Free NCLEX-RN Exam Braindumps (page: 120)

Page 120 of 431

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

  1. First trimester
  2. Second trimester
  3. Third trimester
  4. Every trimester

Answer(s): A

Explanation:

(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.



In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

  1. First trimester
  2. Second trimester
  3. Third trimester
  4. Every trimester

Answer(s): A

Explanation:

(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.



A client experiencing delusions states, "I came here because there were people surrounding my house that wanted to take me away and use my body for science." The best response by the nurse would be:

  1. "Describe the people surrounding your house that want to take you away."
  2. "I need more information on why you think others want to use your body for science."
  3. "There were no people surrounding your house, your relatives brought you here, and no one really wants your body for science."
  4. "I know that must be frightening for you; let the staff know when you are having thoughts that trouble you."

Answer(s): D

Explanation:

(A) Focusing on the delusional content does not reinforce reality. (B) Pursuing details or more information on the delusion reinforces the false belief and further distances the client from reality. (C) Challenging the client's delusional system may force the client to defend it, and you cannot change the delusion through logic. (D) Focusing on the feeling can reinforce reality and discourage the false belief. Seeking out staff when thoughts are troublesome can help to decrease anxiety.



A client experiencing delusions states, "I came here because there were people surrounding my house that wanted to take me away and use my body for science." The best response by the nurse would be:

  1. "Describe the people surrounding your house that want to take you away."
  2. "I need more information on why you think others want to use your body for science."
  3. "There were no people surrounding your house, your relatives brought you here, and no one really wants your body for science."
  4. "I know that must be frightening for you; let the staff know when you are having thoughts that trouble you."

Answer(s): D

Explanation:

(A) Focusing on the delusional content does not reinforce reality. (B) Pursuing details or more information on the delusion reinforces the false belief and further distances the client from reality. (C) Challenging the client's delusional system may force the client to defend it, and you cannot change the delusion through logic. (D) Focusing on the feeling can reinforce reality and discourage the false belief. Seeking out staff when thoughts are troublesome can help to decrease anxiety.



Page 120 of 431



Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

Naveen Ahlam commented on November 29, 2024
Great stuff
Anonymous
upvote

Isadora Guimarães commented on November 10, 2024
Very good to study
UNITED STATES
upvote

Marydee commented on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
Anonymous
upvote