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RN Psychosocial Integrity NCLEX Questions Questions

Extract:

Question 1 of 5

A client diagnosed with a recent complete T4 spinal cord transection tells the nurse that he will walk again as soon as the spinal shock resolves. Which statement provides the most accurate basis for planning a response to the client?

A. The client is projecting by insisting that walking is the rehabilitation goal. B. To speed acceptance, the client needs reinforcement that he will not walk again. C. Denial can be protective while the client deals with the anxiety created by the new disability. D. The client needs to move through the grieving process rapidly to benefit from rehabilitation.

Correct Answer: C

Rationale: During the adjustment period that occurs the first few weeks after a spinal cord injury, clients may use denial as a defense mechanism. Denial may decrease anxiety temporarily, and it is a normal part of grieving. After the spinal shock resolves, the prolonged or excessive use of denial may impair rehabilitation. However, rehabilitation programs include psychological counseling to deal with denial and grief.

Question 2 of 5

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Question 5 of 5

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