NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Question 1 of 5
When helping a client gain insight into anxiety, the nurse should:
Correct Answer: B
Rationale: When assisting a client in gaining insight into anxiety, it is crucial to explore the events that lead to increased anxiety. By asking the client to describe these events, the nurse can help the client recognize patterns and triggers, leading to a better understanding of their anxiety. Option A is incorrect because it refers to triggers rather than exploring the events leading to anxiety. Option C is incorrect as it focuses on relaxation techniques rather than delving into the root causes of anxiety. Option D is inappropriate as addressing resistive behavior may not foster a supportive therapeutic environment for the client.
Question 2 of 5
What is a common characteristic of individuals who become batterers?
Correct Answer: C
Rationale: The correct answer is 'Was physically or psychologically abused.' Research indicates that many individuals who become batterers have a history of being abused themselves. This cycle of abuse can influence their behavior as adults.
Choice A is incorrect because growing up in a loving home does not necessarily prevent someone from becoming a batterer.
Choice B is incorrect as being an only child is not a determining factor in becoming a batterer.
Choice D is incorrect because while admitting to anger issues is a positive step, it is not a common characteristic of individuals who become batterers.
Question 3 of 5
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with
Correct Answer: B
Rationale: The correct answer is 'the child being shaken.' Children who are shaken are frequently grasped by both upper arms, leading to bruises in that area. The presentation of a difficult-to-awaken child with bruises on the upper arms is highly concerning for non-accidental trauma, such as abusive shaking. Symptoms of brain injury associated with shaking include a decreased level of consciousness.
Choices A, C, and D are less likely because the combination of a child being difficult to awaken and bruises on both upper arms is highly suggestive of non-accidental trauma rather than benign causes like ill-fitting clothing, falling while learning to walk, or parents trying to awaken the child.
Question 4 of 5
A central venous pressure reading of 11 cm/H(2)0 of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable:
Correct Answer: C
Rationale: >10 cm/H(2)0 may indicate a condition of pericarditis.
Question 5 of 5
A client has sustained a hyphema. What intervention should the nurse take?
Correct Answer: B
Rationale: Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physician's order.