NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
A client who just had a bilateral mastectomy is preparing to talk about body changes. Which of the following actions of the nurse is most appropriate during this discussion?
Correct Answer: A
Rationale: When preparing to discuss sensitive topics such as body changes post-bilateral mastectomy, it is crucial to create a conducive environment. Providing a room with minimal distractions allows the client to feel comfortable, safe, and more likely to open up about personal feelings without interruptions. This setting fosters open communication between the nurse and client, facilitating a more empathetic and supportive interaction. Closed-ended questions (
Choice
B) may limit the client's ability to express emotions fully. Writing detailed notes (
Choice
C) during the conversation may distract the nurse from actively listening and being present for the client. Asking personal questions about the client's background (
Choice
D) may not be appropriate during such a vulnerable discussion and could potentially create discomfort for the client.
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
When emptying 350 mL of pale yellow urine from a client's urinal, the nurse notes that this is the first time the client has voided in 4 hours. Which action should the nurse take next?
Correct Answer: A
Rationale: The correct action for the nurse to take next is to record the amount of urine output on the client's fluid output record. The urine color and volume are within normal limits, indicating adequate hydration. There is no indication of a need to encourage increased oral fluid intake or notify the healthcare provider as the findings are normal. Palpating the client's bladder for distention is unnecessary in this scenario since the client has successfully voided a normal amount of urine after 4 hours.
Question 4 of 5
Which of the following individuals is at the highest risk of experiencing intimate partner violence?
Correct Answer: C
Rationale: Intimate partner violence is a serious issue encompassing physical, psychological, or sexual abuse within an intimate relationship. Individuals who have experienced psychological abuse in their upbringing are at a higher risk of becoming victims themselves due to the normalization of abusive behaviors. While factors such as age, mental health conditions, and social support can contribute to vulnerability, growing up in an abusive environment can significantly heighten the risk of intimate partner violence. The other options, such as recent divorce (
A), unemployment (
B), and schizophrenia diagnosis (
D), do not directly correlate with the same level of increased risk associated with a history of psychological abuse.
Question 5 of 5
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
Correct Answer: C
Rationale: When bathing an uncircumcised boy older than 3 years, it is essential to gently retract the foreskin to cleanse the penis. This helps in preventing the buildup of bacteria and maintaining good hygiene. Reminding the child to clean his genital area (Option
A) may not be effective due to the child's cognitive development level. Perineal care should not be deferred (Option
B) as it is necessary for maintaining hygiene at any age. Asking the parents why the child is not circumcised (Option
D) is not relevant to the immediate care required during bathing.