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NCLEX-RN Test Dumps Pdf & NCLEX-RN Authorized Test Dumps

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NCLEX-RN exam is divided into four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiological integrity. The safe and effective care environment category covers topics such as infection control, safety, and legal and ethical issues. The health promotion and maintenance category covers topics such as health education and screening. The psychosocial integrity category covers topics such as mental health and behavioral interventions. Lastly, the physiological integrity category covers topics such as pharmacology and basic nursing care.

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NCLEX-RN Test Dumps Pdf | Trustable National Council Licensure Examination(NCLEX-RN) 100% Free Authorized Test Dumps

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q247-Q252):

NEW QUESTION # 247
A 23-year-old female client is brought to the emergency room by her roommate for repeatedly making superficial cuts on her wrists and experiencing wide mood swings. She is very angry and hostile. Her medical diagnosis is adjustment disorder versus borderline personality disorder. The client comments to the nurse, "Nobody in here seems to really care about the clients. I thought nurses cared about people!" The client is exhibiting the ego defense mechanism:

A. Rationalization
B. Reaction formation
C. Sublimation
D. Splitting

Answer: D

Explanation:
(A) Reaction formation is the development and demonstration of attitudes and/or behaviors opposite to what an individual actually feels. The client's comment does reveal her anger and hostility. (B) Rationalization, another ego defense mechanism, is offering a socially acceptable or seemingly logical explanation to justify one's feelings, behaviors, or motives. The client's comment does not reflect rationalization. (C) Splitting, the viewing of people or situations as either all good or all bad, is frequently used by persons experiencing a disruption in self-concept. This ego defense mechanism is reflective of the individual's inability to integrate the positive and negative aspects of self. (D) Sublimation, the channeling of socially unacceptable impulses and behaviors into more acceptable patterns of behavior, is another ego defense mechanism. The client's comment reveals that she is not engaging in sublimation.

NEW QUESTION # 248
A male client has burns over 90% of his body after an automobile accident resulting in a fire. He was trapped inside the auto and pulled out by a bystander. After several months in the hospital and over 20 surgeries, discharge planning has begun. Throughout his hospitalization the nursing staff has been aware of psychological changes the client faces after burns over a large portion of his body resulting in disfigurement. The nursing staff can best foster the client's self-esteem by:

A. Following a standardized plan of care for burn clients formulated by a world-renowned burn center
B. Adhering to a strict schedule of diet, exercise, and wound care
C. Allowing him to go to physical therapy for whirlpool treatment when other clients were not in physical therapy
D. Allowing him to plan, assist in, and perform his own care whenever possible

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) A regimented schedule, allowing no flexibility, will not foster the client's self-esteem. (B) Isolating the client may only enhance his feelings of social isolation due to his disfigurement. (C) Standardized care plans must be personalized and adapted to each client's situation. (D) Allowing the client control over his care will foster his self-esteem and prepare him for life outside of the hospital.

NEW QUESTION # 249
A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety when he is in darkness. It has altered his lifestyle because he is unable to go to a movie theater, concert, and other events that may require absence of light. The client is seeking assistance because he is no longer able to socialize with friends due to his phobia. The psychologist working with him is using desensitization. He has asked the nursing staff to assist the client in muscle relaxation techniques. What result would indicate client education has been successful?

A. He enters a movie theater, sits in his chair, and replaces anxiety with relaxation as the theater darkens.
B. He enters a concert, but as the lights dim, he does not experience anxiety.
C. He states that he no longer fears dark places.
D. He takes a part-time job as a photographic assistant. His job necessitates his working in a darkroom.

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) This situation provides specific evidence that the client is able to integrate muscle relaxation technique into his lifestyle to alleviate anxiety. (B) The client may not experience anxiety at the concert, but there is no evidence regarding the technique that he used to alleviate anxiety. (C) The client may state he no longer experiences anxiety, but there is no evidence demonstrating this. He may be denying anxiety to discontinue therapy prematurely. (D) Does he experience anxiety in the darkroom? He may have taken this job to force himself to deal with the phobia directly.

NEW QUESTION # 250
Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:

A. Eating a moderate to high-protein diet
B. Decreasing her sodium intake
C. Increasing her carbohydrate intake
D. Decreasing her fluids

Answer: A

Explanation:
Section: Questions Set F
Explanation:
(A) Women with pregnancy-induced hypertension have a reduced plasma volume secondary to venous vessel constriction, not hypovolemia; therefore, sodium restriction is not recommended. It is suggested that these women avoid extremely salty foods. (B) Drinking six to eight glasses of water per day facilitates optimal fluid volume and renal perfusion, but it will not decrease the venous vessel constriction of pregnancy-induced hypertension. (C) Carbohydrate needs increase during pregnancy, specifically during the second and third trimesters, but they have not been linked to pregnancy-induced hypertension. (D) Loss of urinary protein (proteinuria) is associated with increased permeability of the large protein molecules with pregnancy-induced hypertension.Additional dietary protein also helps increase the plasma colloidal osmotic pressure. Diets deficient in protein have been linked to pregnancy-induced hypertension.

NEW QUESTION # 251
A 23-year-old male client is admitted to the chemical dependency unit with a medical diagnosis of alcoholism. He reports that the last time he drank was 3 days ago, and that now he is starting to "feel kind of shaky." Based on the information given above, nursing care goals for this client will initially focus on:

A. Interpersonal issues
B. Ineffective coping skills
C. Self-concept problems
D. Physiological stabilization

Answer: D

Explanation:
(A) Self-concept and self-esteem problems may emerge during the client's treatment, but these are not immediate concerns. (B) Interpersonal issues may become evident during the course of the client's treatment, but these are also not immediate areas of concern. (C) Improving individual coping skills is generally a primary focus in the treatment and nursing care of persons with substance abuse problems. However, this is still not the immediate concern in this client situation. (D) Correction of fluid and electrolyte status and vitamin deficiencies, as well as prevention of delirium, is the immediate concern in the care of this client.

NEW QUESTION # 252
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Sean Shaw Sean Shaw

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