a client admitted with a diagnosis of cervical cancer tells the nurse i havent had a papanicolaou pap smear for more than 8 years i probably wouldnt b a client admitted with a diagnosis of cervical cancer tells the nurse i havent had a papanicolaou pap smear for more than 8 years i probably wouldnt b
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Nursing Elites

NCLEX NCLEX-RN

NCLEX Psychosocial Integrity Questions

1. A client admitted with a diagnosis of cervical cancer tells the nurse, 'I haven’t had a Papanicolaou (Pap) smear for more than 8 years. I probably wouldn’t be in the hospital today if I’d had those tests more often.' Which response would the nurse provide?

Correct answer: ''You feel as though you’ve neglected your health.''

Rationale: The correct response, ''You feel as though you’ve neglected your health,'' is appropriate as it indicates recognition of expressed feelings, encouraging verbalization. This response is nondirective and reflective. Choice A, asking the client why she waited so long, ignores the client’s current emotional needs and may cut off communication. Choice C, stating that it is never too late to start taking care of her health, is judgmental as it implies that the client has been negligent. Choice D, although acknowledging the importance of Pap smears, fails to address the client’s current emotional state and needs.

2. When a patient refuses to believe a terminal diagnosis, they are exhibiting:

Correct answer: C: Denial

Rationale: Denial is a defense mechanism where a patient rejects a reality that is too painful or difficult to accept. In the context of a terminal diagnosis, the patient may refuse to believe it in order to avoid facing the harsh truth. Regression (choice A) involves reverting to earlier, more childlike behaviors and is not applicable in this scenario. Mourning (choice B) is the process of grieving a loss, which typically occurs after acceptance of the diagnosis. Rationalization (choice D) is creating logical explanations to justify unacceptable behaviors, which is not the case when a patient denies a terminal diagnosis.

3. A client is preparing to undergo a cystoscopy for stones. Which of the following statements indicates that the client understands the procedure?

Correct answer: I will probably see a little blood when I urinate.

Rationale: The correct answer is, 'I will probably see a little blood when I urinate.' During a cystoscopy, a scope is inserted into the client's bladder to inspect structures or remove objects like stones. This procedure is usually performed under local or general anesthesia. It is common for clients to experience a small amount of blood in their urine (hematuria) or have pink-colored urine after the procedure. The other choices are incorrect because drinking a lot of fluid before the test, staying in the hospital for 3 days, and assuming no pain will be experienced are not accurate statements related to a cystoscopy procedure.

4. What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016

Correct answer: 7/7/2017

Rationale: The expected date of delivery is calculated using Nagle’s rule which is: The first day of last menstrual period – 3 months + 7 days = the estimated date of delivery

5. Which bloodborne pathogen is the most virulent? (Choose the BEST answer.)

Correct answer: A

Rationale: The correct answer is HCV (Hepatitis C Virus). Hepatitis C is considered the most virulent bloodborne pathogen, being 100 times more virulent than Hepatitis B. HPV (Human Papillomavirus) is a sexually transmitted infection but is not a bloodborne pathogen. HIV (Human Immunodeficiency Virus) affects the immune system but is not as virulent as Hepatitis C in terms of bloodborne transmission. HBV (Hepatitis B Virus) is less virulent compared to HCV in the context of bloodborne transmission.

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