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Which of the following is a client responsibility in the nurse-client relationship?
- A. Remain nonjudgmental.
- B. Comply with the therapeutic regimen.
- C. Function as an advocate.
- D. Perform prescribed skill safely.
Correct Answer: B
Rationale: Complying with the therapeutic regimen is a client responsibility. Remaining nonjudgmental, functioning as an advocate, and performing a prescribed skill safely are nurse responsibilities.
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The nurse is caring for a geriatric client who has decided to move to a skilled nursing facility. The nurse assisted with the arrangements and, when leaving the room, touched the client on the shoulder. Which therapeutic technique was the nurse demonstrating?
- A. Therapeutic communication
- B. Affective touch
- C. Silence
- D. Task-oriented contact
Correct Answer: B
Rationale: Affective touch is used to demonstrate concern or affection. Its intention is to communicate caring and support. Therapeutic communication and silence can be helpful in this situation but does not fit into the scenario. Task-oriented 'touch' involves the personal contact that is required when performing nursing procedures.
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.
Which of the following is a component of nonverbal communication?
- A. Paralanguage
- B. Hearing acuity
- C. Interpersonal attitudes
- D. Listening
Correct Answer: A
Rationale: Nonverbal communication consists of components such as kinesics, paralanguage (vocal sounds that communicate a message), proxemics (use of space when communicating), touch, and silence. Hearing acuity, interpersonal attitudes, and listening are variables that affect verbal communication.
Which of the following is one of the four categories of client needs identified by the National Council of State Boards of Nursing?
- A. Maintenance of function
- B. Restoration of wellness
- C. Psychosocial integrity
- D. Reduction of fear and worry
Correct Answer: C
Rationale: The National Council of State Boards of Nursing identifies four categories of client needs as the structure for its test plan: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Nursing care provides skills that help restore wellness, especially during an acute illness, or maintain as much function as possible. The supportive relationship that develops reduces fear and worry.
Which of the following means of comprehending new information best describes a cognitive learner?
- A. The learner learns through information that appeals to feelings.
- B. The learner likes to learn by doing
- C. The learner learns by combining three styles of learning
- D. The learner processes information by listening to facts
Correct Answer: D
Rationale: The cognitive learner processes information best by listening to or reading facts and descriptions. The affective learner is more attuned to learning when presented with information that appeals to feelings. The psychomotor learner typically likes to learn by doing. A combination of the three styles tends to optimize learning, although most people favor one style of learning.