NCLEX NCLEX-PN Exam Made Easy: Step-by-Step Preparation Guide

A realistic short-term goal is for the client to verbalize feelings about the event. A brief treatment program is

not designed to identify or resolve problems. The focus is on managing acute symptoms. If in-depth psychological

problems are identified, the nurse might make referrals for treatment.Psychosocial Integrity

Torts are wrongs committed by one person against another person (or against the property of another), which

might result in civil trials. A crime is also defined as a wrong against a person or their property but is considered to

be against the public as well. Misdemeanors are crimes that are commonly punishable with fines or imprisonment

for less than one year, with both or with parole. A felony is a serious crime punishable by imprisonment in a State

or Federal penitentiary for more than one year.Coordinated Care

Tolerance is the capacity to ingest an increasing amount of a substance without effect and the experience of

decreased sensitivity to the substance. Tolerance can develop with long-term use of many drugs. Choice 1 is the

dose required to produce a defined magnitude of drug effect. Choice 3 binds to a receptor and causes an action.

Choice 4 is the maximal response produced by a drug.Pharmacological Therapies

The greatest time-savers when planning client care are activities that facilitate focus and completion of

priority items. Time-savers include setting goals, establishing priorities, planning tasks, delegating where

appropriate, re-assessment, and ongoing evaluation of needs.Coordinated Care

Transference phenomena are intensified in relationships with authority, such as physicians and nurses.

Common positive transferences include desire for affection and gratification of dependency needs. Common

negative transferences include hostility and competitiveness. These transferences must be recognized and

resolved before growth and positive change can be undertaken in the working stage.Psychosocial Integrity

The nurse changes the plan to respond to changes in needs.Coordinated Care

Compliance or performance at the minimally acceptable level is not considered quality care.Coordinated Care

Because Hispanic people represent a large percentage of migrant workers in the United States, many work in

agricultural settings and might be exposed to pesticides, putting them at higher risk than the other groups.Safety

and Infection Control

Legal protection of confidentiality extends to both written and verbal information identifiable as individual

private health information.Coordinated Care

Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse

because of shame and fear of reprisal.Psychosocial Integrity

Allopurinol is a drug used to treat gout, and it decreases uric acid formation. Prednisone is a corticosteroid

used to decrease inflammation. Indomethacin is an analgesic, anti-inflammatory, and antipyretic agent.

Hydrochlorothiazide is a thiazide diuretic used to treat hypertension and edema.Physiological Adaptation

The exploration of life problems of support-team members is not necessary to enhance the support system.

Choices 1, 2, and 4 are all enhancements for a support system.Psychosocial Integrity

Bleeding problems are not characteristic of diabetes. All the other options are appropriate areas of assessment.

Safety and Infection Control

Only an unbound drug can be distributed to active receptor sites. Therefore, the more of a drug that is bound

to protein, the less it is available for the desired drug effect. Choice 1 is incorrect because less drug is available if

it is bound to protein. Choice 2 is incorrect because distribution to receptor sites is irrelevant if the drug, which is

bound to protein, cannot bind with a receptor site. Choice 4 is incorrect because metabolism is not increased. The

liver first has to remove the drug from the protein molecule before metabolism can occur. The protein is then free

to return to circulation and be used again.Pharmacological Therapies

A simple cold without fever does not preclude vaccination. Choices 1 and 2 are incorrect because pregnant

women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a

live virus and might cause birth defects and/or disease. Choice 3 is incorrect because the American Academy of

Pediatrics states, “Persons who have experienced anaphylactic reactions to topically or systemically administered

neomycin should not receive measles vaccine.”Pharmacological Therapies