A client states to the nurse, “I understand that I need a mastectomy, but I am worried about the pain and appearance afterwards.” When responding to the client, the nurse will need to address which domain?

Cognitive

Psychomotor

Affective

Behavioral

Answer and Explanation

The Correct Answer is C

Choice A reason: The cognitive domain involves knowledge and understanding, such as explaining the procedure or its rationale. The client’s statement indicates understanding (“I understand”), so their concern is not about knowledge but emotional worries about pain and appearance, which are better addressed in the affective domain to provide emotional support.

Choice B reason: The psychomotor domain focuses on physical skills, like performing a task or procedure. The client’s concerns about pain and appearance are emotional, not skill-based. Addressing psychomotor skills, such as teaching self-care techniques, is irrelevant to the client’s expressed emotional worries, requiring a focus on feelings instead.

Choice C reason: The affective domain involves emotions, attitudes, and feelings. The client’s worries about pain and appearance post-mastectomy reflect emotional concerns. Addressing this domain through empathetic listening and emotional support helps alleviate anxiety, validates feelings, and fosters coping, making it the most appropriate focus for the nurse’s response.

Choice D reason: The behavioral domain is not a standard learning domain in nursing education (cognitive, psychomotor, affective are typical). If interpreted as behavior modification, it is irrelevant here, as the client’s concerns are emotional, not behavioral. The nurse should focus on addressing the client’s feelings rather than attempting to change behaviors.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Supine with head elevated is used for comfort or respiratory support but not for lumbar puncture. This position does not allow access to the lumbar spine or flex the back to open intervertebral spaces, which is necessary for safe needle insertion during the procedure.

Choice B reason: Prone with legs extended is used for procedures like wound care but not lumbar puncture. This position does not flex the spine to widen intervertebral spaces, making needle insertion difficult and risky. The lateral recumbent position is standard for accessing the subarachnoid space.

Choice C reason: Lateral recumbent with knees flexed maximizes lumbar spine flexion, opening intervertebral spaces for safe needle insertion into the subarachnoid space during a lumbar puncture. This position reduces the risk of nerve damage and ensures accurate cerebrospinal fluid collection, making it the standard choice.

Choice D reason: Sitting upright with back straight may be used in some procedures but is less common for lumbar puncture. It does not provide optimal spinal flexion compared to the lateral recumbent position, which better exposes the lumbar vertebrae, reducing complications during needle insertion.

A. Instruct them to take a long walk an hour before bedtime B. Arrange with laboratory to draw blood outside of sleep hours C. Encourage patients to fall asleep while watching television D. Close the door to patients’ rooms at bedtime E. Provide a warm green tea or coffee with evening meal

Correct Answer is ["B","D"]

Explanation

Choice A reason: A long walk an hour before bedtime may stimulate the body, increasing heart rate and alertness, which can delay sleep onset. Physical activity is beneficial earlier in the day to promote sleep, but close to bedtime, it may disrupt the body’s wind-down process, reducing sleep quality in hospitalized patients.

Choice B reason: Arranging blood draws outside sleep hours minimizes nighttime disruptions, which are critical for restorative sleep. Hospital environments often interrupt sleep with procedures, increasing stress and fatigue. This intervention supports the sleep-wake cycle by ensuring uninterrupted rest, promoting better recovery and reducing physiological stress in patients.

Choice C reason: Watching television before sleep exposes patients to blue light, which suppresses melatonin production, a hormone essential for sleep. This can delay sleep onset and reduce sleep quality. Hospitalized patients need a calm, low-stimulation environment to promote rest, making television an inappropriate intervention for sleep promotion.

Choice D reason: Closing the door at bedtime reduces noise and light from hospital corridors, creating a quieter, darker environment conducive to sleep. This minimizes disruptions, supporting the body’s circadian rhythm and melatonin production. A calm environment is essential for hospitalized patients, who often face sleep challenges due to hospital activity.

Choice E reason: Green tea or coffee contains caffeine, a stimulant that inhibits sleep by blocking adenosine receptors, increasing alertness. Consuming these near bedtime can delay sleep onset and reduce sleep quality. Hospitalized patients require interventions that promote relaxation, not stimulation, making this an inappropriate choice for sleep promotion.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client states to the nurse, “I understand that I need a mastectomy, but I am worried about the pain and appearance afterwards.” When responding to the client, the nurse will need to address which domain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a lumbar puncture. Which position should the nurse place the client in to facilitate the procedure?

Correct Answer is C

Explanation

Which nursing interventions are appropriate to include in a plan of care to promote sleep for patients who are hospitalized? (Select all that apply)

Correct Answer is ["B","D"]

Explanation

As the nurse assesses a client’s laboratory values, the following are noted: Sodium 140 mEq/L, Magnesium 0.8 mEq/L, Chloride 107 mEq/L, Potassium 3.6 mEq/L. What electrolyte imbalance is indicated?

The client is admitted to the nurse’s unit with a diagnosis of heart failure. His heart is not pumping effectively, resulting in edema and coarse crackles in his lungs. The term for this condition is?

A nurse is monitoring a client receiving a blood transfusion. Which symptom indicates a potential transfusion reaction that requires immediate action?

During an indwelling Foley catheterization of a male patient, it is important that the nurse?

A client states to the nurse, “I understand that I need a mastectomy, but I am worried about the pain and appearance afterwards.” When responding to the client, the nurse will need to address which domain?

The oncoming nurse is assigned to the following clients. Which client should the nurse assess first?

A nurse is receiving report on a group of clients. Using the ABCD-E priority framework, which of the following clients should the nurse see first?

As the nurse assesses a client’s laboratory values, the following are noted: Sodium 140 mEq/L, Magnesium 0.8 mEq/L, Chloride 107 mEq/L, Potassium 3.6 mEq/L. What electrolyte imbalance is indicated?