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National Council Licensure Examination(NCLEX-PN) Questions 246–250 (page: 51)

Updated On: 9-Feb-2026

A female having her first child is experiencing ______________crisis event.

  1. situational
  2. maturational
  3. adventitious
  4. reactive

Answer(s): B

Explanation:

A maturational crisis occurs when an individual arrives at a new stage of development and must develop new coping strategies.
Situational arises from sources external to individuals.
Adventitious occurs when some event external to a person (floods, hurricanes) disrupts his or her coping behaviors.
Reactive is not a crisis intervention.



A client is assessed by the nurse as experiencing a crisis. The nurse plans to ______________.

  1. allow the client to work through independent problem-solving.
  2. complete an in-depth evaluation of stressors and responses to the situation.
  3. focus on immediate stress reduction.
  4. recommend ongoing therapy.

Answer(s): C

Explanation:

A crisis is an acute, time-limited state of disequilibrium resulting from a situational, developmental, or societal source of stress.
Utilizing the nursing process, the nurse should assist clients to work through a crisis to its resolution and restore their precrisis level of functioning.



A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?

  1. Adaptation Model
  2. Stimulus-Based Model
  3. Transaction-Based Model
  4. Selye’s Model of Stress

Answer(s): C

Explanation:

The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person – Environment Transactions).



Support systems during the grieving process include all of the following except ______________.

  1. a despondent friend
  2. a nurse
  3. a social worker
  4. a family member

Answer(s): A

Explanation:

A despondent friend, even though this could be a support to the grieving person, is in a state of despondency. Therefore, he or she might not do well with a grieving friend.



Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old.

Which of Mrs. Owens’s concerns is likely to predominate?

  1. “Will my retirement funds outlast me?”
  2. “Who will handle my funeral arrangements?”
  3. “What will become of Jonathan when I am gone?”
  4. “How can I get Jonathan’s physician to talk to me?”

Answer(s): C

Explanation:

The mother’s most prominent concern is likely to be what becomes of her son after she dies.
Choice “Will my retirement funds outlast me?” is important but is not likely to be her most prominent concern. Choice “Who will handle my funeral arrangements?” is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important.
Choice “How can I get Jonathan’s physician to talk to me?” is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son’s care.



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