Psychosocial Integrity NCLEX RN Questions - Nurselytic

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Psychosocial Integrity NCLEX RN Questions Questions

Extract:


Question 1 of 5

A female client with the diagnosis of mania emerges from her room topless while making sexual remarks and lewd gestures toward the staff and her peers. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: A person who is experiencing mania lacks insight and judgment, has poor impulse control, and is highly excitable. The nurse must take control without creating increased stress or anxiety for the client. Insisting that the client go to her room may cause the nurse to be met with a great deal of resistance. Confronting the client and offering her a consequence of time out may be meaningless to her. Asking other clients to ignore her is inappropriate. A quiet but firm approach while distracting the client (walking her to her room and helping her to get dressed) achieves the goal of having the client dressed appropriately and preserving her psychosocial integrity.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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