NCLEX RN Psychosocial Integrity Questions

Question 1 of 5

The nurse is caring for a client with a history of schizophrenia. The nurse asks the client if he is ready to eat his lunch. The client responds, 'Rain, train, down the drain, Jane's brain.' The nurse recognizes this type of speech pattern as which type?

A. echolaliaB. word saladC. neologismsD. clang association

Correct Answer: D

Rationale: Clang association is characterized by words chosen for their sound (e.g., rhyming or alliteration) rather than meaning, as seen in the client's response.

Question 2 of 5

The ED nurse is caring for a female client who was just brought in following a sexual assault. Which interventions by the nurse are appropriate for this client? Select all that apply.

A. help the client bathe and change into fresh clothing before the examination beginsB. preserve any evidence, including clothing, and take photographs of injuries as appropriateC. assure the client that surviving the assault is most important, and she did what was needed to stay aliveD. take the client to a quiet, private room for assessment to assess stress levels before beginning examination or treatmentsE. tell the client that she should avoid wearing skimpy clothing in questionable areas of the city to avoid another incident

Correct Answer: B,C,D

Rationale: Bathing before examination destroys evidence, making A incorrect. Preserving evidence (
B), providing reassurance (
C), and ensuring a private setting (
D) are appropriate. Blaming the victim's clothing (E) is inappropriate and victim-shaming.

Question 3 of 5

The nurse is caring for a client in the psychiatric unit who has issues with coping and defense mechanisms. The nurse understands that which is true regarding coping and defense mechanisms? Select all that apply.

A. Coping mechanisms are destructive ways to avoid dealing with reality.B. Physical symptoms, general irritability, and self-destructive behaviors are some of the signs of inadequate coping.C. Criticizing ineffective defense mechanisms will guide the client toward better coping techniques.D. Ineffective coping mechanisms allow anxiety to increase, triggering the client to utilize defense mechanisms in order to protect himself from the anxiety.E. The inability to cope can be caused by a lack of an adequate support system, a serious medical diagnosis, situational crises, or a lack of psychological resources.

Correct Answer: B,D,E

Rationale: Coping mechanisms are constructive, not destructive, making A incorrect. Criticizing defense mechanisms is nontherapeutic, making C incorrect. Signs of inadequate coping, anxiety escalation, and causes of poor coping are accurate.

Question 4 of 5

The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia? Select all that apply.

A. I should be warm and friendly to put the client at ease.B. I can reassure the client that he is in a safe environment.C. Puzzles or word games are good activities to engage in.D. I can help the client use art or writing to express his feelings.E. I won't tell the client when I'm leaving him so he won't get upset.

Correct Answer: B,C,D

Rationale: Reassurance of safety, engaging activities like puzzles, and expressive therapies are appropriate. Overly warm approaches or withholding departure information can increase anxiety or mistrust.

Question 5 of 5

The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. The family is asking what to expect when the end draws near. Which response by the nurse is most appropriate?

A. I will have the doctor talk to you about that.B. The hospice nurse is the best person to answer your questions. I can put in a consult for you.C. Don't worry about that right now. You don't know if there is another treatment option that will work.D. I can tell you what to look for when the time comes. In the meantime, what are your wishes and goals for care?

Correct Answer: D

Rationale: This response addresses the family's question while opening a discussion about care goals, which is supportive and appropriate.

NCLEX RN Psychosocial Integrity Questions | Nurselytic

Nurselytic

NCLEX-RN

NCLEX-RN