NCLEX EXAM zm
Exam Solution zm
Saunder's Comprehensive NCLEX Review 2026 A+ GRA zm zm zm zm zm zm
DE ASSURED COMPLETE SOLUTIONS AND VERIFIED AN
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SWERS (5E862) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Which teaching method is most effective when providing instruction to members of sp
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ecial populations? 1. Teach-
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back 2. video instruction 3. written materials 4. verbal explanation
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ANSWER
1. Teach-
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back Rationale: When providing education to members of special populations, return explanation an
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d demonstration (teach-
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back) of are particular importance to ensure safety and mutual understanding. This method is the m
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ost reliable in confirming the client understands the instructions.
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QUESTION 3 zm
Which health concerns should the nurse be aware of as risk factors when caring for cl
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ients of African American descent? Select all that apply: 1. cancer 2. obesity 3. hyperte
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nsion 4. heart disease 5. hypothyroidism 6. diabetes mellitus
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ANSWER
1, 2, 3, 4, 6 Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
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prevalent among African Americans.
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,QUESTION 4 zm
The nurse is planning care for a client of Native Hawaiian descent who recently had a
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mbaby. The nurse develops a teaching plan and includes info about which measure that
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's related to a newborn complication within this ethnic group? 1. safe sleeping 2. car s
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eat safety 3. breast-feeding 4. baby-proofing
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ANSWER
1. Safe sleeping Rationale: The native Hawaiian population has a disproportionately higher rate of in
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fant mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major
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cause of infant mortality. Safe sleeping is an important measure to prevent this newborn complicatio
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n.
QUESTION 5 zm
The nurse is planning care for an assigned client. The nurse should include info in the
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plan of care about the prevention of HIV for which individuals specifically at risk? 1.
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lesbian persons 2. men-who-have-sex-with-men (MSM) 3. women-who-have-sex-with-
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women (WSW) 4. Female-To-Male (FTM) transgender persons
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ANSWER
2. MSM Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
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QUESTION 6 zm
Which therapeutic communication technique is most helpful when working with trans
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gender persons? 1. using open- zm zm zm zm
ended questions 2. using their first name to address them 3. using pronouns associate
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d with birth sex 4. anticipating the client's needs and making suggestions
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ANSWER
1. Using open-ended questions Rationale: The use of open-
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ended questions is the most helpful in communicating with transgender persons because it assists in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
refraining from judgment and allows the client the opportunity to express their thoughts and feelin
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gs.
QUESTION 7 zm
Which special population should be targeted for breast cancer screening by way of ma
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mmography? Select all that apply: 1. male-to-female (MTF) 2. female-to-
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male (FTM) 3. men-who-have-sex-with-men (MSM) 4. women-who-have-sex-with-
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men (WSM) 5. women-who-have-sex-with-women (WSW)
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ANSWER
1, 2, 4, 5 Rationale: Transgender persons who have undergone sexual reassignment surgery should
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have the respective preventive screenings. WSW and WSM should also have screenings.
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,QUESTION 8 zm
The nurse is volunteering with an outreach program to provide basic healthcare for h
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omeless people. Which finding, if noted, should be addressed first? 1. BP 154/72 2. vis
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ual acuity of 20/200 in both eyes 3. random blood glucose level of 206 4. complaints
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
of pain associated with numbness and tingling in both feet
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ANSWER
4. complaints of pain associated with numbness and tingling in both feet Rationale: With this popula
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tion, the complaints of pain associated with numbness and tingling should be addressed first. If the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
client perceives value to the service provided, they will be likely to provide follow-
zm zm zm zm zm zm zm zm zm zm zm zm zm
up care. While the bp, blood glucose, and vision are concerning, the client's stated concern should b
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e addressed first.
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QUESTION 9 zm
The nurse is completing the admission assessment for a client who is intellectually dis
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abled. Which part of the client encounter may require more time to complete? 1. the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
history 2. the physical assessment 3. the nursing plan of care 4. the readmission risk
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
assessment
ANSWER
1. the history Rationale: intellectually disabled clients tend to be poor historians, and it may take m
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ore time to ask questions in different ways when collecting the history data.
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QUESTION 10 zm
A nurse working in a community outreach program for foster children plans care kno
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wing that which health conditions are common in this population? Select all that appl
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y: 1. asthma 2. claustrophobia 3. sleep problems 4. bipolar disorder 5. aggressive beh
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avior 6. ADHD zm zm
ANSWER
3, 4, 5, 6 Rationale: foster children are at risk for a variety of health conditions later in life, includin
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g ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression, mood disorder, PTSD, re
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active detachment disorder, sleep problems, prenatal drug and alcohol exposure, and personality dis
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order. Claustrophobia and asthma are not specifically associated with foster children.
zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
The nurse is caring for a female client in the ED who presents with a complaint of fati
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gue and SOB. Which physical assessment findings, if noted by the nurse, warrant a ne
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ed for follow up? 1. reddened sclera of the eyes 2. dry flaking noted on the scalp 3. a
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reddish-purple mark on the neck 4. a scaly rash noted on the elbows and knees
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, ANSWER
3. a reddish-
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purple mark on the neck Rationale: The client should be screened for abuse. Battered women experi
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ence bruises, particularly around the eyes, red or purple marks on the neck, sprained or broken wri
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sts, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in eating and sleeping, sexual
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dysfunction, and fertility issues. Mental health issues can also arise including PTSD, nightmares, anxi
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ety, uncontrollable thoughts, depression, anxiety, low self-
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esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on the elbows, and flaking of the s
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calp do not indicate abuse.
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QUESTION 12 zm
The nurse planning care for a military veteran should prioritize nursing interventions
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targeted at managing which condition, if present, that commonly occurs in this popul
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ation? 1. hypertension 2. hyperlipidemia 3. substance abuse disorder 4. PTSD
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ANSWER
4. PTSD Rationale: PTSD is extremely common in this population. Identifying and treating mental he
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alth disorders assists in lowering the suicide risk. Treatment of comorbid conditions such as PTSD
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may also help address any substance abuse disorder. Use of screening tools in identifying substance
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use disorder is helpful. Treatment of PTSD includes exposure therapy, psychotherapy, and family/gro
zm zm zm zm zm zm zm zm zm zm zm zm
up therapy. Hypertension and hyperlipidemia are important but not priority; the risk of suicide and
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other safety concerns associated with PTSD are the priority for this population.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 13 zm
The nurse caring for a refugee considers which health care need a priority for this cli
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ent? 1. access to housing 2. access to clean water 3. access to transportation 4. access
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to mental health care services
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ANSWER
4. access to mental health care services Rationale: Mental health problems are the primary issue for
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mthis population as a result of tortuous events. While all the other options are important, they do no
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t address the specific needs of this special population.
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QUESTION 14 zm
Which action by the nurse will best facilitate adherence to the treatment regimen for
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a client with a chronic illness? 1. arranging for home health care 2. focusing on mana
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ging a single illness at a time 3. communicating with one provider only to avoid confu
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sion for the client 4. allowing the client to teach a support person about their treatme
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nt regimenzm
ANSWER
Exam Solution zm
Saunder's Comprehensive NCLEX Review 2026 A+ GRA zm zm zm zm zm zm
DE ASSURED COMPLETE SOLUTIONS AND VERIFIED AN
zm zm zm zm zm zm
SWERS (5E862) zm
QUESTION 1 zm
Term
ANSWER
Definition
QUESTION 2 zm
Which teaching method is most effective when providing instruction to members of sp
zm zm zm zm zm zm zm zm zm zm zm zm
ecial populations? 1. Teach-
zm zm zm
back 2. video instruction 3. written materials 4. verbal explanation
zm zm zm zm zm zm zm zm zm
ANSWER
1. Teach-
zm
back Rationale: When providing education to members of special populations, return explanation an
zm zm zm zm zm zm zm zm zm zm zm zm
d demonstration (teach-
zm zm
back) of are particular importance to ensure safety and mutual understanding. This method is the m
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ost reliable in confirming the client understands the instructions.
zm zm zm zm zm zm zm zm
QUESTION 3 zm
Which health concerns should the nurse be aware of as risk factors when caring for cl
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ients of African American descent? Select all that apply: 1. cancer 2. obesity 3. hyperte
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nsion 4. heart disease 5. hypothyroidism 6. diabetes mellitus
zm zm zm zm zm zm zm zm
ANSWER
1, 2, 3, 4, 6 Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and cancer are
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prevalent among African Americans.
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,QUESTION 4 zm
The nurse is planning care for a client of Native Hawaiian descent who recently had a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mbaby. The nurse develops a teaching plan and includes info about which measure that
zm zm zm zm zm zm zm zm zm zm zm zm zm
's related to a newborn complication within this ethnic group? 1. safe sleeping 2. car s
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
eat safety 3. breast-feeding 4. baby-proofing
zm zm zm zm zm
ANSWER
1. Safe sleeping Rationale: The native Hawaiian population has a disproportionately higher rate of in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
fant mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
cause of infant mortality. Safe sleeping is an important measure to prevent this newborn complicatio
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
n.
QUESTION 5 zm
The nurse is planning care for an assigned client. The nurse should include info in the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
plan of care about the prevention of HIV for which individuals specifically at risk? 1.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
lesbian persons 2. men-who-have-sex-with-men (MSM) 3. women-who-have-sex-with-
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women (WSW) 4. Female-To-Male (FTM) transgender persons
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ANSWER
2. MSM Rationale: MSM (men who have sex with men) are at a higher risk for HIV and AIDS.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 6 zm
Which therapeutic communication technique is most helpful when working with trans
zm zm zm zm zm zm zm zm zm zm
gender persons? 1. using open- zm zm zm zm
ended questions 2. using their first name to address them 3. using pronouns associate
zm zm zm zm zm zm zm zm zm zm zm zm zm
d with birth sex 4. anticipating the client's needs and making suggestions
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
1. Using open-ended questions Rationale: The use of open-
zm zm zm zm zm zm zm zm
ended questions is the most helpful in communicating with transgender persons because it assists in
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
refraining from judgment and allows the client the opportunity to express their thoughts and feelin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
gs.
QUESTION 7 zm
Which special population should be targeted for breast cancer screening by way of ma
zm zm zm zm zm zm zm zm zm zm zm zm zm
mmography? Select all that apply: 1. male-to-female (MTF) 2. female-to-
zm zm zm zm zm zm zm zm zm
male (FTM) 3. men-who-have-sex-with-men (MSM) 4. women-who-have-sex-with-
zm zm zm zm zm zm
men (WSM) 5. women-who-have-sex-with-women (WSW)
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ANSWER
1, 2, 4, 5 Rationale: Transgender persons who have undergone sexual reassignment surgery should
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
have the respective preventive screenings. WSW and WSM should also have screenings.
zm zm zm zm zm zm zm zm zm zm zm
,QUESTION 8 zm
The nurse is volunteering with an outreach program to provide basic healthcare for h
zm zm zm zm zm zm zm zm zm zm zm zm zm
omeless people. Which finding, if noted, should be addressed first? 1. BP 154/72 2. vis
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ual acuity of 20/200 in both eyes 3. random blood glucose level of 206 4. complaints
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
of pain associated with numbness and tingling in both feet
zm zm zm zm zm zm zm zm zm
ANSWER
4. complaints of pain associated with numbness and tingling in both feet Rationale: With this popula
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tion, the complaints of pain associated with numbness and tingling should be addressed first. If the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
client perceives value to the service provided, they will be likely to provide follow-
zm zm zm zm zm zm zm zm zm zm zm zm zm
up care. While the bp, blood glucose, and vision are concerning, the client's stated concern should b
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e addressed first.
zm zm
QUESTION 9 zm
The nurse is completing the admission assessment for a client who is intellectually dis
zm zm zm zm zm zm zm zm zm zm zm zm zm
abled. Which part of the client encounter may require more time to complete? 1. the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
history 2. the physical assessment 3. the nursing plan of care 4. the readmission risk
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
assessment
ANSWER
1. the history Rationale: intellectually disabled clients tend to be poor historians, and it may take m
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ore time to ask questions in different ways when collecting the history data.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
A nurse working in a community outreach program for foster children plans care kno
zm zm zm zm zm zm zm zm zm zm zm zm zm
wing that which health conditions are common in this population? Select all that appl
zm zm zm zm zm zm zm zm zm zm zm zm zm
y: 1. asthma 2. claustrophobia 3. sleep problems 4. bipolar disorder 5. aggressive beh
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avior 6. ADHD zm zm
ANSWER
3, 4, 5, 6 Rationale: foster children are at risk for a variety of health conditions later in life, includin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
g ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression, mood disorder, PTSD, re
zm zm zm zm zm zm zm zm zm zm zm zm
active detachment disorder, sleep problems, prenatal drug and alcohol exposure, and personality dis
zm zm zm zm zm zm zm zm zm zm zm zm
order. Claustrophobia and asthma are not specifically associated with foster children.
zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
The nurse is caring for a female client in the ED who presents with a complaint of fati
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
gue and SOB. Which physical assessment findings, if noted by the nurse, warrant a ne
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ed for follow up? 1. reddened sclera of the eyes 2. dry flaking noted on the scalp 3. a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
reddish-purple mark on the neck 4. a scaly rash noted on the elbows and knees
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, ANSWER
3. a reddish-
zm zm
purple mark on the neck Rationale: The client should be screened for abuse. Battered women experi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ence bruises, particularly around the eyes, red or purple marks on the neck, sprained or broken wri
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
sts, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in eating and sleeping, sexual
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dysfunction, and fertility issues. Mental health issues can also arise including PTSD, nightmares, anxi
zm zm zm zm zm zm zm zm zm zm zm zm zm
ety, uncontrollable thoughts, depression, anxiety, low self-
zm zm zm zm zm zm
esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on the elbows, and flaking of the s
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calp do not indicate abuse.
zm zm zm zm
QUESTION 12 zm
The nurse planning care for a military veteran should prioritize nursing interventions
zm zm zm zm zm zm zm zm zm zm zm z
targeted at managing which condition, if present, that commonly occurs in this popul
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ation? 1. hypertension 2. hyperlipidemia 3. substance abuse disorder 4. PTSD
zm zm zm zm zm zm zm zm zm zm
ANSWER
4. PTSD Rationale: PTSD is extremely common in this population. Identifying and treating mental he
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
alth disorders assists in lowering the suicide risk. Treatment of comorbid conditions such as PTSD
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
may also help address any substance abuse disorder. Use of screening tools in identifying substance
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
use disorder is helpful. Treatment of PTSD includes exposure therapy, psychotherapy, and family/gro
zm zm zm zm zm zm zm zm zm zm zm zm
up therapy. Hypertension and hyperlipidemia are important but not priority; the risk of suicide and
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
other safety concerns associated with PTSD are the priority for this population.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 13 zm
The nurse caring for a refugee considers which health care need a priority for this cli
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ent? 1. access to housing 2. access to clean water 3. access to transportation 4. access
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to mental health care services
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ANSWER
4. access to mental health care services Rationale: Mental health problems are the primary issue for
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mthis population as a result of tortuous events. While all the other options are important, they do no
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t address the specific needs of this special population.
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QUESTION 14 zm
Which action by the nurse will best facilitate adherence to the treatment regimen for
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a client with a chronic illness? 1. arranging for home health care 2. focusing on mana
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ging a single illness at a time 3. communicating with one provider only to avoid confu
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sion for the client 4. allowing the client to teach a support person about their treatme
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nt regimenzm
ANSWER
