NCLEX-PN
Psychosocial Integrity NCLEX PN Questions Questions
Extract:
Question 1 of 5
A central venous pressure reading of 11 cm/H(2)0 of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable:
Correct Answer: C
Rationale: >10 cm/H(2)0 may indicate a condition of pericarditis.
Question 2 of 5
If the nurse who was not promoted tells another friend, "I knew I'd never get the job. The hospital administrator hates me."? If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:
Correct Answer: C
Rationale: The nurse is demonstrating projection, attributing her own feelings of dislike onto the hospital administrator. This defense mechanism involves unconsciously adopting blaming behavior. Compensation involves emphasizing a strong point to make up for a perceived weakness, which is not the case here. Reaction formation is adopting behavior opposite to actual feelings, and denial involves ignoring an unpleasant reality, none of which are demonstrated in this scenario.
Question 3 of 5
Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owens's concerns is likely to predominate?
Correct Answer: C
Rationale: The most prominent concern for Mrs. Owens is likely what will happen to her son, Jonathan, after she passes away. While retirement fund sustainability is important, it is not likely to be her primary concern. Funeral arrangements, although significant, are secondary to the welfare of her son with schizophrenia. The question of how to communicate with Jonathan's physician is less likely to be a predominant concern since Mrs. Owens has likely already addressed this issue over the 38 years of managing her son's care.
Question 4 of 5
A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse's response is based on the knowledge that schizophrenia:
Correct Answer: B
Rationale: The correct answer is B: 'is a chronic, deteriorating disease with periods of remission.' While choices A, C, and D contain some truths about schizophrenia, they do not directly address the prognosis aspect of the question. Schizophrenia can affect both men and women equally, is typically diagnosed in early adulthood, and does not have a known protective hormone effect that delays diagnosis.
Choice B accurately reflects the chronic and fluctuating nature of the disease, which is essential for understanding its long-term course.
Question 5 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.