NCSBN Practice Questions Part 3
1. At the geriatric day care program, a client who has been diagnosed with a neuro-cognitive disorder
is crying and repeatedly saying: "I want to go home. Call my daddy to come for me." The nurse should
take which action?
a) Give the client simple information about what the client will be doing that day
b) Direct the client firmly to the assigned group activity
c) Tell the client you will call someone to come get the client and suggest the client to join an exercise
group while waiting
d) Inform the client that the client must wait until the program ends at 5:00 pm to leave
C) Tell the client you will call someone to come get the client and suggest the client to join an exercise
group while waiting
Comfort and distraction are key approaches in validation therapy. They are the kindest and most
effective actions for clients who have varying degrees of a neuro-cognitive disorder (formerly referred to
as dementia.) The distressed, disoriented client should be gently oriented to reduce fear and increase
the sense of safety and security. However, reorientation is often ineffective when the client is upset.
Environmental changes provoke stress and fear, especially in clients diagnosed with any degree of
Alzheimer's disease.
2. A client who is a victim of domestic violence tells the batterer: "I need a little time away." How
would the nurse expect that the batterer might respond?
a) With a new commitment and an opportunity to seek counseling
b) With fear of rejection, resulting in increased rage toward the client
c) With relief, welcoming the separation as a means to have more personal time
,d) With acceptance, perceiving the comment as an indication that the relationship is in trouble
b) With fear of rejection, resulting in increased rage toward the client
Those that batter others commonly react to such statements or actions with fear of rejection,
abandonment and loss. These types of actions by the recipient of the battering only serve to increase
the batterer's rage at the partner.
3. A nurse is to present information about Chinese folk medicine to a group of student nurses. Based
on this cultural belief system, the nurse would explain that illness is attributed to which focus?
a. The use of improper hot foods, herbs and plants
b. A failure to keep the physiological processes of life in balance with nature and others
c. Yin, the negative force that represents darkness, cold and emptiness
d. Yang, the positive force that represents light, warmth and fullness
b. A failure to keep the physiological processes of life in balance with nature and others
Chinese folk medicine proposes that health is regulated by the opposing forces of yin and yang. Under
normal conditions, there is a dynamic equilibrium of these two physiological processes. Yin is the
negative force characterized by darkness, cold and emptiness. Excessive yin predisposes one to
nervousness. Yang is the positive force that represents light, warmth and fullness. Illness occurs when
the balance between yin and yang is broken.
4. A Native-American chief visits his newborn son and performs a traditional ceremony that involves
feathers and chanting. The charge nurse tells a colleague, "I wonder if he has any idea how ridiculous
he looks - he's a grown man!" This statement is an example of which non-therapeutic approach?
a. Prejudice
b. Ethnocentrism
c. Stereotyping
d. Discrimination
, a. Prejudice
In this question, the nurse is reacting to the chief's behavior, which is an example of prejudice. Prejudice
reflects the overall attitude and emotional response (both positive and negative, conscious and non-
conscious) to a group.
Discrimination refers to differences in actions towards different groups on the basis of prejudice.
Stereotypes are cognitions or beliefs used to categorize others and systemize information in order to
better predict behavior and react. Stereotypes can be used to develop prejudices toward others and to
discriminate.
Ethnocentrism is the practice of making judgments about other cultures based on the values and beliefs
of one's own culture (especially related to language, customs and religion.)
5. A postpartum Hispanic client refuses hospital food because it is "cold." What action should the
nurse take initially?
a. Have UAP reheat the food if the patient wishes
b. Schedule the dietician to meet with patient
c. Encourage the patient to eat for healing and strength
d. Ask the patient what foods are acceptable or unacceptable
d. Ask the patient what foods are acceptable or unacceptable
Many Hispanic clients subscribe to the rebalancing of "hot" and "cold" in the postpartum period. After
giving birth, when a woman has lost blood, she is considered to be in a cold state; therefore, she needs
to restore her humoral balance. What defines "cold" and "hot" can best be explained by the client and
this needs to be incorporated into the plan of care. Note that the correct response allows for client
feedback; this is the only client-centered option.
6. A client diagnosed with a terminal condition is admitted to the nursing unit. What should be the
initial action taken by the nurse?
a. Ensure that the patient is free from pain, nausea, or dyspnea
1. At the geriatric day care program, a client who has been diagnosed with a neuro-cognitive disorder
is crying and repeatedly saying: "I want to go home. Call my daddy to come for me." The nurse should
take which action?
a) Give the client simple information about what the client will be doing that day
b) Direct the client firmly to the assigned group activity
c) Tell the client you will call someone to come get the client and suggest the client to join an exercise
group while waiting
d) Inform the client that the client must wait until the program ends at 5:00 pm to leave
C) Tell the client you will call someone to come get the client and suggest the client to join an exercise
group while waiting
Comfort and distraction are key approaches in validation therapy. They are the kindest and most
effective actions for clients who have varying degrees of a neuro-cognitive disorder (formerly referred to
as dementia.) The distressed, disoriented client should be gently oriented to reduce fear and increase
the sense of safety and security. However, reorientation is often ineffective when the client is upset.
Environmental changes provoke stress and fear, especially in clients diagnosed with any degree of
Alzheimer's disease.
2. A client who is a victim of domestic violence tells the batterer: "I need a little time away." How
would the nurse expect that the batterer might respond?
a) With a new commitment and an opportunity to seek counseling
b) With fear of rejection, resulting in increased rage toward the client
c) With relief, welcoming the separation as a means to have more personal time
,d) With acceptance, perceiving the comment as an indication that the relationship is in trouble
b) With fear of rejection, resulting in increased rage toward the client
Those that batter others commonly react to such statements or actions with fear of rejection,
abandonment and loss. These types of actions by the recipient of the battering only serve to increase
the batterer's rage at the partner.
3. A nurse is to present information about Chinese folk medicine to a group of student nurses. Based
on this cultural belief system, the nurse would explain that illness is attributed to which focus?
a. The use of improper hot foods, herbs and plants
b. A failure to keep the physiological processes of life in balance with nature and others
c. Yin, the negative force that represents darkness, cold and emptiness
d. Yang, the positive force that represents light, warmth and fullness
b. A failure to keep the physiological processes of life in balance with nature and others
Chinese folk medicine proposes that health is regulated by the opposing forces of yin and yang. Under
normal conditions, there is a dynamic equilibrium of these two physiological processes. Yin is the
negative force characterized by darkness, cold and emptiness. Excessive yin predisposes one to
nervousness. Yang is the positive force that represents light, warmth and fullness. Illness occurs when
the balance between yin and yang is broken.
4. A Native-American chief visits his newborn son and performs a traditional ceremony that involves
feathers and chanting. The charge nurse tells a colleague, "I wonder if he has any idea how ridiculous
he looks - he's a grown man!" This statement is an example of which non-therapeutic approach?
a. Prejudice
b. Ethnocentrism
c. Stereotyping
d. Discrimination
, a. Prejudice
In this question, the nurse is reacting to the chief's behavior, which is an example of prejudice. Prejudice
reflects the overall attitude and emotional response (both positive and negative, conscious and non-
conscious) to a group.
Discrimination refers to differences in actions towards different groups on the basis of prejudice.
Stereotypes are cognitions or beliefs used to categorize others and systemize information in order to
better predict behavior and react. Stereotypes can be used to develop prejudices toward others and to
discriminate.
Ethnocentrism is the practice of making judgments about other cultures based on the values and beliefs
of one's own culture (especially related to language, customs and religion.)
5. A postpartum Hispanic client refuses hospital food because it is "cold." What action should the
nurse take initially?
a. Have UAP reheat the food if the patient wishes
b. Schedule the dietician to meet with patient
c. Encourage the patient to eat for healing and strength
d. Ask the patient what foods are acceptable or unacceptable
d. Ask the patient what foods are acceptable or unacceptable
Many Hispanic clients subscribe to the rebalancing of "hot" and "cold" in the postpartum period. After
giving birth, when a woman has lost blood, she is considered to be in a cold state; therefore, she needs
to restore her humoral balance. What defines "cold" and "hot" can best be explained by the client and
this needs to be incorporated into the plan of care. Note that the correct response allows for client
feedback; this is the only client-centered option.
6. A client diagnosed with a terminal condition is admitted to the nursing unit. What should be the
initial action taken by the nurse?
a. Ensure that the patient is free from pain, nausea, or dyspnea
