Evolve NCLEX Nursing Sciences
How should a nurse handle a client who blames and directs anger toward the nurse or others?
By listening to the client's concerns By reassuring family and significant others of the client's normalcy
A nursing student gives different examples representing the components of human personality, according to Sigmund Freud. Which examples mentioned by the nursing student represent the component ego?
"A client wants to eat junk food but does not order it because the dietician is keeping track of his or her weight." "A client with insomnia wants to take an extra sleeping pill but refrains from doing so because the caregivers are present." "A client is attracted to the nurse in charge but does not make any moves because there are other clients in the same ward."
A nursing student is learning about Erikson's theory of psychosocial development. Which statement made by the client indicates the Identity versus Role Confusion stage?
"I like to dress like a boy even though my parents want me to dress like a girl." "I want to get a clear skin like my best friend, so I am visiting the skin specialist today." "I do not want to become an engineer like my parents want me to be; I dream of becoming a pilot."
A registered nurse is teaching a nursing student about Lawrence Kohlberg's Theory of Moral Development. Which information provided by the registered nurse regarding Postconventional Reasoning needs correction?
"In this level, emphasis is given on social rules and a community-centered approach."
A registered nurse is teaching a nursing student about Piaget's theory of cognitive development. What information should the nurse provide about the sensorimotor period?
"In this stage, the child learns that he or she is separate from his or her parents or favorite toy." "In this stage, the child develops a schema or action pattern for dealing with his or her environment." "In this stage, the child learns about himself or herself and the environment through motor and reflex actions."
A nursing student is learning about Erikson's theory of psychosocial development. Which statement made by the client indicates 'Initiative versus Guilt' stage?
"My child likes to fantasize and tries out new characters every day."
A nursing student is learning about Erikson's theory of psychosocial development. Which statement made by the client indicates the Autonomy versus Sense of Shame and Doubt stage?
"My kid has started to walk on his or her toes, with the legs wide apart."
A registered nurse is teaching a nursing student about nursing research. Which points mentioned by the nursing student post-teaching are accurate?
"Research means to search again or to examine carefully." "Nursing research is a way to identify new knowledge, improve professional education and practice, and use resources effectively." "The knowledge that is generated provides a scientific basis for nursing practice and validates the effectiveness of nursing interventions."
A nurse is interviewing a client. Which of these statements is an example of an open-ended question?
"Tell me how you are feeling."
How many rights of delegation are there in the nursing practice? Record your answer using a whole number.
5
What is the similarity between the stage-crisis theory given by Robert Havinghurst and the psychosocial development theory given by Erikson?
Both theories are based on developmental tasks.
How does a nurse adopt the element of right circumstances during a task delegation?
By considering the appropriate client setting, available resources, and other relevant factors
A nursing student is evaluating different examples of quality and performance improvement. Which situation should the nurse consider to be an example of quality improvement? Multiple choice question
A team of nurses identifies the possible reasons for the delays of client admission into special units.
What is the difference between risk nursing diagnoses and actual nursing diagnoses?
Actual nursing diagnoses have related factors; risk nursing diagnoses do not have related factors.
A registered nurse is educating a nursing student about quality and performance improvement measures. Which activity mentioned by the nurse is an example of a performance improvement?
Analyzing the new technique for counting sponges and instruments in the operating room
A child says, "My doll is tired after playing for a long time, and she is resting now." Which characteristic is the child demonstrating?
Animism
A parent observes that the child is dressing on his or her own and is self-feeding. Which stage of life does the child belong to according to Erikson's theory of psychosocial development
Autonomy verses sense of shame and doubt
A nurse assisting in a research study calculates the risk-benefit ratio and concludes that there were no harmful effects associated with a survey of diabetic clients. This researcher was applying which principle?
Beneficence
An 8-year-old child is unable to identify the plate with a greater number of chocolates when a second plate with a different amount of chocolates is placed in front of him or her. Which stage of cognitive development has the child failed to attain?
Concrete operations
A pregnant immigrant notices cultural differences in the way that pregnant women are cared for where she now lives. Which component of cultural competence is being demonstrated when the nurse motivates the immigrant to accept these differences?
Cultural desire
A registered nurse is teaching a nursing student about types of nursing theories. Which information provided by the registered nurse is accurate?
Descriptive theories describe, relate, and in some situations predict, nursing phenomena.
Which domain of the Nursing Interventions Classification (NIC) Taxonomy includes care that supports the health of the community?
Domain 7
A nurse reviews a client's record to learn the nature of an illness and the client's response to it. What purpose of the client record is being fulfilled?
Education
While conducting research on a novel anticoagulant, clients are randomly assigned to a control group and treatment groups. The experimental drug is given to the treatment group and the standard anticoagulant drug is given to the control group. The researchers measured the outcomes in both groups and concluded that the novel anticoagulant drug has a better outcome when compared to the standard drug. Which quantitative method does this belongs to?
Experimental research
A nurse is going through a pilot research study that aims to identify the effectiveness of using an experimental therapeutic communication technique when dealing with aggressive clients. What type of research study is this?
Exploratory research
What rules of impression management should the nurse follow when caring for an Asian client?
Greet the client and family in their language. Observe the distance maintained by the client. Clarify whether the client wants someone from the family to be present.
A student nurse is asking a registered nurse to suggest a database source to find information on studies related to allied health sciences. Which database would the registered nurse suggest?
MEDLINE
A 70-year-old client needs to undergo heart surgery but cannot afford it. The client seeks the assistance of a nurse. Which is the preferred program that the nurse may suggest?
Medicare
A nurse is counseling a group of parents about their responsibilities with regard to children. Which instructions will the nurse give?
Parents should involve other family members in care.
The nurse is teaching a client who is prescribed dialysis three times a week about the importance of keeping dialysis appointments. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse address?
Patient-centered care
Which group benefits from Medicare?
People who are 65 years or older
Which points have been correctly stated regarding prescriptive theories?
Prescriptive theories address nursing interventions for a phenomenon. Prescriptive theories describe the conditions under which the prescription occurs. Prescriptive theories guide nursing research to develop and test specific nursing interventions.
In an ongoing research study a nurse asks participants, who are breast cancer survivors, to briefly share information about their lives after surviving cancer. The nurse then compiles the views to determine the cancer survivors' quality of life. Which type of study is being conducted?
Qualitative research
The nurse taught a client with heart failure who is scheduled for discharge about how medications, diet, and exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client has learned how to adapt his or her exercise prescription to compensate for an increased tolerance. Which theory did the nurse follow to achieve this positive outcome?
Roy's theory
A nurse is recollecting Sigmund Freud's psychoanalytical model of personality development. What are the characteristics of the genital stage according to this model?
Sexual urges are directed outside the family circle. Unresolved sexual conflicts resurface during this stage. An individual may resolve the sexual conflicts at this stage.
A nurse needs to record a client's data from admission until discharge. Which record will the nurse use?
Source record
A nurse is using the Cochrane library to study systematic review articles and meta-analyses of clinical trials. What difference will the nurse find in both?
Systematic review articles draw conclusion without statistics; meta-analyses uses statistics for conclusions.
Which facility has enabled rural hospitals to have increased access to specialist consultations?
Telemedicine
Which statement is true according to Piaget's theory of cognitive or moral development in the adolescent?
The child develops abstract thinking. The child is in the formal operations period.
According to Erikson's theory, what psychosocial developmental changes are observed in middle childhood?
The child is engaged in tasks and activities. The child can differentiate between industry and inferiority.
A nursing student is taking down notes about the domain of nursing. Which points have been correctly noted by the nursing student?
The domain of nursing provides both a practical and theoretical aspect of the discipline. The domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research. The domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a client's healthcare needs at all levels and in all healthcare settings.
A client who has sustained an accident says, "I have a dream of conquering the world's highest mountain range." To which level of need does the given scenario refer to, according to Maslow's hierarchy of needs?
The given scenario relates to the final level that includes self-actualization needs.
A client says, "I do not want to go back to school because I fear that everyone will laugh at me." Which level of need does the given scenario refer to according to Maslow's hierarchy of needs?
The given scenario relates to the fourth level that includes self-esteem needs.
A nursing student is learning about the nursing process, which consists of four components. Which scenarios should the nursing student consider as the 'input' component?
The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter. "The nurse checks if the client has a history of substance abuse before administering nasal medications." "The nurse checks the medical records of the client to know if he/she has had a rectal surgery in the past year before placing an internal fecal catheter."
Which action of the nurse relates to the Quality and Safety Education for Nurses (QSEN) competency of quality improvement?
The nurse uses data to monitor the outcomes of care.
A nursing student is recalling the Stage-Crisis Theory of Robert Havinghurst. Which step listed by the nursing student needs correction according to Havinghurst theory?
This theory includes four periods that are related to age and demonstrates specific categories of knowing and understanding.
What is the goal of nursing according to King's theory?
Using communication to help client reestablish positive adaptation to environment
A nursing student is listing various stages of Piaget's theory of cognitive development that are related to age. Which situation indicates that the child has reached the concrete operations stage?
"The child is able to understand that the volume, length, or shape of an object remains the same despite a change in their physical appearance."
A registered nurse is educating a nursing student about the elements of evidence-based practice articles. What information should the nurse provide about the element "literature review or background"?
"The literature review section helps direct nurses to other more useful articles." "A nurse is able to get an idea about how past research led to the researcher's question from the literature review." "In the literature review, an author gives a detailed background of the clinical information that exists regarding the topic."
A nursing student is learning about the nursing process, which consists of four components. Which scenarios should the nursing student consider as content components?
"The nurse-in-charge asks the nurse to check the intravenous tubing for air bubbles to prevent air emboli." "The nurse understands that many clients buy prescribed medications from multiple medical stores; this is known as polypharmacy." "The nurse knows that clients with airborne diseases should be placed in an airborne infection isolation room (AIIR) to prevent the spread of pathogens."
A group of practicing nurses and healthcare team members wants to conduct research to determine the effectiveness of chewing peppermint gum in reducing nausea following colon surgery. After identifying the problem and reviewing the literature, the research team wants to design the study. Which activities performed by the research team are related to designing the study?
Selecting data collection methods Identifying the sample population and assigning people to experimental and control groups Selecting statistical methods to evaluate if chewing peppermint gum is beneficial to reduce postoperative nausea
A nursing student is trying to understand the elements of an article. What are the characteristics of the abstract section of an article?
The abstract section summarizes the purpose of the article. The abstract section mentions the major themes and implications for nursing practice. The abstract section is a brief summary that informs the reader whether the article is research or clinically based.
