NCLEX-RN PassPoint exam 2 Questions And Answers

Question 1 See full question Following a sexual assault the client tells the nurse that she is on long-lasting birth control and 38s has no intention of taking any legal action against her assailant. The nurse advises the client that she stills needs follow-up care for early detection of which problem? You Selected: sexually transmitted disease Correct response: sexually transmitted disease Explanation: Remediation: Add a Note Question 2 See full question 1m 20s The nurse is planning care for a client who has a history of making verbal threats and acting violently toward family members. The client is currently displaying intense anger towards the staff. What nursing diagnosis is most appropriate? You Selected: Risk for other-directed violence Correct response: Risk for other-directed violence Explanation: Add a Note Question 3 See full question A client with a diagnosis of antisocial personality disorder has a potential for violence and 3m 8s aggressive behavior. Which short-term client outcome is most appropriate for the nurse to include in the plan of care? You Selected: Discuss feelings of anger with staff. Correct response: Discuss feelings of anger with staff. Explanation: Remediation: Add a Note Question 4 See full question 1m 54s The client is admitted to the hospital because of threatening, aggressive behavior toward the client’s family. Which factor is most important for the nurse to consider when assessing the angry client’s potential for violence? You Selected: the client's past history of violent behavior Correct response: the client's past history of violent behavior Explanation: Remediation: Add a Note Question 5 See full question In working with a rape victim, which intervention is most important? You Selected: periodically reminding the client that she did not deserve and did not cause the rape Correct response: periodically reminding the client that she did not deserve and did not cause the rape Explanation: Remediation: 39s Add a Note picking up a pool cue stick and telling the nurse to get out of the way Explanation: Remediation: Add a Note Question 7 See full question A client is admitted to the psychiatric hospital for evaluation after numerous incidents of 42s threatening others, angry outbursts, and two episodes of hitting a coworker at the client’s place of employment. The client is very anxious and tells the nurse, “I didn’t mean to hit him. He made me so mad that I just couldn’t help it. I hope I don’t hit anyone here.” To ensure a safe environment, what should the nurse do first? You Selected: Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member when feeling angry. Correct response: Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member when feeling angry. Explanation: Remediation: Add a Note Question 8 See full question 2m 51s A client newly admitted to a psychiatric inpatient setting demands a soda from a staff member who tells him to wait until lunch arrives in 20 minutes. The client becomes angry, pushes over a sofa, throws an end table, and dumps a potted plant. Which goal should a nurse consider to be of primary importance? You Selected: Demonstrating control over aggressive behavior Correct response: Demonstrating control over aggressive behavior Explanation: Remediation: Add a Note Question 9 See full question 19s Which nursing statement is most effective when the nurse is trying to defuse a client's impending violent behavior? You Selected: "Let's talk about what happened to make you this angry." Correct response: "Let's talk about what happened to make you this angry." Explanation: