NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 of 5
James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
Correct Answer: C
Rationale: The correct answer is 'displacement.' Displacement is a defense mechanism where emotions or impulses are transferred from their original source to a substitute target. In this scenario, James is displacing his anger from his teacher onto the dog.
Choice A, 'denial,' involves refusing to acknowledge an unpleasant reality.
Choice B, 'suppression,' is the conscious effort to push unwanted thoughts out of awareness.
Choice D, 'fantasy,' refers to imagining scenarios that fulfill one's desires but are not based in reality.
Question 2 of 5
James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
Correct Answer: C
Rationale: The correct answer is 'displacement.' Displacement is a defense mechanism where emotions or impulses are transferred from their original source to a substitute target. In this scenario, James is displacing his anger from his teacher onto the dog.
Choice A, 'denial,' involves refusing to acknowledge an unpleasant reality.
Choice B, 'suppression,' is the conscious effort to push unwanted thoughts out of awareness.
Choice D, 'fantasy,' refers to imagining scenarios that fulfill one's desires but are not based in reality.
Question 3 of 5
During the work phase of the nurse-client relationship, the client says to her primary nurse, "You think that I could walk if I wanted to, don't you?"? What is the best response by the nurse?
Correct Answer: D
Rationale: This response answers the question honestly and nonjudgmentally and helps to preserve the client's self-esteem. The nurse acknowledges the client's current inability to walk without attributing it to the client's desire.
Choice A provides a positive but unrealistic statement that may diminish the client's self-esteem by implying a lack of effort.
Choice B deflects the client's question and does not address the underlying concern.
Choice C may increase the client's anxiety by suggesting unresolved psychological conflicts related to walking.
Question 4 of 5
The presence of which hormone in the urine is specifically indicative of pregnancy?
Correct Answer: D
Rationale: Human chorionic gonadotropin is found in the urine during pregnancy and specifically indicates pregnancy. The other hormones do not.
Question 5 of 5
A woman asks, "How much alcohol can I safely drink while pregnant?"? The nurse's best response is:
Correct Answer: A
Rationale: The correct answer is, "The amount of alcohol that is safe during pregnancy is unknown."? It is crucial for pregnant women to avoid alcohol as there is no known safe amount during pregnancy. Consuming any amount of alcohol can harm the developing fetus and increase the risk of fetal alcohol syndrome, a condition characterized by mental and physical abnormalities in infants.
Choices B, C, and D are incorrect because they provide misleading information that can potentially harm the fetus. Pregnant women should abstain from alcohol to ensure the health and well-being of their baby.