How to study for NCLEX-PN and how to break down and critically think for each qu

Question

How to study for NCLEX-PN and how to break down and critically think for each questions. How to pick out the main ideal. The main point the question is asking me. I also need help with answers choice why is its not correct and why it's correct. What is the questions asking me each question. What is its asking me.

I need for someone to explain to me how to think critically as a nurse. I have some questions below as explain to teach me or make notes for me on the questions. What is the main ideal. How to think NCLEX on exam.

1. A client is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder with frequent hand washing rituals. Which nursing interventions would be advisable at the time of admit?

2.The nurse is caring for a client pre-operative total hysterectomy for advanced cervical cancer. The client is crying and says that she wants to have more children and is unsure if she should have the procedure. Which intervention is appropriate?

3. The nurse makes selections from the hospital menu for a client that is confused and suspicious of others. Which menu choice is best?

4. The nurse is assigned to care for a client with the diagnosis of schizophrenia. The client reports having a hard time “tuning out” the voices. Which suggestion by the nurse indicates a need for further teaching.

5. A client in the manic phase of bipolar disorder is constantly interrupting a group session. What should the nurse do?

6. A client is undergoing outpatient psychiatric treatment for somatization disorder. Prior to the beginning of group therapy, the client tells the nurse, “I keep having headaches that are killing me! This has never happened to me before”. What is the nurse’s best response?

You answered this question Correctly

1. "We need to start the group session now."

2. "I will tell the primary healthcare provider about your headaches. For now, let's start our group session."

3. "I guess we can discuss your pain now. Group therapy will have to start later."

4. "Your headaches are not real, so ignore them. Go on into therapy so we can start."

7. A client diagnosed with alcoholism was admitted to the medical unit with substance-withdrawal delirium. Two days later the client decides to leave the hospital against medical advice. What action should the nurse take?

You answered this question Correctly

1. Hide the client's clothes so that the client cannot leave.

2. Administer the ordered sedative.

3. Place restraints on the client.

4. Determine why the client wants to leave.

8. A client begins to cry and talk about how useless life is now that her boyfriend has left her. What is the nurse’sbest response?

You answered this question Correctly

1. "I understand what you are feeling. I have been left by a man I loved before".

2. "You feel upset and unhappy by the loss of your boyfriend. It is ok to cry".

3. "Don't worry. You will feel better once we start giving you medication for depression".

4. "Crying isn't going to help anything. Let's talk about your past medical history now".

9. A client has been admitted to a psychiatric unit for severe depression after attempting suicide. Which interventions should the nurse include in this client’s plan of care?

You answered this question Incorrectly

1. Provide constant visual observation.

2. Assign client to a private room close to the nurse’s station.

3. Supervise closely during meals.

4. Provide simple, concrete instructions for getting dressed each morning.

5. Allow client to sleep as long as desired for the first three days.

10. A young client experiencing a manic episode tells the night nurse, “If you do not go to bed with me, I am going to have you fired.” Which statement by the nurse is appropriate?

You answered this question Correctly

1. "That is inappropriate behavior and you will need to go to your room."

2. "You've got to be kidding! You can't get me fired."

3. "I don't want to hear that again; don't ever say that again."

4. "I can see that you need attention, but this is not the way to get it."

11. The nurse is talking with the spouse of a client who has alcoholism and determines that the spouse is exhibiting co-dependent behavior. What comment by the spouse confirms this behavior?

You answered this question Incorrectly

1. "I am frequently saying that drinking is ruining our relationship."

2. "If not home by midnight, I pick my spouse up at the bar."

3. "I do not go out drinking with my spouse. I have never had a drink in my life."

4. "I have told my spouse that I am willing to go along when the decision is made to get help to stop drinking."

12. A client states, "I feel so useless! I know my family thinks I am". What would be the bestresponse for the nurse to make?

You answered this question Correctly

1. "Everyone gets down in the dumps at times. I feel that way myself sometimes".

2. "No one in your family feels that way".

3. "You must be very upset. Tell me what you are feeling right now".

4. "Why do you feel this way"?

13. A psychiatric nurse, caring for several clients, recognizes that which client presents thegreatest risk for violence toward others?

You answered this question Correctly

1. Twenty-four year old man with paranoid delusions.

2. Sixty-two year old woman with bi-polar disorder

3. Seventy year old man with major depression.

4. Twenty-eight year old woman with borderline personality disorder.

14. A client in a manic state is on the inpatient psychiatric unit. The client has a need for adequate sleep and rest due to the fact that the client has been awake for 72 hours. Which intervention should the nurse initiate for the client?

You answered this question Correctly

1. Encourage the client to participate in an exercise class after dinner.

2. Offer the client a cup of coffee prior to going to bed.

3. Provide a warm bath and snack before the client goes to bed.

4. Send the client to watch the "unit movie" each evening.

15. A client with schizophrenia tells the nurse, “The President of the United States just told me to leave the hospital immediately because a spy is on the way to tap into the secret information in my brain.” What should the nurse tell the client?

You answered this question Correctly

1. "The voice you heard is because of your illness and will go away in time."

2. "I know you think the President of the United States is talking to you, but I do not see the President. We are the only ones here."

3. "I find it hard to believe that you have talked to the President of the United States. This is not the White House."

4. "I think the primary healthcare provider needs to increase your medication dose, since you are still hearing voices."

Explanation / Answer

1. Patients are to be given support by helping them manage their anxiety, compulsions and obsessions and this can be done by acknowledging their behavior rather than judging them. A diversional activity can be suggested to the patient such as asking her to sing or draw.

3. Patient who is suspicious of others needs food that are packaged and can see them opened.

4. Coping strategies are to be initiated where patient must be involved in simple talking. They must be helped to gain control over their voices. They should be encouraged in concentrating on something other than voices such as involving in puzzles or games.

6. Answer- 2

The nurse would initially fulfill the requiremets of the patient, but later would withdraw his attention and this would discourage the patient from repeating such behavior.

7. Answer - 3.

The nurse should assure the patient that the symptoms are part of withdrawal syndrome.

8. Answer - 2

Empathy is a feeling to understand other's behavior and in this case to see the situation from patient's view point.

10. Answer - 1

The patient should maintain limits on ill behaviors. The nurse should explain not to cross limits and the consequences if it is not followed.

14. Answer - 3

A warm bath and snack before going to bed would induce a good amount of sound sleep.

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