NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
A client is being treated for anxiety and desires to be free from anxious feelings and despair. According to Maslow's hierarchy of needs, which level does this client need to meet?
Correct Answer: B
Rationale: According to Maslow's hierarchy of needs, safety needs come right after physiological needs. Safety needs include feelings of security and stability. When a client is treated for anxiety and seeks to be free from anxious feelings and despair, they are primarily aiming to meet their safety needs. By addressing anxiety and moving towards a sense of safety, the client can progress to addressing higher-level needs.
Choices A, C, and D are incorrect in this scenario. Physiological needs (
Choice
A) refer to basic needs like food, water, and shelter. Belonging (
Choice
C) and self-esteem (
Choice
D) are higher-level needs in Maslow's hierarchy that come after safety needs.
Therefore, the most appropriate level for the client in this case is safety.
Question 2 of 5
Which of the following is an example of non-reversible dementia?
Correct Answer: A
Rationale: Non-reversible dementia refers to a condition where individuals experience permanent and often progressive cognitive decline. Pick's disease is a type of non-reversible dementia characterized by changes in personality, behavior, and language difficulties. Syphilis (
Choice
B) is a reversible cause of dementia that can be treated with antibiotics. Encephalopathy (
Choice
C) is a broad term for brain dysfunction that can be reversible or irreversible depending on the cause. Hyperthyroidism (
Choice
D) can lead to cognitive impairment but is reversible with appropriate treatment.
Therefore, Pick's disease is the correct example of non-reversible dementia among the options provided.
Question 3 of 5
A 19-year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of "suppression"?
Correct Answer: A
Rationale: The correct answer is "I don't remember anything about what happened to me." This statement indicates the use of suppression, which is the willful act of putting an unacceptable thought or feeling out of one's mind. In this case, the client is deliberately excluding memories of the traumatic event to protect their self-esteem. The other choices do not reflect suppression:
Choice B shows avoidance or deflection,
Choice C demonstrates blame shifting, and
Choice D indicates empathy towards another individual.
Question 4 of 5
Which of the following is an example of passive aggression?
Correct Answer: C
Rationale: Passive aggression involves expressing negative feelings indirectly, such as through subtle actions or behaviors. While choices A, B, and D involve more direct and aggressive expressions of anger, jealousy is an example of passive aggression where negative emotions are subtly displayed without openly confronting the issue. Jealousy can manifest as resentment, envy, or possessiveness, and is a common form of passive aggression in interpersonal relationships.
Question 5 of 5
A seriously ill female client tells the nurse, 'I am so tired and in so much pain! Please help me to die.' Which is the best response for the nurse to provide?
Correct Answer: B
Rationale: The nurse should first assess the client's feelings about her death and determine the extent to which this statement expresses her true feelings. The client may need additional pain management, but further assessment is needed before implementing option A. Option B is the correct response as it focuses on addressing the client's emotional needs and providing support. Option C is premature as initiating antidepressant therapy without a thorough assessment may not be appropriate. Option D is not the best course of action at this point; involving the ethics committee should be considered only after a comprehensive evaluation and discussion with the client.