NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with agoraphobia. Which signs and symptoms would the nurse anticipate? Select all that apply.
Correct Answer: A,D
Rationale: Agoraphobia involves panic attacks and fear of leaving safe environments, leading to inability to leave home. Memory issues and hallucinations are not typical.
Question 2 of 5
When assessing an older adult, which vital sign changes would the nurse recognize as occurring with aging?
Correct Answer: B
Rationale: When assessing an older adult, the nurse should be aware that with aging, systolic blood pressure tends to increase, resulting in widened pulse pressure. While in many older individuals both systolic and diastolic pressures increase, the pulse rate and body temperature typically do not increase with aging.
Therefore, the correct answer is widened pulse pressure.
Choices A, C, and D are incorrect because pulse rate does not necessarily increase with age, body temperature generally remains stable, and diastolic blood pressure may increase instead of decreasing in many older adults.
Question 3 of 5
Before inserting a peripheral intravenous (IV) catheter into a preoperative client, the nurse notes that the client's muscles are tense and the client is fidgeting with the bed sheet, stating that she does not understand why she has to have the IV. Which statement should the nurse first verbalize to the client?
Correct Answer: C
Rationale: In option 3 the nurse uses simple terms to clearly inform the client about the IV's purpose. Option 1 is an unethical statement for the nurse to make because the information is incorrect. Avoiding the client's feelings in option 2 blocks client communication regarding justifiable fears and feelings related to the IV insertion. Option 4 is an unsuitable statement because the client potentially would not understand the word 'angiocatheter.'
Question 4 of 5
The nurse is caring for a client with end-stage kidney disease and multiple organ failure. Which action by the nurse indicates an understanding of end-of-life care? Select all that apply.
Correct Answer: A,B,E
Rationale: Explaining signs of nearing death (
A), what to expect (
B), and discussing goals/wishes (E) support informed, compassionate end-of-life care. Prioritizing life-lengthening treatments (
C) disregards palliative focus, and avoiding death discussions (
D) hinders open communication.
Question 5 of 5
A young adult client diagnosed with a spinal cord injury tells the nurse, 'It's so depressing that I'll never get to have sex again.' Which is the realistic reply for the nurse to make to the client?
Correct Answer: B
Rationale: It is possible to have a sexual relationship after a spinal cord injury, but it is different from what the client will have experienced before the injury. Males may experience reflex erections, although they may not ejaculate. Females can have adductor spasm. Sexual counseling may help the client adapt to changes in sexuality after a spinal cord injury.