NCLEX-PN
Psychosocial Integrity NCLEX PN Questions Questions
Extract:
Question 1 of 5
The family carries out its health care functions in which of the following ways?
Correct Answer: B
Rationale: The family provides sick care to its members. The other options are incorrect.
Question 2 of 5
Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
Correct Answer: D
Rationale: The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive. The other actions can be taken later.
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
A client has sustained a hyphema. What intervention should the nurse take?
Correct Answer: B
Rationale: Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physician's order.
Question 5 of 5
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Correct Answer: A
Rationale: When a client requires an increased dose of a drug, such as in this case with hydrocodone, it suggests that the body has developed tolerance to the medication.
Tolerance means that the client needs more of the drug to achieve the same effect as before. This does not inherently indicate addiction, which involves psychological behaviors related to substance use.
Choice B describes drug dependence, where the client is preoccupied with obtaining the drug and experiences loss of control, which is not the same as tolerance.
Choice C correctly points out that addiction is more than just physical dependence with withdrawal symptoms and tolerance; it includes psychological factors.
Choice D is irrelevant as it discusses adjusting the medication for pain management, not addressing the client's concern about addiction.