NCLEX-PN

acceptable ones. Reaction formation takes place when a person's actions and behaviors are in stark contrast to their true feelings. (See Coping Mechanisms ) 5. Which of the following are the roles of an LPN in understanding family dynamics? Select all that apply. A.​ Assessing family financial stability and communication styles B.​ Providing legal advice for divorce proceedings C.​ Connecting the family with community support groups D.​ Conducting individual therapy sessions E.​ Addressing emotional challenges and recommending specific parenting styles Correct Response : A, C Explanation : Assessing family financial stability and communication styles aligns with an LPN's role in identifying barriers and stressors impacting family functioning. Similarly, connecting the family with community support groups demonstrates an LPN's ability to evaluate available resources for family support. The other options may involve complex issues outside the LPN's primary responsibilities. (See Understanding Family Dynamics in Nursing Practice ) 6. You are working as a National Board for Certification of Hospice and Palliative Nurses certified hospice and palliative care nurse who is caring for their clients in their home. Which of the following nursing diagnoses or client goals would be the most likely appropriate and expected for the vast majority of these clients? Explanation : “The client will accept impending death” is the most suitable and commonly expected client goal in such cases. In hospice and palliative care, a major objective is to support both the client and their family in achieving acceptance. Additional goals may include alleviating feelings of guilt, addressing spiritual distress, and managing end-of-life pain. However, these diagnoses are not expected in this context. (See Comprehensive Nursing Care for clients and Families Nearing End of Life ) 7. You are a hospice nurse who, as part of your role, does follow up counseling and care for the significant others of deceased spouses for one year after their loss. Whose theory of grief and loss would you most likely integrate into your practice as you perform this role? A.​ Engel’s theory B.​ Kubler Ross’ theory C.​ Lewin’s theory D.​ Warden’s theory Correct Response : D A.​ The client will accept impending death B.​ Guilt related to past transgressions C.​ Spiritual distress related to guilt D.​ Pain related to end of life symptoms Correct Response : A

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