NCLEX-RN Practice: Fundamental Skills

NCLEX-RN Practice: Fundamental Skills Which psychosocial health concern involves accepting descriptive statements stated by a confused older client? 1. Validation Therapy 2. Reminiscence 3. Reality Orientation 4. Therapeutic Communication - CORRECT ANSWER Validation Therapy Validation Therapy - CORRECT ANSWER the psychosocial concern involved in accepting the descriptive statements made by a confused older client. Reminiscence - CORRECT ANSWER recalling the past Reality Orientation - CORRECT ANSWER helping a confused older client agree with the nurse's statements Therapeutic Communication - CORRECT ANSWER enables the nurse to perceive and respect the older client's uniqueness and health care expectations The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy? 1. Promoting analgesia and circulation 2. Numbing the nerves and dilating the blood vessels 3. Promoting circulation and reducing muscle spasms 4. Causing local vasoconstriction, preventing edema and muscle spasms - CORRECT ANSWER Causing local vasoconstriction, preventing edema and muscle spasms. Note: Cold causes the blood vessels to constrict, which reduces the leakage of fluid into the tissues and prevents swelling and muscle spasms. Cold therapy also may numb the nerves and surrounding tissues, thus reducing pain (analgesic). Which parts of the body assessed by the nurse would confirm a diagnosis of frostbite? Select all that apply. 1. Axilla 2. Fingers