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Exam (elaborations)

NCLEX Practice Questions Exam 1 questions with complete solution

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NCLEX Practice Questions Exam 1 questions with complete solution

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NCLEX Practice Questions Exam 1 questions
with complete solutions

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which
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nursing activities is this approach useful?
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a. Making accurate nursing diagnoses
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b. Establishing priorities of care
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c. Communicating concerns more concisely
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d. Integrating science into nursing care - answer-b. Maslow's hierarchy of basic human
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needs is useful for establishing priorities of care.
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The nurse is prioritizing nursing care for a patient in a long-term care facility. Which
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examples of nursing interventions help meet physiologic needs? Select all that apply.
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a. Preventing falls in the facility
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b. Changing a patient's oxygen tank
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c. Providing materials for a patient who likes to draw
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d. Helping a patient eat his dinner
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e. Facilitating a visit from a spouse
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f. Referring a patient to a cancer support group. - answer-b, d. Physiologic needs—
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oxygen, water, food, elimination, temperature, sexuality, physical activity, and rest—
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must be met at least minimally to maintain life. Providing food and oxygen are examples
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vof interventions to meet these needs. Preventing falls helps meet safety and security
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vneeds, providing art supplies may help meet self-actualization needs, facilitating visits
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vfrom loved ones helps meet self-esteem needs, and referring a patient to a support
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vgroup helps meet love and belonging needs.
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The nurse caring for patients postoperatively uses careful hand hygiene and sterile
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techniques when handling patients. Which of Maslow's basic human needs is being met
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by this nurse?
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a. Physiologic
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b. Safety and security
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c. Self-esteem
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d. Love and belonging - answer-b. By carrying out careful hand hygiene and using sterile
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technique, nurses provide safety from infection. An example of a physiologic need is
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clearing a patient's airway. Self-esteem needs may be met by allowing an older adult to
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talk about a past career. An example of helping meet a love and belonging need is
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contacting a hospitalized patient's family to arrange a visit.
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, The nurse caring for patients in a long-term care facility knows that the highest level on
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Maslow's hierarchy of needs is self-actualization needs. Which statements accurately
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describe the achievement of self-actualization? Select all that apply.
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a. Humans are born with a fully developed sense of self-actualization.
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b. Self-actualization needs are met by depending on others for help.
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c. The self-actualization process continues throughout life.
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d. Loneliness and isolation occur when self-actualization needs are unmet.
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e. A person achieves self-actualization by focusing on problems outside self.
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f. Self-actualization needs may be met by creatively solving problems. - answer-c, e, f.
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vSelf-actualization, or reaching one's full potential, is a process that continues throughout v v v v v v v v v v v


vlife. A person achieves self-actualization by focusing on problems outside oneself and
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vusing creativity as a guideline for solving problems and pursuing interests. Humans are
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vnot born with a fully developed sense of self-actualization, and self-actualization needs
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vare not met specifically by depending on others for help. Loneliness and isolation are
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vnot always the result of unmet self-actualization needs.
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A nurse works with families in crisis at a community mental health care facility. What is
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the best broad definition of a family?
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a. A father, a mother, and children
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b. A group whose members are biologically related
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c. A unit that includes aunts, uncles, and cousins
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d. A group of people who live together and depend on each other for support - answer-d.
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Although all the responses may be true, the best definition is a group of people who live
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together and depend on each other for physical, emotional, or financial support.
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A nurse performs an assessment of a family consisting of a single mother, a
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grandmother, and two children. Which interview questions directed to the single mother
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could the nurse use to assess the affective and coping family function? Select all that
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apply.
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a. Who is the person you depend on for emotional support?
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b. Who is the breadwinner in your family?
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c. Do you plan on having any more children?
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d. Who keeps your family together in times of stress?
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e. What family traditions do you pass on to your children?
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f. Do you live in an environment that you consider safe? - answer-a, d. The five major
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vareas of family function are physical, economic, reproductive, affective and coping, and
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vsocialization. Asking who provides emotional support in times of stress assesses the
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vaffective and coping function. Assessing the breadwinner focuses on the economic
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vfunction. Inquiring about having more children assesses the reproductive function,
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vasking about family traditions assesses the socialization function, and checking the
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venvironment assesses the physical function. v v v v

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