NURSING BOARD EXAM PRACTICE V – Care of Clients with Physiologic and Psychosocial Alterations

NURSING BOARD EXAM PRACTICE V – Care of Clients with Physiologic and Psychosocial Alterations

June 2008 Nursing Licensure Examination (NLE)
June 2008 NP5 Nursing Board Exam Answer Key
Nursing Board Exams Questions 31-40

Situation – The supervising nurse received report that a staff nurse is displaying frequent irritation, anger, and even indifference toward clients and co-workers.

31. The initial action of the supervisor would be to:

A. Post guidelines on proper decorum of nurse in the bulletin board.

B. Write a memo of warning to the house

C. Request anecdotal report from the nurse’s co-workers

D. Call the nurse for a one on one conference

32. The nurse expressed increasing feelings of dissatisfaction. The supervising nurse intervenes therapeutically by taking the role of:

A. Administrator by relieving her of responsibilities

B. Therapist by delving into the nurse’s internal conflict

C. Counselor by actively listening

D. Educator by reorienting her of role as a nurse.

33. Coupled with poor work performance, mental and physical fatigue and actual withdrawal from client contact and nursing duties. The nurse can be said to be suffering from:

A. Psychotic anxiety

B. Staff burn-out

C. Personality maladjustment

D. Neurotic depression

34. A priority in the nurse’s personal development would be to:

A. Address her physical well-being

B. Boost her self-confidence

C. Provide social support

D. Help her find value and meaning in her work

35. The most relevant professional program for her would be:

A. Assertiveness training

B. Stress management

C. Group dynamics and team building

D. Behavior modification

Situation – A nurse assigned in the neurologic unit is taking of clients with varying degrees of generative disorders.

36. Mr. A with Myasthenia Gravis is having difficulty speaking. What communication strategies should the nurse avoid when interacting with Mr. A?

A. Repeating what the client says for better understanding

B. Using paper and pencil in communicating with the client

C. Encouraging the client to speak slowly

D. Encouraging the client to speak quickly

37. When planning for nursing care for Mr. B who has Parkinson’s disease. Which of the following goals would be most appropriate?

A. To improve muscle tone

B. To start rehabilitation as much as possible

C. TO treat the disease

D. TO maintain optimal body function

38. For the past 10 years, Alma, 42 years old has had multiple sclerosis. Client with multiple sclerosis experience many different symptoms. As part of the rehabilitation planned for Alma, the nurse suggested therapy and hobbies to help her.

A. Strengthen muscle coordination

B. Establish routine

C. Develop perseverance and motivation

D. Establish good health habits

39. On his second day of hospitalization, Mr. Santos was unable to stand and is having difficulty swallowing and talking. Which of the following is the priority of the nurse in assisting Mr. Santos?

A. To prevent bladder distention

B. To prevent decubitus ulcer

C. To prevent contracture

D. To prevent aspiration pneumonia

40. The wife of a seventy two year old man with a diagnosis of Alzheimer’s disease begins to cry and tells the nurse, “I could not understand my husband anymore. He has changed drastically.” “Which of the following responses of the nurse is MOST appropriate?

A. The physician and the staff will make sure that your husband will be comfortable and safe here.

B. This has been a difficult time for you. Let us walk and find a quiet place where we can talk.

C. He will soon recover in his condition.

D. You need not worry, we are doing the best we could.