Practice B 2026 Exam Questions
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A nurse is assessing a family's dynamics during a counseling session. The
nurse should recognize which of the following findings as an indication of a
boundary issues?
A. An adolescent family member who questions parental authority
,B. A family with three generations in the same household
C. Older children who are responsible for their younger siblings
D. Two adults and their children from prior relationships in the same
household - 🧠 ANSWER ✔✔Correct: C
- This is an example of enmeshed boundaries in which there are no
distinctions between the roles of family members.
A - incorrect - An adolescent who questions parental authority is
demonstrating appropriate behaviors for developmental age
B - incorrect - This scenario occurs in many households, not indication of
boundary issue
D. This is an example of a blended family, not indication of boundary issue
A nurse is performing an admission assessment on a client and notices
that the client appears withdrawn and fearful. To establish a trusting
nurse=client relationship, which of the following actions should the nurse
take first?
,A. Inform the client that this admission is confidential
B. Introduce the client to other clients in the day room
C. Assist the client in facilitating behavioral change
D. Determine coping strategies that the client used in the past - 🧠 ANSWER
✔✔A - CORRECt
- According to evidence-based practice, the nurse should first inform the
client about confidentiality during the orientation phase of the nurse-client
relationship.
B - Incorrect The nurse should introduce the client to other clients in the
day room to help the client interact with others during the working phase of
the nurse-client relationship. However, evidence-based practice indicates
that the nurse should take a different action first.
C. INCORRECT The nurse should assist the client with behavioral change
during the working phase of the nurse-client relationship. However,
evidence-based practice indicates that the nurse should take a different
action first.
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, D. Incorrect The nurse should determine what coping strategies the client
used in the past during the working phase of the nurse-client relationship.
However, evidence-based practice indicates that the nurse should take a
different action first.
A nurse is performing a cognitive assessment to distinguish delirium form
dementia in a client whose family reports episodes of confusion. Which of
the following assessment findings supports the nurse's suspicion of
delirium?
A. Slow onset
B. Aphasia
C. Confabulation
D. Easily distracted - 🧠 ANSWER ✔✔D - CORRECT
- Extreme distractibility is a hallmark manifestation of delirium.
A - INCORRECT
Delirium has an acute onset. Dementia is a slow, progressive decline.