Psychosocial Integrity NCLEX Questions

Extract:

Question 1 of 5

Based on Maslow's hierarchy of needs, which client is demonstrating characteristics of self-actualization?

Correct Answer: D

Rationale: According to Maslow's hierarchy of needs, self-actualization is the highest level where individuals strive to reach their full potential and achieve personal growth. A self-actualized person, as per Maslow, has an accurate perception of reality and is accepting of themselves and others. This individual is characterized by traits such as fairness, independence, spontaneity, and creativity. While choices A, B, and C represent important aspects of human needs fulfillment, they align more closely with lower levels in Maslow's hierarchy.
Choice A refers to meeting self-esteem needs, choice B relates to love and belonging needs, and choice C addresses safety needs, all of which are below self-actualization in the hierarchy of needs.

Question 2 of 5

Based on Maslow's hierarchy of needs, which client is demonstrating characteristics of self-actualization?

A. Client is competent and esteemed by others for accomplishing work goals B. Client maintains a stable, loving, same-sex partnership for several years C. Client learns to sublimate aggressive impulses using physical exercises D. Client has an accurate perception of reality and is accepting of self and others

Correct Answer: D

Rationale: According to Maslow's hierarchy of needs, self-actualization is the highest level where individuals strive to reach their full potential and achieve personal growth. A self-actualized person, as per Maslow, has an accurate perception of reality and is accepting of themselves and others. This individual is characterized by traits such as fairness, independence, spontaneity, and creativity. While choices A, B, and C represent important aspects of human needs fulfillment, they align more closely with lower levels in Maslow's hierarchy.
Choice A refers to meeting self-esteem needs, choice B relates to love and belonging needs, and choice C addresses safety needs, all of which are below self-actualization in the hierarchy of needs.

Question 3 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.

A. The nurse explains signs and symptoms that indicate death is near. B. The nurse explains to the client and family what to expect during the final phase of the illness. C. Cultural beliefs are acknowledged, but priority is placed on life-lengthening treatment options. D. The nurse avoids talking to the client about impending death to avoid upsetting him and the family. E. The nurse asks the client and family what their goals and wishes are regarding care, pain management, and emergency resuscitation.

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 4 of 5

What approach should the nurse use when a manipulative client who uses acting-out behaviors asks the nurse to talk while the nurse is orienting a new client to the unit?

A. Suggest that the client requesting attention speak with another staff member. B. Leave the new client, saying, 'I'll talk with the other client until things calm down.' C. Introduce the two clients and suggest that the client join them on a tour of the facility. D. Say to the interrupting client, 'I'll be back to talk with you after I orient this new client.'

Correct Answer: D

Rationale: The nurse should respond to the manipulative client who uses acting-out behaviors by setting realistic limits on behavior without rejecting the client.
Therefore, the correct approach is to say to the interrupting client, 'I'll be back to talk with you after I orient this new client.' This response acknowledges the client's request while prioritizing the needs of the new client and setting appropriate boundaries.

Choices A, B, and C are incorrect. Suggesting that the client speak with another staff member would be a rejection of the client, not the behavior. Leaving the new client to attend to the manipulative client would encourage further manipulation and disrupt the orientation process for the new client. Introducing the two clients and suggesting a tour is inconsistent with setting limits and does not address the manipulative behavior being displayed.

Question 5 of 5

What action would be most appropriate for the nurse to minimize agitation in a disturbed client?

A. Ensure minimal staff contact. B. Increase environmental sensory stimulation. C. Limit unnecessary interactions with the client. D. Discuss reasons for the client's suspicions.

Correct Answer: C

Rationale: The most appropriate action to minimize agitation in a disturbed client is to limit unnecessary interactions. This approach helps reduce stimulation, thus decreasing agitation. Constant staff contact can lead to increased stimulation and agitation. Increasing environmental sensory stimulation can overwhelm the client's senses and escalate agitation. Discussing suspicions may not be beneficial as not all disturbed clients are suspicious and the client may not be in a state to engage in such discussions effectively.

Psychosocial Integrity NCLEX Questions - Nurselytic

Nurselytic

NCLEX-RN

NCLEX-RN