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National Council Licensure Examination(NCLEX-PN) Questions 206–210 (page: 43)

Updated On: 9-Feb-2026

What significant event occurs in the orientation phase of a nurse-client relationship?

  1. establishment of roles
  2. identification of transference phenomenon
  3. placement of the client within the client’s family structure
  4. client agreement that the nurse has the authority in the relationship

Answer(s): B

Explanation:

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.



A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.”

The nurse determines that the client is demonstrating ______________.

  1. denial
  2. anger
  3. bargaining
  4. acceptance

Answer(s): A

Explanation:

Denial (Kübler-Ross’s Stages of Grieving) is the refusal to believe that loss is happening.



The nurse is caring for a client who is dying.

While assessing the client for signs of impending death, the nurse observes the client for ______________.

  1. elevated blood pressure
  2. Cheyne-Stokes respiration
  3. elevated pulse rate
  4. decreased temperature

Answer(s): B

Explanation:

Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea, often associated with cardiac failure.
This can be a sign of impending death.



A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first ______________.

  1. review their own cultural beliefs and biases
  2. respectfully request that the couple utilize only medically approved health care providers
  3. realize that the clients have to learn their new country’s accepted medical practices
  4. study family dynamics to understand the male and female gender roles in the clients’ culture

Answer(s): A

Explanation:

The nurse needs to recognize her own beliefs and biases and learn about the client’s cultural beliefs.



Nursing considerations when caring for African-American clients include that ______________.

  1. families are generally distant and unsupportive
  2. special hair, skin, and nail care might be required
  3. fad diets are a cultural norm
  4. clients are generally future-oriented

Answer(s): B

Explanation:

Special hair, skin, and nail care might be required for African-American clients.



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