RN Psychosocial Integrity NCLEX Questions

Question 1 of 5

The nurse is talking to a group of student nurses about content of thought in clients with schizophrenia. The nurse gives an example of a client stating that her new tooth filling allows her to communicate with the Secret Service and follow their directives. Which response correctly identifies this content of thought?

A. somatic delusionB. delusion of grandeurC. delusion of persecutionD. delusion of control or influence

Correct Answer: D

Rationale: A delusion of control or influence involves believing external forces or entities control one's thoughts or actions, as in the client's belief that a tooth filling enables communication with the Secret Service.

Question 2 of 5

A nurse has admitted a client to the mental health unit following an attempted suicide. The client also attempted suicide four months earlier. Which is the best way to ensure client safety?

A. give the client a task to do, such as folding towels, to distract himB. assign a staff member to remain with the client one-on-one at all timesC. obtain an order for chemical and physical restraints to be used as neededD. keep the client in the day room around other clients who can help watch the clientE. place the client in isolation after removing potentially unsafe articles, such as shoelaces and belts

Correct Answer: B

Rationale: One-on-one supervision is the most effective way to ensure safety for a client with recent suicide attempts, as it allows immediate intervention if needed.

Question 3 of 5

The nurse is caring for a client whose family brought him to the hospital because they were worried about his personal safety. Which of the following statements by the client during the admission assessment indicates the need for immediate intervention by the nurse?

A. Things are so bad that sometimes I don't know what to do make them better.B. My family normally supports my goals and helps me when I have a difficult time.C. I wish that everyone would leave me alone and quit trying to give me advice all the time.D. I keep a gun in my nightstand and sometimes I fall asleep holding it, trying to decide if I should pull the trigger or not.

Correct Answer: D

Rationale: This statement indicates active suicidal ideation with a plan and means, requiring immediate intervention to ensure safety.

Question 4 of 5

The mental health nurse is caring for a client with Cluster B personality disorder. The nurse would expect the client to exhibit which behaviors? Select all that apply.

A. suspicious of others, magical thinking, eccentric behavior, paranoia, relationship deficitsB. preoccupation with rules and details, hoarding, ritualistic behavior, extremely devoted to workC. easily bored, poor and shallow interpersonal relationships, enjoys being the center of attentionD. impulsivity, unpredictable behavior, extreme mood shifts, easily angered, playing people against each otherE. suspicious and untrusting of others, argumentative, controlling of others, thoughts of grandiosity

Correct Answer: C,D

Rationale: Cluster B personality disorders (e.g., histrionic, borderline) involve attention-seeking, shallow relationships, impulsivity, and mood instability. Options A and E describe Cluster A, and B describes Cluster C.

Question 5 of 5

The nurse is educating a group of student nurses about perceived loss. The nurse knows that the students understand when one of them verbalizes which example?

A. a single mother loses her jobB. a student fails his college chemistry classC. a husband is grieving the loss of his wife of 40 yearsD. a first-time mother is disappointed that she had a boy instead of a girl

Correct Answer: D

Rationale: Perceived loss involves subjective disappointment, such as a mother's expectation of a different gender, unlike tangible losses like a job or spouse.

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