NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
A client who has been on hemodialysis for 2 years communicates in an angry, critical manner and does not adhere to the prescribed medications and diet. Which explanation for the client's behavior would be useful to consider in planning care?
Correct Answer: C
Rationale: The client's angry, critical communication and non-adherence to treatment suggest underlying emotional struggles. The behavior is likely a defense mechanism against feelings of depression and fear. It is essential to consider that the client's actions are not intentionally aimed at punishing others but rather a manifestation of internal distress. Option A is incorrect as the behavior is not about punishing the nursing staff. Option B is incorrect because the behavior is not a constructive way of accepting reality but rather a maladaptive coping mechanism. Option D is incorrect as the behavior is not primarily driven by an effort to maintain life but rather by emotional distress.
Question 2 of 5
Which statement by an 8-year-old girl, who was just admitted to the hospital, needs to be explored?
Correct Answer: C
Rationale: The correct answer is C. An 8-year-old child showing a strong attraction to boys at this age may raise concerns about precocious sexual behavior or exposure to inappropriate sexual content, potentially signaling the need to investigate for possible sexual abuse. It is important to explore this statement further.
Choice A, expressing admiration for bright colors, is a common behavior for children of this age and does not raise immediate concerns.
Choice B, inquiring about the mother's visit, is a typical concern for a hospitalized child seeking comfort and support.
Choice D, expressing fear and seeking reassurance from the nurse, is also a normal reaction for an 8-year-old in a new and possibly intimidating environment. However, the statement in
Choice C stands out as it deviates from age-appropriate behavior and warrants further exploration to ensure the child's safety and well-being.
Question 3 of 5
The community health nurse is conducting an awareness workshop on adolescent suicide. Which circumstances should the nurse discuss as risk factors?
Correct Answer: A,B,D
Rationale: Risk factors for suicide among adolescents are depression; a family history of mental health disorders, especially depression and suicide; previous attempts at suicide; family violence or abuse; substance abuse; poor school performance; feelings of worthlessness or hopelessness; and homosexuality.
Question 4 of 5
Which of the following examples indicates that the nurse is giving recognition as a form of therapeutic communication?
Correct Answer: A
Rationale: Recognition is a form of therapeutic communication in which the nurse points out a positive aspect of the client's behavior. Noting that a client brushed her hair herself indicates that the nurse recognizes the client's attempts at self-care. This recognition shows the client that the nurse is paying attention and may be open to further communication.
Choices A, B, and C do not demonstrate recognition.
Choice A focuses on a directive statement,
Choice B involves informing the client about a situation without acknowledging their actions, and
Choice C informs the client about a meeting without providing recognition for any behavior.
Question 5 of 5
A client recovering from an acute myocardial infarction will be discharged in 1 day. Which client action on the evening before discharge suggests that the client is in the denial about his medical condition?
Correct Answer: D
Rationale: Ignoring activity limitations and avoiding lifestyle changes are signs of the denial stage. Walking three flights of stairs should be a supervised activity during this phase of the recovery process. Option 1 is an appropriate client action on the evening before discharge. Option 2 may be a manifestation of anxiety or fear rather than denial. Option 3 is a manifestation of depression rather than denial.