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Test Prep NCLEX-PN Exam
National Council Licensure Examination(NCLEX-PN) (Page 56 )

Updated On: 30-Jan-2026
Page 40 of 204
PDF with 1015 Questions

A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should ______________.

  1. immediately contact child protective services
  2. provide the mother with literature about child care
  3. consult a therapist to help the mother work out her fears
  4. refer the mother to parenting classes

Answer(s): D

Explanation:

Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the demands of infant care.
Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents’ social contacts and teach about community resources.



Incidences of child abuse apperar to be higher in the African-American community and might be explained by ______________.

  1. the increased number of African Americans viewing violence on television.
  2. more single-parent households in African-American communities.
  3. stricter child-rearing practices in African-American households.
  4. a higher occurrence of rage in African Americans.

Answer(s): B

Explanation:

Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems.



Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears.

This behavior is an example of ______________.

  1. conversion
  2. regression
  3. introjection
  4. rationalization

Answer(s): B

Explanation:

Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment.
Conversion involves the transformation of anxiety into a physical symptom. Introjection involves intense unconscious identification with another person.
Rationalization involves the unconscious process of developing acceptable explanations to justify unacceptable ideas, actions, or feelings.



The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex.

This behavior exemplifies ______________.

  1. displacement
  2. sublimation
  3. conversion
  4. reaction formation

Answer(s): A

Explanation:

Displacement unconsciously transfers emotions associated with a person, object, or situation to another less threatening person, object, or situation. The nurse slammed doors instead of striking the promoted nurse or the administrator who made the promotion decision.
Sublimation is the unconscious process of substituting constructive activity for unacceptable impulses. This choice cannot be considered correct because the slamming of the cupboard doors cannot be considered a constructive activity.
Conversion involves unconsciously transforming anxiety into a physical symptom. Reaction formation keeps unacceptable feelings or behaviors out of awareness by using the opposite feeling or behavior.



Which of the following coping mechanisms protects an individual from anxiety?

  1. denial and fantasy
  2. rationalization and suppression
  3. regression and displacement
  4. reaction formation and projection

Answer(s): A

Explanation:

Denial, rationalization, regression, and fantasy are coping mechanisms that protect persons from anxiety.



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