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Worksheets

NCLEX-PN Domain 3 & 4

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Reality orientation

a)

Use clocks and calendars

b)

Encourage isolation and silence

c)

Argue with delusions to clarify reality

d)

Ignore the patient's concerns

2.

Substance use disorder

a)

Tolerance and withdrawal

b)

Loss of control

c)

Use non-judgmental language

d)

Continued use despite harm

3.

Anxiety interventions

a)

Teaching and coping strategies for mild/moderate anxiety

b)

Encouraging the client to isolate themselves

c)

Providing complex instructions

d)

Using loud noises to distract the client

4.

Defense mechanisms

a)

Denial: refusal to accept reality

b)

Projection: blaming others

c)

Childlike behavior: Regression

d)

Making excuses: Rationalization

5.

Health promotion and psychosocial care – core focus

a)

Promoting wellness and prevention

b)

Maximizing treatment costs

c)

Minimizing patient interaction

d)

Focusing solely on physical health

6.

Adolescent development

a)

Identity vs role confusion

b)

Increased dependence on parents

c)

Decreased peer influence

d)

Reduced risk-taking behaviors

7.

Immunization principles

a)

Mild illness is not a contraindication

b)

Live vaccines are safe during pregnancy

c)

Fever and soreness are rare side effects

d)

Live vaccines contraindicated in pregnancy/immunocompromised

8.

Preventive health care

a)

Immunizations

b)

Routine screenings

c)

Health education

d)

Emergency surgeries

9.

Hallucinations vs delusions

a)

Hallucination: false fixed belief

b)

Delusion: false sensory perception

c)

Hallucination: false sensory perception

d)

Delusion: acknowledge feelings, not the belief

10.

Therapeutic communication

a)

• Use open-ended questions

b)

• Focus on feelings

c)

• Encourage expression

d)

• Provide detailed instructions

11.

Postpartum assessment

a)

• Fundus firm and midline

b)

• Lochia progression: rubra → serosa → alba

c)

• Monitor for hemorrhage and infection

d)

• Support bonding and breastfeeding

12.

Mandatory reporting

a)

Nurses are mandated reporters

b)

Nurses must investigate all reports of abuse

c)

Nurses can choose whether to report suspected abuse

d)

Nurses should document their personal opinions

13.

NCLEX-PN priority rule

a)

Safety always comes first

b)

Comfort is the highest priority

c)

Treatment is more important than prevention

d)

Risk of harm overrides comfort

14.

Crisis intervention

a)

Focus on immediate safety

b)

Long-term therapy

c)

In-depth psychological analysis

d)

Encourage isolation from support systems

15.

Effective health teaching

a)

Use complex medical terminology

b)

Avoid using written materials

c)

Use teach-back method

d)

Rely solely on verbal communication

16.

Expected vs unexpected findings

a)

Loss of previously learned skills

b)

Developmental milestones achieved on time

c)

Age-appropriate behavior

d)

Developmental delays

17.

Normal pregnancy changes

a)

Increased heart rate

b)

Decreased blood volume

c)

Morning sickness in second trimester

d)

Increased muscle cramps

18.

Levels of anxiety

a)

• Mild: alert, focused

b)

• Severe: poor problem-solving

c)

• Panic: loss of control

d)

• Moderate: narrowed attention

19.

Stress and coping

a)

Coping is the same for everyone

b)

Maladaptive coping decreases risk

c)

Encourage healthy coping strategies

d)

Coping is not important

20.

Non-therapeutic communication

a)

Giving advice

b)

Providing emotional support

c)

Changing the subject

d)

Asking open-ended questions