Psychosocial Integrity NCLEX RN

Question 1 of 5

A nurse on the mental health unit is preparing a presentation on suicide for a group of student nurses. Which information would be included in this presentation? Select all that apply.

A. Chronic pain or serious, disabling illness has little to no effect on suicide risk.B. Hispanic Americans attempt suicide at a greater rate than whites or African Americans.C. Suicide risk declines sharply once antidepressant medication has been taken for a few weeks.D. White males over the age of 80 are at the greatest risk among all age, race, and gender groups.E. Threatened suicide and/or gestures should be taken seriously and handled by trained professionals.

Correct Answer: D,E

Rationale: Chronic pain and serious illness increase suicide risk, making A incorrect. Data shows Hispanic Americans have lower suicide rates than whites, making B incorrect. Antidepressants may initially increase risk, making C incorrect. White males over 80 have the highest suicide rates, and all threats should be taken seriously, making D and E correct.

Question 2 of 5

The nurse is caring for a teenage client diagnosed with anorexia nervosa. The client's mother asks the nurse about eating disorders in general. Which information would the nurse provide? Select all that apply.

A. Anorexia nervosa is more common than bulimia.B. Clients with bulimia may have erosion of the tooth enamel.C. Binging and purging can occur in both anorexia nervosa and bulimia.D. Extreme exercising and calorie restriction is common with anorexia nervosa.E. Clients with eating disorders may develop the disorders because of issues of power and control.F. Clients with anorexia have a distorted body image and think that they are fat even if they are very thin.

Correct Answer: B,C,D,E,F

Rationale: Bulimia is more common than anorexia, making A incorrect.
Tooth enamel erosion, binging/purging, extreme exercising, power/control issues, and distorted body image are all accurate.

Question 3 of 5

The nurse is admitting a client with schizophrenia. The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms. The nurse understands that this client is experiencing which type of schizophrenia?

A. residual schizophreniaB. paranoid schizophreniaC. catatonic schizophreniaD. disorganized schizophreniaE. undifferentiated schizophrenia

Correct Answer: D

Rationale: Disorganized schizophrenia is characterized by inappropriate affect, social withdrawal, grimacing, and impaired daily functioning.

Question 4 of 5

A 17-year-old female with a self-admitted opioid addiction is seen by the nurse in a mental health clinic. Which intervention would the nurse not consider in establishing a therapeutic relationship?

A. discuss the impact of substance useB. require the client to attend all therapy sessionsC. explore alternative approaches to managing stressD. assess the presence of other psychiatric disorders

Correct Answer: B

Rationale: Mandating attendance can undermine trust and autonomy, hindering a therapeutic relationship.

Question 5 of 5

A client is telling the nurse about his perception of his thought patterns. Which of the following statements by the client would validate the diagnosis of bipolar disorder?

A. Sometimes I'm ready to take on the world, but other times I'm too tired to get out of bed.B. I need to check and then recheck all the kitchen appliances several times to make sure they are off before I feel comfortable leaving my home.C. My neighbors hold sacrificial rites in their backyard.D. I keep on patrol all night so the enemy won't invade my home and hurt me or my family.

Correct Answer: A

Rationale: This statement describes mood swings between mania and depression, characteristic of bipolar disorder.

Psychosocial Integrity NCLEX RN | Nurselytic

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