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National Council Licensure Examination(NCLEX-PN) Questions 281–285 (page: 58)

Updated On: 9-Feb-2026

A mother has just given birth to a baby who died soon after. The mother has been crying and states, “I can’t believe this has happened to me. I did everything right during this pregnancy.”

How should the nurse respond to this mother?

  1. Tell her she did nothing wrong; it was God’s will.
  2. Tell her she can have another baby.
  3. Tell her that her behavior is not going to solve anything.
  4. Tell her nothing and let her mourn this loss in the manner she chooses.

Answer(s): D

Explanation:

Perinatal loss is a great tragedy for the parents.
A bereaved mother must resolve the crisis of perinatal loss in addition to the crisis of pregnancy. Such a loss is described as losing part of one’s self – loss of self-worth.
The perinatal grief response must involve attachment and detachment as a part of the mourning process.



The difference between spirituality and religion is that spirituality is ______________.

  1. a belief about a higher power
  2. an individual’s relationship with a higher power
  3. organized worship
  4. a belief in an invisible energy or ideal

Answer(s): B

Explanation:

Religion can be considered a system of beliefs, practices, and ethical values about a divine or superhuman power or powers worshipped as the creator(s) and ruler(s) of the universe.
Spirituality is a belief in or relationship with some higher power, creative force, driving being, or infinite source of energy.



Spirituality affects a client’s life in all of the following areas except ______________.

  1. nutritional intake
  2. ability to handle stress
  3. sexual expression
  4. genetic makeup

Answer(s): D

Explanation:

Spirituality is a belief in or relationship with some higher power, creative force, divine being, or infinite source of energy and does not have any effect on genetic makeup.



What is the primary goal of family education?

  1. symptom reduction
  2. improved quality of life
  3. increased knowledge about mental illness
  4. improved caregiving skills

Answer(s): B

Explanation:

Improving quality of life is the primary goal of family education. Symptom reduction is a goal of psychoeducation, not family education.
Increased knowledge about mental illness might accompany family education, but is not a goal of it. Improved quality of life and reduced family burden are the goals.
Improved care-giving skills might accompany family education but are not a goal of it.



Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?

  1. Recommend that she discipline her daughter more strictly and consistently.
  2. Make a list of things her husband can do to help her improve.
  3. Assist the mother to identify what she believes is preventing her success and what she can do to improve.
  4. Explore with the mother what the daughter can do to improve her behavior.

Answer(s): C

Explanation:

The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills.
With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event.
Choices “Recommend that she discipline her daughter more strictly and consistently.”, “Make a list of things her husband can do to help her improve.” and “Explore with the mother what the daughter can do to improve her behavior.” do not directly address the mother’s feelings of inadequacy.



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