NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Question 1 of 5
The nurse is observing the parents at the bedside of their small-for-gestational-age (SGA) infant, who was born at 27 weeks' gestation. The infant's mother states, 'She is so tiny and fragile. I'll never be able to hold her with all those tubes.' Considering this statement, which concern should the nurse identify for the mother?
Correct Answer: C
Rationale: Parents of a high-risk neonate, such as a preterm SGA infant, are at risk for compromised parenting. Parent-infant bonding is affected if the infant does not exhibit normal newborn characteristics. Option 1 involves the nonacceptance of a health status change or an inability to solve a problem or set a goal. Option 2 involves the identification of trouble with family coping. Option 4 addresses the condition's characteristics.
Question 2 of 5
The nurse is caring for a client with end-stage kidney disease and multiple organ failure. Which action by the nurse indicates an understanding of end-of-life care? Select all that apply.
Correct Answer: A,B,E
Rationale: Explaining signs of nearing death (
A), what to expect (
B), and discussing goals/wishes (E) support informed, compassionate end-of-life care. Prioritizing life-lengthening treatments (
C) disregards palliative focus, and avoiding death discussions (
D) hinders open communication.
Question 3 of 5
A hospitalized client has participated in substance abuse therapy group sessions. Which statement by the client would best indicate that the client has assimilated session topics, understood coping response styles, and processed information effectively for self-use?
Correct Answer: D
Rationale: In option 4 the client is expressing real concern and ambivalence about discharge from the hospital. The client demonstrates an ability to perceive reality in the appraisal regarding the lifestyle changes that will have to be initiated, as well as the fact that the client will have to work hard and develop new friends and meeting places. With the defense mechanism of denial, the person denies reality. There can be varying degrees of this denial. In option 1 the client is concrete and procedure oriented; again, the client verbalizes denial. Option 2 identifies denial. In option 3 the client is relying heavily on others, and the client's locus of control is external.
Question 4 of 5
The client states to the nurse, 'I'm scheduled for outpatient surgery, but I live alone and my only child lives 300 miles away. I'm afraid. What happens if something goes wrong after I go home?' Which statement by the nurse is the most therapeutic?
Correct Answer: D
Rationale: The client has verbalized concerns. In option 4, the nurse uses reflection to direct the client's feelings and concerns. In option 1 the nurse provides false reassurance and then minimizes the client's concerns. In option 2 the nurse is ventilating the nurse's own anger, frustration, and powerlessness. In addition, the nurse is trying to problem-solve for the client but is overly controlling and takes the decision making out of the client's hands. In option 3, the nurse is projecting the client's own fears, and the problem-solving suggested by the nurse will increase fear and anxiety in the client.
Question 5 of 5
A client with schizophrenia is admitted to the inpatient mental health unit. When asked her name, she responds, 'I am Elizabeth, the Queen of England.' Which should the nurse recognize this client's statement is indicating?
Correct Answer: C
Rationale: A delusion is an important personal belief that is almost certainly not true and that resists modification. An illusion is a misperception or misinterpretation of externally real stimuli. Loose association is thinking that is characterized by speech in which ideas that are unrelated shift from one subject to another. A hallucination is a false perception.