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NCLEX Practice Exam 1- /40 questions and answers.

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NCLEX Practice Exam 1- /40 questions and answers.

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NCLEX Practice Exam 1- /40
questions and answers.
A nurse is providing care based on Maslow's hierarchy of basic
human needs. For which nursing activities is this approach
useful?

a. Making accurate nursing diagnoses
b. Establishing priorities of care
c. Communicating concerns more concisely
d. Integrating science into nursing care - -b. Maslow's hierarchy
of basic human needs is useful for establishing priorities of care.

-The nurse is prioritizing nursing care for a patient in a long-
term care facility. Which examples of nursing interventions help
meet physiologic needs? Select all that apply.

a. Preventing falls in the facility
b. Changing a patient's oxygen tank
c. Providing materials for a patient who likes to draw
d. Helping a patient eat his dinner
e. Facilitating a visit from a spouse
f. Referring a patient to a cancer support group. - -b, d.
Physiologic needs—oxygen, water, food, elimination,
temperature, sexuality, physical activity, and rest—must be met
at least minimally to maintain life. Providing food and oxygen are
examples of interventions to meet these needs. Preventing falls
helps meet safety and security needs, providing art supplies may
help meet self-actualization needs, facilitating visits from loved
ones helps meet self-esteem needs, and referring a patient to a
support group helps meet love and belonging needs.

-The nurse caring for patients postoperatively uses careful hand
hygiene and sterile techniques when handling patients. Which of
Maslow's basic human needs is being met by this nurse?

a. Physiologic
b. Safety and security
c. Self-esteem

,d. Love and belonging - -b. By carrying out careful hand hygiene
and using sterile technique, nurses provide safety from infection.
An example of a physiologic need is clearing a patient's airway.
Self-esteem needs may be met by allowing an older adult to talk
about a past career. An example of helping meet a love and
belonging need is contacting a hospitalized patient's family to
arrange a visit.

-The nurse caring for patients in a long-term care facility knows
that the highest level on Maslow's hierarchy of needs is self-
actualization needs. Which statements accurately describe the
achievement of self-actualization? Select all that apply.

a. Humans are born with a fully developed sense of self-
actualization.
b. Self-actualization needs are met by depending on others for
help.
c. The self-actualization process continues throughout life.
d. Loneliness and isolation occur when self-actualization needs
are unmet.
e. A person achieves self-actualization by focusing on problems
outside self.
f. Self-actualization needs may be met by creatively solving
problems. - -c, e, f. Self-actualization, or reaching one's full
potential, is a process that continues throughout life. A person
achieves self-actualization by focusing on problems outside
oneself and using creativity as a guideline for solving problems
and pursuing interests. Humans are not born with a fully
developed sense of self-actualization, and self-actualization needs
are not met specifically by depending on others for help.
Loneliness and isolation are not always the result of unmet self-
actualization needs.

-A nurse works with families in crisis at a community mental
health care facility. What is the best broad definition of a family?

a. A father, a mother, and children
b. A group whose members are biologically related
c. A unit that includes aunts, uncles, and cousins

, d. A group of people who live together and depend on each other
for support - -d. Although all the responses may be true, the best
definition is a group of people who live together and depend on
each other for physical, emotional, or financial support.

-A nurse performs an assessment of a family consisting of a
single mother, a grandmother, and two children. Which interview
questions directed to the single mother could the nurse use to
assess the affective and coping family function? Select all that
apply.

a. Who is the person you depend on for emotional support?
b. Who is the breadwinner in your family?
c. Do you plan on having any more children?
d. Who keeps your family together in times of stress?
e. What family traditions do you pass on to your children?
f. Do you live in an environment that you consider safe? - -a, d.
The five major areas of family function are physical, economic,
reproductive, affective and coping, and socialization. Asking who
provides emotional support in times of stress assesses the
affective and coping function. Assessing the breadwinner focuses
on the economic function. Inquiring about having more children
assesses the reproductive function, asking about family
traditions assesses the socialization function, and checking the
environment assesses the physical function.

-The nurse caring for families in a free health care clinic
identifies psychosocial risk factors for altered family health.
Which example describes one of these risk factors?

a. The family does not have dental care insurance or resources to
pay for it.
b. Both parents work and leave a 12-year old child to care for his
younger brother.
c. Both parents and their children are considerably overweight.
d. The youngest member of the family has cerebral palsy and
needs assistance from community services. - -b. Inadequate
childcare resources is a psychosocial risk factor. Not having
access to dental care and obese family members are lifestyle risk

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