NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 of 5
A health care worker is concerned about a new mother being overwhelmed by caring for her infant. What should the health care worker do?
Correct Answer: D
Rationale: When a health care worker is concerned about a new mother being overwhelmed by caring for her infant, the best course of action is to refer the mother to parenting classes. Prevention of child abuse is focused on educating parents on how to care for their child and handle the demands of infant care. By attending parenting classes, the mother can build self-confidence, self-esteem, and coping skills. Parenting classes help parents understand the developmental needs of their children and learn effective ways to manage their home environment. Additionally, these classes provide parents with increased social contacts and knowledge about community resources. Contacting child protective services (choice
A) should not be the immediate action as there is no indication of abuse. Providing literature about child care (choice
B) may not be as effective as hands-on parenting classes. Consulting a therapist (choice
C) may be beneficial, but addressing parenting skills through classes is more appropriate in this scenario.
Question 2 of 5
A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon. Which of the following responses is the most therapeutic for the client?
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.
Question 3 of 5
A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:
Correct Answer: D
Rationale: In this scenario, the client's recent weight loss and subsequent pregnancy could lead to concerns about weight regain and body image. The most appropriate nursing diagnosis is 'Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy).' This diagnosis reflects the client's potential emotional response to the fear of losing the progress achieved through weight loss and dealing with changes in body image due to pregnancy. Options A and C imply that low self-esteem is already present, which is not supported by the information given. Option B is not as suitable as the client's self-esteem issues are more related to the fear of weight regain and pregnancy, making option D the best choice.
Question 4 of 5
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Correct Answer: B
Rationale: The correct answer is asking, "Did someone grab you by your arms?"? This question is direct and addresses the possibility of abuse, which is crucial when dealing with suspected abuse cases. It is important to ask direct questions in a sensitive and non-accusatory manner to gather information.
Choice A is too general and may not prompt a disclosure of abuse.
Choice C assumes falling as the cause without addressing abuse directly.
Choice D is vague and does not specifically inquire about potential abuse, making it less effective in identifying abuse cases compared to the correct choice.
Question 5 of 5
In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:
Correct Answer: A
Rationale: The correct answer is 'whole brain death.' Most protocols for determining whole brain death require two separate clinical examinations, including the induction of painful stimuli, pupillary responses to light, oculovestibular testing, and apnea testing. This comprehensive approach ensures that all functions of the brain, including the brainstem, are evaluated to confirm the absence of brain function.
Choices B and D are incorrect as they do not reflect the specific tests required for determining whole brain death.
Choice C, 'circulatory death,' does not involve the evaluation of brain function and is not a current definition of death in the United States.