AND CORRECT ANSWERS: 860
QUESTIONS&ANSWERS
,NCLEX-PN: PRACTICE QUESTIONS AND ANSWERS
The client identifies with agnostics, who believe that the existence of a Higher Power has not
been proved. The client is not an atheist, who does not believe in any god. The client is not a
monotheist, who believes in one god. There is no category called nontheistic.
A young client has just learned of a diagnosis of stage 4 lung cancer. The client was about to
graduate from school and get married. "I can't believe in God anymore," the client tells the
oncology nurse. "He should be all-loving." Which situation would the nurse identify the
client as expressing?
A. Spiritual distress
B. Fear of unemployment
C. Premarital anxiety
D. A justice complaint
***A. Spiritual distress
B. Fear of unemployment
C. Premarital anxiety
D. A justice complaint
The client is expressing spiritual distress about the loss of hope in his belief system. It is not a
complaint about justice, anxiety about a planned marriage, or fear of the job market.
As a client comes into the admitting area, a nurse notices a jeweled cross on the client's
necklace. The nurse comments, "Great look; I can see your religious beliefs are important to
you," and starts with the spiritual assessment of the client. How would this approach be
evaluated?
A. Complimenting the client's appearance is helpful
B. A focus on jewelry might appear materialistic
C. It is efficient and effective to dive right into the interview
D. No time was taken to establish rapport with the client
A. Complimenting the client's appearance is helpful
B. A focus on jewelry might appear materialistic
,C. It is efficient and effective to dive right into the interview
***D. No time was taken to establish rapport with the client
Starting with the spiritual assessment of the client leaves no time to establish rapport with the
client. It is not about jewelry, compliments, or starting quickly.
A nurse is an active member of an evangelical church. The nurse prays with some clients.
Which statements by the nurse would indicate appropriate considerations?
(Select all that apply.)
A. "I pray only with clients whose minds can still make choices."
B. "I ask clients about wanting to pray together."
C. "Before praying, I confirm that it's a convenient time for clients."
D. "I tell clients who don't join me that they're on my prayer list."
E. "Praying together is the best therapeutic relationship."
***A. "I pray only with clients whose minds can still make choices."
***B. "I ask clients about wanting to pray together."
***C. "Before praying, I confirm that it's a convenient time for clients."
D. "I tell clients who don't join me that they're on my prayer list."
E. "Praying together is the best therapeutic relationship."
It is appropriate for the nurse to ask about clients' desires, to select only those who can make
decisions, and to select those for whom it is a convenient time. Being too enthusiastic about
the effects of prayer or trying to include those who are opting out is not appropriate.
What is a term for appreciation of a dimension beyond the self?
A. Becoming
B. Transcendence
C. Value
D. Meaning
A. Becoming
***B. Transcendence
C. Value
, D. Meaning
Transcendence wis wa wterm wfor wappreciation wof wa wdimension wbeyond wthe wself. wMeaning
wis wthe wterm wfor whaving wpurpose, wmaking wsense wof wlife. wValue wis wthe wterm wfor
whaving wcherished wbeliefs wand wstandards. wBecoming wis wthe wterm wfor wallowing wlife
wto wunfold, wand wknowing woneself.
What ware wthe wbest wtimes wto wdo wa wnursing wassessment wof
wspirituality? w(Select wall wthat wapply.)
A. Following wthe wpsychosocial wassessment
B. Following wthe whealth whistory
C. Before wthe wphysical wassessment
D. At wthe wend wof wthe wassessment wprocess
E. Right wafter wmutual wintroductions
***A. wFollowing wthe wpsychosocial wassessment
B. Following wthe whealth whistory
C. Before wthe wphysical wassessment
***D. wAt wthe wend wof wthe wassessment wprocess
E. wRight wafter wmutual wintroductions
The wbest wtimes wto wdo wa wnursing wassessment wof wspirituality ware wat wthe wend wof wthe
wassessment wprocess wor wfollowing wthe wpsychosocial wassessment. wHaving wbuilt wup
wsome wrapport wis wimportant. wThat wrapport wwill wbe wstronger wat wthose wtimes wthan
wright wafter wmutual wintroductions, wfollowing wthe whealth whistory, wor wbefore wthe
wphysical wassessment.
Which worganization wmandates wthat weach wclient wadmitted wto wan winstitution wbe
wassessed wfor wspiritual wbeliefs wand wpractices?
A. wNational wCouncil wof wChurches
B. wAmerican wNurses wAssociation
C. wNursing wOutcomes wClassification wProject
D. wThe wJoint wCommission
A. National wCouncil wof wChurches
B. American wNurses wAssociation