NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 of 5
A 57-year-old woman is recently widowed. She states, "I will never be able to learn how to manage the finances. My husband did all of that."? Select the nurse's response that could help raise the client's self-esteem.
Correct Answer: C
Rationale: The nurse should aim to boost the client's self-esteem by providing positive reinforcement. By stating, "You are strong and will learn how to manage your finances after a while,"? the nurse acknowledges the client's strength and capability, encouraging her to believe in herself.
Choice A is incorrect as it focuses on the client's inadequacy rather than empowering her.
Choice B places unnecessary blame on the client for not taking action in the past.
Choice D, though positive, slightly alters the nurse's original phrase, making choice C the most appropriate response to uplift the client's self-esteem.
Question 2 of 5
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: This statement reflects cultural awareness and acceptance that receiving support from a medicine woman is important to the client. The other statements are culturally insensitive and unprofessional.
Question 3 of 5
A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:
Correct Answer: D
Rationale: Prevention of child abuse is centered on teaching parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents' social contacts and teach about community resources. Contacting child protective services (
Choice
A) is not appropriate in this scenario as there is no indication of abuse or neglect. Providing literature (
Choice
B) may not be as effective as parenting classes in addressing the mother's concerns. Consulting a therapist (
Choice
C) may be beneficial for underlying mental health issues, but parenting classes specifically focus on child care and coping skills, making
Choice D the most suitable option in this situation.
Question 4 of 5
A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
Correct Answer: C
Rationale: The most therapeutic response is to empower the client to address the issue himself. By offering assistance in thinking about how to bring up the topic during the family session, the nurse is promoting the client's autonomy and communication skills. This response encourages the client to take an active role in resolving the situation.
Choices A and B focus on the wife's behavior, which is not the immediate concern during this interaction.
Choice D challenges the client's request and shifts the responsibility back to the client, potentially hindering progress and discouraging open communication.
Question 5 of 5
A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
Correct Answer: C
Rationale: A cracked pleural drainage system must be replaced immediately to maintain proper function and prevent complications like pneumothorax.