NCLEX-RN
Psychosocial Integrity NCLEX RN Questions Questions
Extract:
Question 1 of 5
A 16-year-old client with Crohn's disease is hospitalized. Which statement by the client would alert the nurse to a potential developmental problem?
Correct Answer: C
Rationale: Adolescents who withdraw from peers into isolation struggle with developing identity, so option 3 should cause the nurse to be concerned. It is appropriate for the client to ask for hygiene measures to be attended to before the peer group arrives. Option 2 indicates that the client is eager for companionship. Adolescents often develop special interests within their groups that may help them maximize certain skills, such as with computers.
Question 2 of 5
An adolescent is preparing to return home after psychiatric hospitalization for a suicide attempt. Which actions would be most effective to support family processes when the client returns home?
Correct Answer: B,D,E
Rationale: After the crisis time of a family member's suicide attempt, safety for the recovering individual is a priority. Families can provide support and encouragement in a caring home environment. Options 2, 4, and 5 offer helpful ways to enhance the family processes. Options 1 and 3 are clearly the least effective options because there is no information in the question that indicates that these actions are relative to the suicide attempt.
Question 3 of 5
A 79-year-old client with moderate dementia and limited mobility is being cared for at home by her son who lives with her. She has been receiving home health for care of a nonhealing diabetic foot ulcer. The home health nurse encourages the son to bring his mother to the ED for more aggressive treatment in an in-patient setting. The son responds that he cannot afford to pay for the medical bills and prefers to care for her at home. The nurse then notices a stage 2 decubitus ulcer on the client's sacrum. The son claims to have his sister come every day and assist with bathing and turning in the bed. Which type of violence is the son guilty of?
Correct Answer: A
Rationale: Physical neglect involves failing to provide adequate care, such as preventing pressure ulcers through proper turning, leading to conditions like the stage 2 decubitus ulcer.
Question 4 of 5
The nurse is using the Glasgow Coma Scale to perform a neurologic assessment. A comatose client winces and pulls away from a painful stimulus. Which action should the nurse take next?
Correct Answer: A
Rationale: The correct action for the nurse to take next is to document that the client responds to the painful stimulus. In this scenario, the client has shown a purposeful response to pain by wincing and pulling away, which should be accurately documented. Verbal stimulation assessment typically follows the assessment of responses to painful stimuli. Placing the client on seizure precautions is not warranted based solely on the observed response to a painful stimulus. Decorticate posturing, which involves abnormal flexion movements, is not demonstrated by the client in this case, making it unnecessary to report to the provider.
Question 5 of 5
The nurse prepares a client for a left total hip replacement. Which statement by the client indicates to the nurse that the client exhibits an emotional readiness for surgery?
Correct Answer: C
Rationale: Expressing enthusiasm for post-surgical exercises indicates optimism and readiness to engage in recovery, reflecting emotional preparedness. Other statements suggest distrust, uncertainty, or anxiety, which do not indicate readiness.