A man who is being treated for paranoia walks toward the nurse's desk

Best NCLEX-PN Practice Questions

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Question 1 of 5.

A man who is being treated for paranoia walks toward the nurse's desk and observes the nurse making a telephone call. A few minutes later, he accuses the nurse of having called the police. How should the nurse interpret his behavior?

A. Projection

B. Reaction formation

C. Transference

D. Ideas of reference

Explanation: Interpreting a neutral action (phone call) as personally threatening indicates ideas of reference, a common feature of paranoia.

Question 2 of 5.

The nurse is caring for a client who is being treated for cancer. Which question by the client indicates that the client is not ready for teaching?

A. Am I going to lose my hair?'

B. Should I get a second opinion?'

C. Will this make me really sick?'

D. Will I have to stop exercising at the gym?'

Explanation: Asking about a second opinion suggests denial or doubt about the diagnosis, indicating the client is not ready to engage in teaching about treatment.

Question 3 of 5.

The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?

A. Increase the amount of spices in the food

B. Avoid red meats

C. Medicate with prochlorperazine (Compazine) before meals

D. Eat foods that are hot in temperature

Explanation: Increasing spices enhances flavor, encouraging intake, as chemotherapy often dulls taste buds, impacting nutritional status.

Question 4 of 5.

In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:

A. remove flowers from the room.

B. encourage fresh fruit and vegetables.

C. use a strict hand washing technique.

D. take the client's temperature frequently.

Explanation: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.

Question 5 of 5.

The nurse is teaching a client with a WBC of 1400. Which statement made by the client indicates an understanding of the teaching?

A. I will eat fresh fruits and vegetables to avoid constipation.'

B. I will stay away from my cat.'

C. I will avoid crowded places.'

D. I will wash all my fruits and vegetables before I eat them.'

Explanation: A low WBC (1400) indicates high infection risk; avoiding crowded places reduces exposure to pathogens, showing understanding of infection precautions.

Related Questions

A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?

A young man who is admitted with antisocial behavior seeks the attention of a young, attractive nurse, and he finds many excuses to involve the nurse in conversation. The nurse should have which of these understandings of this situation?

A client says to the nurse, 'I have something to tell you because I know you can keep a secret.' To respond to his statement, the nurse should make which of these remarks?

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A homeless woman is admitted to the hospital. When she is admitted, she is asked to keep her possessions in a locker that is in her room. She insists on removing several articles to carry around with her. Following nursing interventions, she continues to carry most of her possessions around with her. The nurse should make which of these interpretations of this behavior?