Psychosocial Integrity NCLEX Questions Quizlet

Question 1 of 5

One week after being told that she has terminal cancer with a life expectancy of 3 weeks, a female client tells the nurse, 'I think I will plan a big party for all my friends.' How should the nurse respond?

A. 'You may not have enough energy before long to hold a big party.' B. 'Do you mean to say that you want to plan your funeral and wake?' C. 'Planning a party and thinking about all your friends sounds like fun.' D. 'You should be thinking about spending your last days with your family.'

Correct Answer: C

Rationale: Setting goals that bring pleasure is appropriate and should be encouraged by the nurse as long as the nurse does not perpetuate a client's denial. Option A is a negative response, implying that the client should not plan a party, which is not supportive. Option B is presumptive and may not reflect the client's true intentions. The correct response (Option
C) acknowledges the client's positive plans and encourages her to enjoy her time with friends. Option D, while family is important, does not consider the client's wishes and choices, which should be respected and supported in this situation.

Question 2 of 5

To reduce the risk of venous thrombosis, which measure should the nurse instruct the client in to promote venous return?

A. Instruct in the use of the incentive spirometer. B. Elevate the head of the bed during all meals. C. Use aseptic technique to change the dressing. D. Encourage frequent ambulation in the hallway.

Correct Answer: D

Rationale:
To prevent venous thrombus formation, promoting venous return is crucial. Encouraging frequent ambulation in the hallway helps prevent venous stasis and reduces the risk of thrombus formation in immobile clients. Option A (using the incentive spirometer) aids in alveolar expansion to prevent atelectasis, not specifically venous thrombosis. Option B (elevating the head of the bed during meals) reduces the risk of aspiration, not venous thrombosis. Option C (using aseptic technique for dressing changes) reduces the risk of postoperative infection, not specifically venous thrombosis.
Therefore, among the options provided, encouraging frequent ambulation in the hallway is the most effective measure to prevent venous thrombosis.

Question 3 of 5

Which of the following is a nursing intervention for a client who is experiencing an acute panic attack?

A. Encourage the client to sit down in a quiet environment B. Allow the client to direct the situation C. Try to focus the client on one aspect of care, such as regulating breathing patterns D. Speak in a commanding tone of voice to get the client's attention

Correct Answer: C

Rationale: When assisting a client with an acute panic attack, the primary goal is to help reduce their anxiety levels. Encouraging the client to focus on one controllable aspect, like regulating breathing patterns, can aid in calming them down. This intervention helps the client to regain control over their breathing, which can alleviate some of the symptoms associated with panic attacks. Options A and B are incorrect because allowing the client to direct the situation or sit down in a quiet environment may not be beneficial during an acute panic attack. Option D is inappropriate as speaking in a commanding tone can further escalate the client's anxiety rather than helping to calm them down.

Question 4 of 5

Which term refers to a comprehensive set of thoughts or images of oneself?

A. Global self B. Core self-concept C. Personal identity D. Ideal self

Correct Answer: A

Rationale: The term 'Global self' specifically refers to a comprehensive set of thoughts or images about oneself. It encompasses a person's overall perception of themselves, including their beliefs, values, and self-image. 'Core self-concept' is more focused on the fundamental beliefs individuals hold about themselves, 'Personal identity' relates to the characteristics and qualities that distinguish a person from others, and 'Ideal self' represents the person an individual aspires to be rather than their current self-perception.
Therefore, 'Global self' is the most appropriate term for the description provided in the question.

Question 5 of 5

A client has been diagnosed with depression, and a nurse is assisting them. Which of the following is an example of a short-term outcome as part of the nursing process for this client?

A. Client will verbalize that depression symptoms have lifted B. Client will identify life stressors that may be contributing to depression C. Client's insomnia will be resolved as evidenced by 8 hours of sleep each night D. Client will identify a mental health counselor in the community with whom they can meet for ongoing therapy

Correct Answer: B

Rationale: In the nursing process for a client with depression, short-term outcomes are goals that need to be achieved before advancing towards long-term outcomes. Identifying life stressors that may be contributing to the depression is a crucial initial step. This process helps the client work through feelings of grief or sadness before moving on to long-term goals like therapy and depression management.

Choice A is not a short-term outcome as the lifting of depression symptoms is usually a long-term goal.
Choice C focuses on resolving insomnia, which is a symptom of depression, but not directly addressing the root cause.
Choice D involves identifying a mental health counselor for ongoing therapy, which is more aligned with a long-term treatment plan, rather than a short-term outcome.

Psychosocial Integrity NCLEX Questions Quizlet - Nurselytic

Nurselytic

NCLEX-RN

NCLEX-RN