NCLEX-RN Exam Review Guide

Questions and Answers

Which requisite emphasizes the importance of reading instructions during the licensure examination?

The ability to follow explicitly the directions (correct)

The determination to do well

A sound understanding of the subject

A degree of confidence

What factor is crucial for understanding the needs of clients in nursing care?

Cultural influences (correct)

Socialization processes

Social boundaries

Conflict among members

Which stage follows the tension stage in the reorganization process during conflict resolution?

Resolution

Integration (correct)

Reconstruction

Reintegration

What leads to acceptance as a member of a cultural group?

Rewards for conformity Signup and view all the answers

Which of these influences is NOT mentioned as a factor for doing well in the licensure examination?

Previous exam experiences Signup and view all the answers

What is a major influence on an individual’s intellect, creativity, and thinking as per social dynamics?

Participation in society Signup and view all the answers

Which of the following factors does NOT contribute to the change in society or a group?

Persistence of fixed ideas Signup and view all the answers

What aspect of society creates norms, values, and mores among its members?

Cultural traditions Signup and view all the answers

Which Client Need category focuses on the activities performed by nurses to protect clients from health hazards?

Safe and Effective Care Environment Signup and view all the answers

What is the percentage range of questions related to Management of Care in the Client Need category?

16% to 22% Signup and view all the answers

Which area do questions related to Basic Care and Comfort focus on?

Activities of daily living Signup and view all the answers

Which Client Need category includes questions about interventions to achieve optimum health?

Health Promotion and Maintenance Signup and view all the answers

In the context of NCLEX-RN examinations, what does the category Reduction of Risk Potential address?

Prevention of potential complications Signup and view all the answers

What is the focus of questions categorized under Pharmacological and Parenteral Therapies?

Provision of care related to medication administration Signup and view all the answers

Which Client Need category addresses stress management and social well-being?

Psychosocial Integrity Signup and view all the answers

What percentage of NCLEX-RN exam questions focuses on Safety and Infection Control?

8% to 14% Signup and view all the answers

What is the focus of Chapter 1 in Foundations of Nursing Practice?

Factors Influencing Client Needs and Nursing Care Signup and view all the answers

Which of the following units covers Mental Health/Psychiatric Nursing?

Unit 3 Signup and view all the answers

What is emphasized in Chapter 23 about childbearing?

Health Promotion Signup and view all the answers

In which chapter would you find nursing care of clients with urinary/reproductive system disorders?

Chapter 12 Signup and view all the answers

Which chapter discusses the nursing care of clients during the postpartum period?

Chapter 25 Signup and view all the answers

What aspect of development is covered in Chapter 5?

Growth and Development of the Adult Signup and view all the answers

Which chapter would provide information on crisis intervention in psychiatric nursing?

Chapter 16 Signup and view all the answers

Which chapter details the nursing care of high-risk newborns?

Chapter 27 Signup and view all the answers

What is the focus of Chapter 37 in the NCLEX Preparation Toolkit?

Study Worksheets for Reviewing Your Test-Taking Performance Signup and view all the answers

Which chapter covers the management of disorders usually first evident in childhood?

Chapter 17 Signup and view all the answers

What does Chapter 28 focus on?

Nursing Care of the Newborn Signup and view all the answers

Which unit includes review questions with answers and rationales for various topics?

Unit 6 Signup and view all the answers

Which chapter covers nursing care related to alterations in behavior?

Chapter 20 Signup and view all the answers

What term describes the ongoing process members undergo in a 12-step program?

Recovering Signup and view all the answers

What is a primary characteristic of a community as a secondary group?

Interactions are mainly impersonal. Signup and view all the answers

Which of the following best describes the function of community leaders in secondary groups?

They motivate others to act based on community knowledge. Signup and view all the answers

What is the primary purpose of understanding the underlying themes in a conversation with a client?

To identify problem areas and gain insight into the client’s self-concept Signup and view all the answers

Which factor contributes to the success of health educational groups?

All members are recognized as equals. Signup and view all the answers

Which of the following factors does NOT affect the communication process?

Client's preferred hobbies Signup and view all the answers

What is a typical focus of health educational groups?

Specific health concerns like diabetes. Signup and view all the answers

During which phase does the nurse gather data about the client before the initial interaction?

Preinteraction phase Signup and view all the answers

How do members of educational groups typically feel as they gain knowledge?

Decreased frustration. Signup and view all the answers

Which of the following is NOT a role of secondary groups in society?

Encouraging personal relationships. Signup and view all the answers

Which statement about mood is accurate in the nurse-client relationship?

It includes how the client communicates via facial expressions and gestures. Signup and view all the answers

What is a common barrier to effective communication?

Selective inattention Signup and view all the answers

What is a characteristic of in-service educational groups?

They focus on employee training and development. Signup and view all the answers

What is discussed during the orientation phase of the nurse-client relationship?

Confidentiality issues and client rights Signup and view all the answers

Which of the following describes the therapeutic nurse-client relationship?

A structured relationship focused on the client's needs and trust Signup and view all the answers

Which is NOT a factor affecting the interaction between the nurse and the client?

Amount of time spent with the client Signup and view all the answers

Study Notes

General Overview

The book is a comprehensive review guide for nursing students preparing for the NCLEX-RN® Examination.
It is authored by a team of experienced nursing education professionals from Nassau Community College.

Structure of the Book

Divided into units covering various nursing topics, medical-surgical nursing, mental health, women's health, child health nursing, and NCLEX preparation.
Each unit includes review questions accompanied by answers and rationales for deeper understanding.

Classification of Questions

Questions categorized by Client Need, Cognitive Level, Integrated Process, and Nursing Process.
Reflects the 2010 NCLEX-RN Test Plan with percentages indicating question distribution across categories.

Key Client Need Categories

Safe and Effective Care Environment
- Focuses on management of care (16%-22%) and safety/infection control (8%-14%).
Health Promotion and Maintenance
- Addresses knowledge of health principles and client care (6%-12%).
Psychosocial Integrity
- Emphasizes support for emotional, mental, and social well-being (6%-12%).
Physiological Integrity
- Topics include basic care (6%-12%), pharmacological therapies (13%-19%), and risk reduction (10%-16%).

Preparation for the NCLEX-RN® Examination

Understanding of subject matter and direction is crucial for success.
Essential skills include comprehension, careful reading, effective use of test technology, determination, and building confidence.

Factors Influencing Client Needs

Human societies have socialization processes; cultural groups form norms through rewards and punishments.
Conflict can reshape society; resolution involves tension, integration, and reconstruction of norms.

Cultural Influence on Health

Culture shapes perceptions of importance, truths, and realities about health.
Community dynamics play a role in behavior and health education, with groups providing support and information.

Health Educational Groups

Aim to provide support and knowledge to facilitate behavioral changes.
Effective groups involve shared experiences, support equality, and are often led by healthcare professionals.### Communication in Nursing
Conversations may seem superficial but can reveal deeper themes, aiding nurses in identifying client issues and understanding their self-concept.
Mood encompasses the emotional state expressed by the client through physical appearance, facial expressions, and gestures.
Interaction reflects how clients respond to nurses, including the relationships formed and the roles assumed in communication.

Factors Affecting Communication

Language differences, psychosocial influences, and cultural backgrounds can shape communication dynamics.
Intellectual development, gender, personal values, and perceptions can impact interactions.
Personal space categories: intimate, personal, social, and public areas influence comfort and communication.
Territoriality and established roles/relationships affect how messages are received and interpreted.
Environmental factors, and congruence between verbal and nonverbal communication, play crucial roles in effective communication.
Interpersonal attitudes can enhance or hinder the communication process.

Barriers to Effective Communication

Cultural, linguistic, and educational differences can lead to misunderstandings.
Hearing, speech, or comprehension problems may cause ineffective communication.
A refusal to consider alternate viewpoints can block understanding.
Selective inattention can disrupt message clarity and continuity.
Environmental distractions such as noise, inadequate privacy, or uncomfortable room conditions can impair communication.
Psychological or physiological discomfort, such as anxiety, hunger, or pain, can hinder open communication.

Phases of the Nurse-Client Relationship

Preinteraction Phase: Begins before any client interaction, involving self-exploration concerning personal values and biases.
Self-awareness is essential for meaningful relationships; nurses must recognize their own emotions and misconceptions.
Initial tasks include gathering relevant client data and strategizing for the first meeting.
Orientation/Introductory Phase: Marks the beginning of the nurse-client relationship, where the nurse establishes trust and rapport.
Nurses introduce themselves, clarify their roles in a multidisciplinary team, and explain the purpose of interactions.
Mutual goals are set through a contract that reflects both nurse and client expectations.
Confidentiality and client rights are emphasized during this phase.
Termination planning commences within this phase, establishing timelines for interactions.

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Description

This quiz is designed to help nursing students prepare for the NCLEX-RN® Examination. It covers key nursing topics such as medical-surgical nursing, mental health, and child health, alongside review questions that provide insights and rationales to deepen understanding. Enhance your test-taking skills and knowledge with this comprehensive review.