NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 of 5
A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic self-expectations) is when the client can:
Correct Answer: A
Rationale: The correct answer is to 'report a positive self-concept.' The problem statement is Negative Self-Concept, so the goal is for the client to achieve a positive self-concept. This involves helping the client recognize their worth and strengths.
Choices B, C, and D do not directly address the resolution of Negative Self-Concept. Identifying negative thoughts (
B) is a step towards improvement but does not represent a successful resolution. Recognizing positive thoughts (
C) is positive but not the primary goal in addressing Negative Self-Concept. 'Give one positive cue with each negative cue' (
D) is not as comprehensive as achieving an overall positive self-concept.
Question 2 of 5
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Correct Answer: A
Rationale: The correct statement is that fat emulsions have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30% solutions and supply 1.1, 2, and 3 kilocalories, respectively, for each milliliter. In comparison, a milliliter of 5% dextrose only supplies 0.17 kilocalories.
Choices B, C, and D are incorrect.
Choice B is false because fat emulsions are essentially pH neutral and isotonic, not hypertonic.
Choice C is incorrect because fat emulsions are not basic solutions; they are essentially pH neutral.
Choice D is incorrect as fat emulsions are not alkaline; they are pH neutral, making them compatible with most medications.
Question 3 of 5
Which statement reflects a primary belief of psychiatric mental health nursing?
Correct Answer: B
Rationale: The correct answer reflects a primary belief of psychiatric mental health nursing, which is that every person is worthy of dignity and respect. This belief forms the foundation of providing holistic and compassionate care in mental health nursing. While it is true that most people have the potential to change and grow, this choice does not directly address a core belief of mental health nursing. Human needs being individual to each person is a general principle of nursing care but does not specifically capture a primary belief in psychiatric mental health nursing. The statement that some behaviors have no meaning and cannot be understood contradicts the fundamental principle that all behavior has meaning and can be understood from the client's perspective in psychiatric mental health nursing.
Question 4 of 5
Which is the proper hand position for performing chest vibration?
Correct Answer: C
Rationale: The hands are flattened over the area of the body where chest percussion is used to conduct vibration through to the chest and loosen secretions. The other hand positions do not accomplish this task.
Question 5 of 5
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
Correct Answer: B
Rationale: The correct answer is 'the child being shaken.' In cases of suspected child abuse, bruises on both upper arms can be indicative of a child being shaken, as children who are shaken are frequently grasped by both upper arms. The presentation of a 10-month-old child being difficult to awaken, along with bruises on the upper arms, raises concern for inflicted injury. Symptoms of brain injury associated with shaking include a decreased level of consciousness.
Choices A, C, and D are less likely in this scenario as they do not align with the concerning signs of suspected abuse indicated by the bruises and the child's altered level of consciousness.