SAN ANTONIO COLLEGE
DEPARTMENT OF NURSING
RNSG 1538 EXAM 3 – SPRING 2021
STUDENT BLUEPRINT
Ques Question NCLEX-RN Integrative Bloom’s
tion Patient Need Category Process Taxonomy
1 Concept: Psychosocial Integrity Caring Analyzing
Interpersonal Related Activity:
Relationships Assess client’s ability to cope with life changes and provide support
Exemplar: Aging of 1. A nurse and a physician enter a pts hospital room to discuss a pts terminal prognosis the family gets up to leave the room however
Family Member the physician requests that they stay. What is the primary rational for the nurse supporting the physicians request?
Focus: Stress and a. Physicians feel that the family must always be involved indecision making
coping in the Older b. The pt will not need to have repeat what the physican said later to the family
Adult c. Many older adults rely on their family for comforts during stressfull times
2 Concept: Psychosocial Integrity Nursing Analyzing
Interpersonal Related Activity: Process:
Relationship Assess client’s ability to cope with life changes and provide support. Planning
Exemplar: Assess family dynamics to determine plan of care.
Disability of Family 1. A nurse is completing discharge planning with the spouse that will be the primary care giver. The pt is post cerebral vascular accident
Member which left him with both physical and communication impairments. The pts spouse begins to cry and states I feel overwhelmed.
Focus: Care of Which nursing dx should the nurse identify
disabled family a. Ineffective coping
member b. Delayed development
c. Dysphagia
3 Concept: Psychosocial Integrity Nursing Applying
Interpersonal Related Activity: Process:
Relationship Assess client’s ability to cope with life changes and provide support. Assessment
Exemplar: Assess family dynamics to determine plan of care.
Disability of Family 1. The nurse is working with the pt’s family who has severe mental and physical disabilities which finding might cause the nurse
Member concern for the family’s ability to adequately care for the pt after discharge?
Focus: Risk Factors a. Family members communicating the effect of the pts disability on the family
– Family Function b. Family members communicate w each other in clear open manner
c. Family members appear enmeshed with other problems within the family
d. Family members come to an agreement regarding the pts treatment needs
4 Concept: Psychosocial Integrity Teaching / Understandi
Interpersonal Related Activity: Learning ng
Relationships Assess client’s ability to cope with life changes and provide support.
Exemplar: Aging of Assess family dynamics to determine plan of care.
Family Member 1. In providing care to an elderly pt the nurse providers family centered nursing care. What is one rational for this nursing action
Focus: a. The nurse does not want the pt to feel lonely
Communication b. The pt will be more compliant with instructions
c. The family will be more willing to listen to instructions
d. Illness in one family member effects all family members
,5 Concept: Health Promotion and Maintenance Nursing Analyzing
Interpersonal Related Activity: Process:
, Relationships Provide postpartum care and education. Planning
Exemplar: Provide care and education for the newborn.
Expanding Family 2. The nurse is caring for a pt who has 2 children and just delivered full-term twins. Based on this family’s stage in development which
Focus: Health outcome is best for the nurse to include in the mothers plan of care?
Promotion a. Establish relationships with extended family like grandparents
b. Integrate new twins into family while still meeting the needs of other children
c. Restructure marital relationships to adapt to additional children in the family
d. Adjust to the additional financial demands of having twins
6 Concept: Psychosocial Integrity Nursing Analyzing
Interpersonal Related Activity: Process:
Relationships Assess family dynamics to determine plan of care. Evaluation
Exemplar: 1. Creating a blended family can be stressful for the parents & children. What issues can occur during the families transition to
Expanding Family becoming a stable family SELECT ALL THAT APPLY
Focus: Blended a. Resolving the jealousy children may feel towards the step parent
Family b. Potential competition or rivalry among step children
c. Moving the childs discipline and decision to the step parent
d. Reassuring the child that his or her own source of affection from the biological parent is unchanged
e. Confirming that only respect from the step child to the step parent is necessary
7 Concept: Psychosocial Integrity Teaching/ Applying
Interpersonal Related Activity: Learning
Relationships Assess family dynamics to determine plan of care.
Exemplar: 1. A mother is discussing her concerns about recent inappropriate attention seeking behavior changes she has noticed in her older
Expanding Family children just since the arrival of the new baby. What suggestion can the nurse make to minimize sibling rivalry?
Focus: Sibling a. Send the other children to their grandparents’ home for several weeks
Rivalry b. Tell the mother not to worry about it the siblings will eventually accept the newborn
c. Encourage the parents to spend special time with each of the other siblings without the newborn
d. Buy the other children gifts to minimize any hurt feelings they have about the newborn
8 Concept: Mood & Psychosocial Integrity Communic Applying
Affect Related Activity: ation
Exemplar: Major Provide care and education for acute and chronic psychosocial health issues.
Depressive Disorder 1. A depressed pt is talking with the nurse about their treatment. Which statement by the pt indicates that the expected outcomes of
Focus: therapy have been met?
Communication a. I will never let my job or my boss bother me again
b. If my symptoms of depression return I will notify my dr immediately
c. I am a good person and now I can function on my own
d. I don’t ever want to feel so weak and depressed again
9 Concept: Mood & Psychosocial Integrity Nursing Analyzing
Affect Process:
Exemplar: Major Related Activity: Evaluation
Depressive Provide care and education for acute and chronic psychosocial health issues
Disorders 2. The pt is dx with depression & asks the nurse what imbalances influences depression. What is the best explanation about the
Focus: Patient neurochemical process responsible for depression?
Education a. The increase in activity of dopamine results in depression
DEPARTMENT OF NURSING
RNSG 1538 EXAM 3 – SPRING 2021
STUDENT BLUEPRINT
Ques Question NCLEX-RN Integrative Bloom’s
tion Patient Need Category Process Taxonomy
1 Concept: Psychosocial Integrity Caring Analyzing
Interpersonal Related Activity:
Relationships Assess client’s ability to cope with life changes and provide support
Exemplar: Aging of 1. A nurse and a physician enter a pts hospital room to discuss a pts terminal prognosis the family gets up to leave the room however
Family Member the physician requests that they stay. What is the primary rational for the nurse supporting the physicians request?
Focus: Stress and a. Physicians feel that the family must always be involved indecision making
coping in the Older b. The pt will not need to have repeat what the physican said later to the family
Adult c. Many older adults rely on their family for comforts during stressfull times
2 Concept: Psychosocial Integrity Nursing Analyzing
Interpersonal Related Activity: Process:
Relationship Assess client’s ability to cope with life changes and provide support. Planning
Exemplar: Assess family dynamics to determine plan of care.
Disability of Family 1. A nurse is completing discharge planning with the spouse that will be the primary care giver. The pt is post cerebral vascular accident
Member which left him with both physical and communication impairments. The pts spouse begins to cry and states I feel overwhelmed.
Focus: Care of Which nursing dx should the nurse identify
disabled family a. Ineffective coping
member b. Delayed development
c. Dysphagia
3 Concept: Psychosocial Integrity Nursing Applying
Interpersonal Related Activity: Process:
Relationship Assess client’s ability to cope with life changes and provide support. Assessment
Exemplar: Assess family dynamics to determine plan of care.
Disability of Family 1. The nurse is working with the pt’s family who has severe mental and physical disabilities which finding might cause the nurse
Member concern for the family’s ability to adequately care for the pt after discharge?
Focus: Risk Factors a. Family members communicating the effect of the pts disability on the family
– Family Function b. Family members communicate w each other in clear open manner
c. Family members appear enmeshed with other problems within the family
d. Family members come to an agreement regarding the pts treatment needs
4 Concept: Psychosocial Integrity Teaching / Understandi
Interpersonal Related Activity: Learning ng
Relationships Assess client’s ability to cope with life changes and provide support.
Exemplar: Aging of Assess family dynamics to determine plan of care.
Family Member 1. In providing care to an elderly pt the nurse providers family centered nursing care. What is one rational for this nursing action
Focus: a. The nurse does not want the pt to feel lonely
Communication b. The pt will be more compliant with instructions
c. The family will be more willing to listen to instructions
d. Illness in one family member effects all family members
,5 Concept: Health Promotion and Maintenance Nursing Analyzing
Interpersonal Related Activity: Process:
, Relationships Provide postpartum care and education. Planning
Exemplar: Provide care and education for the newborn.
Expanding Family 2. The nurse is caring for a pt who has 2 children and just delivered full-term twins. Based on this family’s stage in development which
Focus: Health outcome is best for the nurse to include in the mothers plan of care?
Promotion a. Establish relationships with extended family like grandparents
b. Integrate new twins into family while still meeting the needs of other children
c. Restructure marital relationships to adapt to additional children in the family
d. Adjust to the additional financial demands of having twins
6 Concept: Psychosocial Integrity Nursing Analyzing
Interpersonal Related Activity: Process:
Relationships Assess family dynamics to determine plan of care. Evaluation
Exemplar: 1. Creating a blended family can be stressful for the parents & children. What issues can occur during the families transition to
Expanding Family becoming a stable family SELECT ALL THAT APPLY
Focus: Blended a. Resolving the jealousy children may feel towards the step parent
Family b. Potential competition or rivalry among step children
c. Moving the childs discipline and decision to the step parent
d. Reassuring the child that his or her own source of affection from the biological parent is unchanged
e. Confirming that only respect from the step child to the step parent is necessary
7 Concept: Psychosocial Integrity Teaching/ Applying
Interpersonal Related Activity: Learning
Relationships Assess family dynamics to determine plan of care.
Exemplar: 1. A mother is discussing her concerns about recent inappropriate attention seeking behavior changes she has noticed in her older
Expanding Family children just since the arrival of the new baby. What suggestion can the nurse make to minimize sibling rivalry?
Focus: Sibling a. Send the other children to their grandparents’ home for several weeks
Rivalry b. Tell the mother not to worry about it the siblings will eventually accept the newborn
c. Encourage the parents to spend special time with each of the other siblings without the newborn
d. Buy the other children gifts to minimize any hurt feelings they have about the newborn
8 Concept: Mood & Psychosocial Integrity Communic Applying
Affect Related Activity: ation
Exemplar: Major Provide care and education for acute and chronic psychosocial health issues.
Depressive Disorder 1. A depressed pt is talking with the nurse about their treatment. Which statement by the pt indicates that the expected outcomes of
Focus: therapy have been met?
Communication a. I will never let my job or my boss bother me again
b. If my symptoms of depression return I will notify my dr immediately
c. I am a good person and now I can function on my own
d. I don’t ever want to feel so weak and depressed again
9 Concept: Mood & Psychosocial Integrity Nursing Analyzing
Affect Process:
Exemplar: Major Related Activity: Evaluation
Depressive Provide care and education for acute and chronic psychosocial health issues
Disorders 2. The pt is dx with depression & asks the nurse what imbalances influences depression. What is the best explanation about the
Focus: Patient neurochemical process responsible for depression?
Education a. The increase in activity of dopamine results in depression
