Nokea
The student nurse is providing skilled care for a palliative care client. The client is bedbound, requiring skin care during bathing, oral care, and every 2 hours positioning. In which NCLEX-PN test category would the student anticipate finding questions related to this clinical care situation?
- A. Health promotion and maintenance
- B. Psychosocial integrity
- C. Physiologic integrity
- D. Safe and effective care environment
Correct Answer: C
Rationale: The role of the NCLEX-PN is to ensure that the student has sufficient knowledge to progress to a competent entry-level practitioner. Linking clinical experiences to classroom knowledge base is essential. This content falls under the physiologic integrity subcategory of basic care and comfort. This category tests the skill of the nurse in a clinical situation completing basic care and comfort needs. The health promotion and maintenance category has content areas including caring for individuals through life transitions. Psychosocial integrity includes caring for mental health needs and using therapeutic communication. Safe and effective care environment ensures appropriate nursing care and infection control.
You may also like to solve these questions
An experienced nurse is evaluating a new nurse to the unit who is providing discharge instructions to an adult client. The experienced nurse views the following: The new nurse approaches and decreases the volume on the television and then sits beside the client, presenting the information to the client and spouse. The new nurse states, 'You are to take ciprofloxacin 250 mg, two tablets b.i.d. A regular diet is ordered, and you are to follow up with your physician in 2 weeks. Here is printed information on the medication ordered.' The new nurse obtains appropriate signatures and leaves. Which point would the experienced nurse address?
- A. The nurse should use shorter sentences when teaching.
- B. The nurse should improve professionalism and stand.
- C. The nurse should minimize medical terms when teaching.
- D. The nurse should continue with the same method without changes.
Correct Answer: C
Rationale: When teaching adult clients, it is best to minimize technical terms and medical jargon ('b.i.d.' for example) whenever able. The nurse used appropriate sentence length. Sitting beside the client is appropriate, and it is best to reduce noise and distraction by decreasing the volume of the television. With minimal change, the new nurse can improve with teaching skills.
The nurse is caring for a client and family who are awaiting the results of a diagnostic test. Which nursing action best demonstrates therapeutic nonverbal communication?
- A. The nurse listens to the client's frustration of waiting for test results.
- B. The nurse smiles and rubs the client's shoulder as the client expresses frustration at waiting for the test results.
- C. The nurse is silent while carrying out nursing duties.
- D. The nurse shrugs the shoulders when asked when testing results will return.
Correct Answer: B
Rationale: A smile and rub of the client's shoulder is a nonverbal gesture that the nurse understands the client's situation. Listening to client frustration is an activity that reflects verbal communication because, therapeutically, there is a response. Silence can be therapeutic when the attention is with the client, not the nursing duties. Shrugging the shoulders can be perceived as indifferent and not caring.
The nurse is preparing a community education program about a new treatment for prostate cancer. At what level would the nurse prepare the distributed educational materials?
- A. Upper grade school, 4th to 6th grade level
- B. High school, 10th to 12th grade level
- C. Middle school, 7th to 9th grade level
- D. College, over the 12th grade level
Correct Answer: C
Rationale: When preparing educational materials for the general population, the language or words used should be at the middle school, 7th to 9th grade level.
The nurse is discharging a client with an indwelling Foley catheter. Which instructional method is best when teaching a psychomotor learner about the care necessary?
- A. Provide a booklet that outlines directions.
- B. Provide the phone number of a nursing agency to assist with care.
- C. Provide testimonials of others who have had a Foley catheter at home.
- D. Provide the Foley catheter and equipment to handle and practice care.
Correct Answer: D
Rationale: A psychomotor learner prefers to learn by doing. Providing equipment enables the learner to use the equipment and reinforces the necessary care. The booklet would be appropriate for the cognitive learner. A nursing agency is most often ordered by a physician for nursing care but is not a daily service. Testimonials are effective for affective learners.
Which of the following teaching scenarios best illustrates the nurse providing informal teaching on a low-sodium diet?
- A. The nurse discusses dietary guidelines while the client watches a cooking show on television.
- B. The nurse, client, and spouse review dietary orders on the discharge instructions.
- C. The nurse and client discuss the sodium contained in prepared canned soup.
- D. The nurse and client meet with a dietitian to discuss ways of limiting sodium.
Correct Answer: A
Rationale: Informal teaching is unplanned and occurs spontaneously such as when the client is watching television and a teaching moment occurs. The remaining options involve formal teaching to meet the goal of dietary teaching on a low-sodium diet.