Psychosocial Integrity Nclex PN Questions - Nurselytic

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.

Correct Answer: D

Rationale: Individuals who engage in domestic violence come from various backgrounds and cannot be stereotyped based on demographic factors like culture, income, or race. Research shows that perpetrators of domestic abuse can be found in any walk of life, regardless of their race, income group, or profession. It is important to note that the majority of domestic violence cases involve male perpetrators and female victims, but the profile of the abuser is not limited to specific demographic features.
Therefore, the correct answer is that individuals who engage in domestic violence can come from any walk of life, race, income group, or profession.

Choices A and B are incorrect as they wrongly associate domestic violence with specific cultural or income groups.
Choice C is incorrect as there is no evidence to support the claim that being disallowed to compete as a child leads to domestic violence.

Correct Answer: B

Rationale: Client self-determination refers to the right of clients to make their own decisions about their health care. Nursing's advocacy for clients focuses on upholding this right by supporting and respecting the autonomy and self-determination of clients. This advocacy ensures that clients are empowered to participate in decision-making regarding their health. Confidentiality, while essential, is about maintaining the privacy of client information. Malpractice insurance is a protective measure for professionals in case of errors or negligence. Health care, though crucial for enabling client self-determination, is a broad term encompassing various services and not the primary focus when discussing the client's right to autonomy.

Correct Answer: B

Rationale:
Choice B, crisis intervention, is the correct answer. Counseling by a nurse specialist in a rape crisis situation is a form of crisis intervention, which is part of the Crisis Intervention Model. It aims to provide immediate support and help the victim cope with the traumatic event. Empathetic concern (
Choice
C) is important but refers more to the nurse's attitude rather than the specific action described. Assessment (
Choice
A) typically involves gathering information and may have already been done before counseling. Unwarranted intrusion (
Choice
D) is not applicable here as the counseling is provided to support the victim in a professional and caring manner.

Correct Answer: A

Rationale: Alkylating agents, such as nitrogen mustards, are effective chemotherapeutic agents because they cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA. This cross-linking interferes with DNA replication and transcription, leading to cell death.
Choice B is incorrect because alkylating agents have numerous side effects, including alopecia, nausea, vomiting, and myelosuppression.
Choice C is incorrect because while nitrogen mustards are used to treat multiple types of cancer like chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and breast and ovarian cancer, their effectiveness is primarily due to DNA cross-linkage.
Choice D is incorrect because alkylating agents are non-cell-cycle-specific agents, meaning they can act on cells in any phase of the cell cycle, not just on cells that are actively dividing.