NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse's response is based on the knowledge that schizophrenia:
Correct Answer: B
Rationale: The correct answer is B: 'is a chronic, deteriorating disease with periods of remission.' While choices A, C, and D contain some truths about schizophrenia, they do not directly address the prognosis aspect of the question. Schizophrenia can affect both men and women equally, is typically diagnosed in early adulthood, and does not have a known protective hormone effect that delays diagnosis.
Choice B accurately reflects the chronic and fluctuating nature of the disease, which is essential for understanding its long-term course.
Question 3 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 4 of 5
When assessing a client with amyotrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?
Correct Answer: B
Rationale: ALS causes progressive muscular weakness and wasting, while cognitive function and sensory abilities remain intact, though grieving may occur.
Question 5 of 5
The best definition of communication is:
Correct Answer: C
Rationale: Communication is defined as an ongoing, interactive form of transmitting transactions. It involves a dynamic process of sending (encoding) and receiving (decoding) messages while being influenced by the experiences and perceptions of both the sender and receiver. This process is interactive and occurs within an environment, shaping individuals' self-concept, identity, and relationships. The correct answer captures the complexity and interactive nature of communication.
Choice A, 'the sending and receiving of messages,' is too simplistic and does not encompass the interactive nature of communication.
Choice B, 'the effect of sending verbal messages,' focuses solely on verbal communication and overlooks non-verbal forms.
Choice D, 'the use of message variables to send information,' emphasizes technical aspects rather than the interactive and transactional nature of communication.