adolescent's perspective. It acknowledges the importance of the adolescent's feelings and encourages open communication, which can help build trust and facilitate effective problem-solving.Rate this question:
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- 25.
The emotional responses of the client with a left CVA would be most influenced by the:
- A.
Cause of the CVA
- B.
Care the client is receiving
- C.
Client’s premorbid personality
- D.
Ability of the client to understand the illness
Correct Answer
C. Client’s premorbid personalityExplanation
The emotional responses of a client with a left CVA (cerebrovascular accident, or stroke) would be most influenced by their premorbid personality. Premorbid personality refers to the client's personality traits and emotional stability prior to the stroke. The impact of the stroke on their emotional responses would depend on how well they were able to cope with and adapt to the changes caused by the stroke. Clients with a more resilient and emotionally stable premorbid personality may be better able to handle the emotional challenges of a stroke compared to those with a less stable personality.Rate this question:
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