NCLEX-RN
NCLEX Patient Needs Psychosocial Integrity Therapeutic Communications Questions
Extract:
Question 1 of 5
The nurse is caring for an 11-year-old child who has been physically abused. Which therapeutic action should the nurse include in the plan of care?
Correct Answer: B
Rationale: Providing a safe and trusting environment is critical for a child who has experienced physical abuse, as it helps the child feel secure and supported, facilitating emotional healing. Encouraging the child to confront the abuser is inappropriate and could be traumatic, especially for a young child. Teaching the child to make wise choices in potentially abusive situations places an unrealistic burden on the child, who may not have the capacity to protect themselves. Reinforcing that not all adults are abusive is less immediate and does not directly address the child's need for a safe and trusting care environment.
Question 2 of 5
A young female client hospitalized on the inpatient psychiatric unit receives treatment for anorexia nervosa. Which statement made by the client to the nurse best indicates improvement?
Correct Answer: C
Rationale: Looking forward to meals indicates improved appetite and a positive shift in attitude toward eating, a key sign of progress in anorexia treatment. Other statements reflect awareness, physical changes, or anxiety, but do not directly indicate improved eating behavior.
Question 3 of 5
An older adult client who appears alert, oriented, and well-groomed shares with the nurse, 'Lately, I am seeing things that are not there. It is always people. I am awake and sitting down and I know they are not there, but I see them.' Which response by the nurse is appropriate?
Correct Answer: B
Rationale: Inquiring about medications explores potential causes of hallucinations, such as side effects, which is a common issue in older adults. Schizophrenia or Alzheimer’s assumptions are premature, and dismissing as dreaming ignores the client’s awareness.
Question 4 of 5
The nurse is caring for a client with schizophrenia who is having active hallucinations. The nurse implements which actions to manage the client during the episode? Select all that apply.
Correct Answer: A,E
Rationale: Administering medications (
A) helps manage hallucinations, and asking about harmful voices (E) assesses safety.
Touch (
B) may be misinterpreted, validating hallucinations (
C) is harmful, and distraction in a dayroom (
D) may overwhelm the client.
Question 5 of 5
The nurse evaluates the client response to a 2-week trial of electroconvulsive therapy (ECT). Which data indicates to the nurse that treatment is successful?
Correct Answer: C
Rationale: ECT is primarily used for severe depression or catatonia. A client no longer being mute and withdrawn indicates improved engagement and mood, suggesting successful treatment. Other options are less directly associated with ECT outcomes.