NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
An increase in the neurotransmitter dopamine is associated with which of the following illnesses?
Correct Answer: A
Rationale: An increase in the neurotransmitter dopamine is associated with schizophrenia. Dopamine dysregulation is linked to some symptoms of schizophrenia, such as hallucinations and delusions. Depression (choice
B) is more commonly associated with abnormalities in serotonin and norepinephrine. Alzheimer's disease (choice
C) is primarily characterized by deficits in acetylcholine and other neurotransmitters. Anxiety disorders (choice
D) are often linked to imbalances in neurotransmitters like serotonin, norepinephrine, and GABA, rather than dopamine.
Question 2 of 5
When the health care provider diagnoses metastatic cancer and recommends a gastrostomy for an older female client in stable condition, the son tells the nurse that his mother must not be told the reason for the surgery because she 'can't handle' the cancer diagnosis. Which legal principle is the court most likely to uphold regarding this client's right to informed consent?
Correct Answer: D
Rationale: Health care providers may be found guilty of negligence, specifically assault and battery, if they carry out a treatment without the client's consent. The client's condition is stable, so the family cannot provide consent without her involvement, making option A incorrect. There is no evidence of mental incompetence in the client, so the son cannot waive informed consent, making option B incorrect. While therapeutic privilege may have been accepted in the past, it is unlikely to be upheld by today's courts, making option C incorrect. It is crucial for health care providers to obtain informed consent from clients before proceeding with any treatment to avoid legal consequences and uphold ethical standards.
Question 3 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 4 of 5
To reduce the risk of venous thrombosis, which measure should the nurse instruct the client in to promote venous return?
Correct Answer: D
Rationale:
To prevent venous thrombus formation, promoting venous return is crucial. Encouraging frequent ambulation in the hallway helps prevent venous stasis and reduces the risk of thrombus formation in immobile clients. Option A (using the incentive spirometer) aids in alveolar expansion to prevent atelectasis, not specifically venous thrombosis. Option B (elevating the head of the bed during meals) reduces the risk of aspiration, not venous thrombosis. Option C (using aseptic technique for dressing changes) reduces the risk of postoperative infection, not specifically venous thrombosis.
Therefore, among the options provided, encouraging frequent ambulation in the hallway is the most effective measure to prevent venous thrombosis.
Question 5 of 5
Which of the following is an example of neurofeedback used with a child diagnosed with reactive attachment disorder (RAD)?
Correct Answer: A
Rationale: Neurofeedback is a form of treatment that may be used for children diagnosed with reactive attachment disorder (RA
D). Neurofeedback involves attaching electrodes to the scalp in a method similar to an EEG. The child's brainwaves are then monitored while being exposed to positive images or games to produce positive brain patterns.
Choice A is the correct answer as it describes the process of neurofeedback, which is a common therapeutic approach for managing RAD.
Choices B, C, and D are incorrect because they do not directly involve monitoring brain waves through electrodes to provide feedback for brain pattern adjustments, which is the core concept of neurofeedback therapy.