NCLEX NCLEX-PN
Psychosocial Integrity Nclex PN Questions
1. A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
- A. naloxone (Narcan).
- B. labetalol (Normodyne).
- C. neostigmine (Prostigmin).
- D. thiothixene (Navane).
Correct answer: naloxone (Narcan).
Rationale: When a client becomes extremely somnolent with respiratory depression after being given an opiate drug, the physician is likely to order the administration of naloxone (Narcan). Naloxone is an opiate antagonist that attaches to opiate receptors, blocking or reversing the action of narcotic analgesics. Choices B, C, and D are incorrect. Labetalol is a beta blocker used for hypertension, neostigmine is an anticholinesterase agent used to treat myasthenia gravis and reverse neuromuscular blockade, and thiothixene is an antipsychotic agent used for psychiatric conditions.
2. What classification of drug is Diltiazem?
- A. Calcium-Channel Blocker
- B. NSAID
- C. ACE Inhibitor
- D. Beta-Blocker
Correct answer: Calcium-Channel Blocker
Rationale: Diltiazem belongs to the class of calcium-channel blockers, not NSAIDs, ACE Inhibitors, or Beta-Blockers. Calcium-channel blockers like Diltiazem are used to treat conditions such as hypertension by relaxing blood vessels and increasing the supply of blood and oxygen to the heart. Therefore, the correct classification for Diltiazem is a Calcium-Channel Blocker. NSAIDs, ACE Inhibitors, and Beta-Blockers belong to different classes of drugs with distinct mechanisms of action and therapeutic uses, making them incorrect choices for Diltiazem.
3. Which of the following statements by an adult child of a client with late-stage Alzheimer’s disease indicates a need for further teaching by the nurse?
- A. “I should provide a regular schedule for toileting.”
- B. “I should talk to my father less because he can’t communicate.”
- C. “I should give my father oral care after every meal and bedtime.”
- D. “I should assist my father with eating and drinking.”
Correct answer: “I should talk to my father less because he can’t communicate.”
Rationale: In late-stage Alzheimer’s disease, although verbal communication may be challenging or limited, it is essential to maintain communication through talking and non-verbal cues like touching. Limiting communication can lead to feelings of isolation and worsen the emotional well-being of the individual. Choices A, C, and D reflect appropriate care strategies by addressing toileting needs, oral care, and assistance with eating and drinking, which are crucial aspects of caregiving for a client with late-stage Alzheimer’s disease.
4. Paula is a 32-year-old woman seeking evaluation and treatment for major depressive symptoms. A major nursing priority during the assessment process includes which of the following?
- A. meaning of current stressors
- B. possibility of self-harm
- C. motivation to participate in treatment
- D. presence of alcohol or other drug use
Correct answer: possibility of self-harm
Rationale: The correct answer is to consider the possibility of self-harm during the assessment process. This is crucial because unless the client is first assessed for self-harm or suicide potential, the necessary degree of vigilance in the client’s environment may not be observed. While understanding the meaning of current stressors is important for treatment planning, ensuring the client's safety takes precedence. Motivation to participate in treatment and the presence of alcohol or other drug use are also important aspects to assess but ensuring the client's safety is the top priority in this scenario.
5. Under what circumstances is the legal right to confidentiality of client information waived?
- A. When a court system subpoenas information.
- B. When a family member requests health care information of a client.
- C. When a living will takes effect.
- D. When the client is declared incompetent by the legal system.
Correct answer: A
Rationale: The legal right to confidentiality of client information is waived when a court system subpoenas information. This occurs when information is required for legal proceedings to occur, such as through summonses, court orders, or litigation information necessary for the court. Subpoenas are legal orders that compel the disclosure of information. The other choices do not inherently waive the legal right to confidentiality. A family member's request for health care information would typically require the client's consent or fall under specific legal exceptions. A living will dictates end-of-life care preferences but does not necessarily waive confidentiality. Lastly, the declaration of incompetence may impact decision-making capacity but does not automatically waive confidentiality.
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