NCLEX-RN
NCLEX Psychosocial Questions Questions
Extract:
Question 1 of 5
A client had a first-trimester abortion and has been unable to function for 3 months. Which type of grief is the client experiencing?
Correct Answer: C
Rationale: The client is experiencing disenfranchised grief. Disenfranchised grief refers to grief over a loss that is not socially recognized or acknowledged. In this case, grief after an abortion falls into this category. It can lead to prolonged emotional distress as the loss may not be openly acknowledged or supported by others. Complex bereavement is characterized by dysfunctional grieving that extends beyond 12 months. Anticipatory grief occurs when the loss is expected or predictable, allowing individuals to start the grieving process before the actual loss. Complicated grief is marked by an inability to progress through the grief stages, leading to intense feelings of depression, anger, and emptiness, often coupled with a preoccupation with the deceased.
Question 2 of 5
The nurse is caring for an Asian patient who is being admitted to the hospital. Which action would be most appropriate for the nurse to take when interviewing this patient?
Correct Answer: B
Rationale: Observing the patient's use of eye contact will be most useful in determining the best way to communicate effectively with the patient. Different cultures have varying norms regarding eye contact, so by observing the patient, the nurse can adapt their communication style accordingly. Looking directly at the patient or avoiding eye contact may not be universally appropriate and could be misinterpreted. Asking a family member about the patient's cultural beliefs is not ideal as cultural beliefs can vary among individuals within the same cultural group. It is best to assess the patient directly to provide culturally sensitive care.
Question 3 of 5
When caring for a patient who speaks a different language and an interpreter is unavailable, which action by the nurse is most appropriate?
Correct Answer: D
Rationale: When faced with a language barrier and lacking an interpreter, using simple gestures can help convey meaning to the patient. This approach can assist in basic communication and understanding. Talking slowly may not be effective if the patient does not understand the language, and speaking loudly can be perceived as aggressive or intimidating. Repeating words may not aid comprehension if the patient is unfamiliar with the language.
Therefore, using gestures is the most appropriate option in this situation.
Question 4 of 5
A client has just died, and their son states, 'She was the most wonderful mother. There was no one who was a better mother than she was. She was perfect.' Which stage of grief is this son experiencing?
Correct Answer: C
Rationale: The son is experiencing the idealization stage of grief. During this stage, individuals tend to idealize the deceased person and remember them in a highly positive light, overlooking any negative aspects. This idealization serves as a coping mechanism to deal with the loss.
Choice A, Denial, is incorrect as denial involves refusing to accept the reality of the loss.
Choice B, Anger, is incorrect as it involves feelings of resentment and frustration.
Choice D, Shock, is incorrect as shock is the initial reaction to the loss and is different from idealizing the deceased individual.
Question 5 of 5
Which is the most appropriate nursing intervention when providing care for parents who have experienced a stillbirth?
Correct Answer: B
Rationale: The most appropriate nursing intervention when caring for parents who have experienced a stillbirth is to provide them with the opportunity to say goodbye to their newborn. This helps in the grieving process and allows the parents closure. Giving a detailed explanation of possible causes of the stillbirth may overwhelm the parents and is not the immediate priority. While an autopsy can be performed in the case of a stillbirth, the decision should be discussed with the parents and their wishes respected. Arranging follow-up care and providing information before the parents leave the hospital is crucial in ensuring they have the necessary support and resources to cope with the loss effectively.