NCLEX-RN
NCLEX Psychosocial Questions Questions
Extract:
Question 1 of 5
The nurse is performing an admission assessment for a non-English speaking patient who is from China. Which actions could the nurse take to enhance communication (select one that does not apply)?
Correct Answer: D
Rationale: Electronic translation applications, telephone-based medical interpreters, and agency interpreters are all appropriate tools to enhance communication with non-English-speaking patients. However, asking the patient's teenage daughter to interpret is not recommended due to potential misinterpretation of crucial information during the admission assessment. While family members may be considered in the absence of a professional interpreter, there is a risk of misunderstanding or lack of sharing essential details. It is important to rely on trained interpreters to ensure accurate communication and avoid miscommunication or misinterpretation of critical information. Using gestures can be helpful, but over-exaggeration of gestures is unnecessary and may lead to confusion.
Question 2 of 5
What is a priority goal of involuntary hospitalization of the severely mentally ill client?
Correct Answer: C
Rationale: The priority goal of involuntary hospitalization of severely mentally ill clients is to ensure protection from harm to self or others. Involuntary hospitalization is often necessary for individuals who are deemed dangerous to themselves or others or who are considered gravely disabled. Re-orientation to reality, elimination of symptoms, and return to independent functioning are important aspects of mental health care but are not the primary goals of involuntary hospitalization. The main focus during involuntary hospitalization is to address safety concerns and prevent harm.
Question 3 of 5
A 19-year-old client is paralyzed in a car accident. Which statement used by the client would indicate to the nurse that the client was using the mechanism of 'suppression'?
Correct Answer: A
Rationale: The correct answer is, '"I don't remember anything about what happened to me."?' Suppression involves willfully putting an unacceptable thought or feeling out of one's mind. In this case, the client is purposely choosing not to remember details of the traumatic event to avoid dealing with the associated emotions.
Choice B, '"I'd rather not talk about it right now,"?' suggests avoidance or deflection rather than active suppression.
Choice C, '"It's the other entire guy's fault! He was going too fast,"?' indicates blaming someone else for the situation, which is a form of defense mechanism known as externalization.
Choice D, '"My mother is heartbroken about this,"?' expresses empathy towards the mother's emotions and does not demonstrate suppression of personal feelings.
Question 4 of 5
Which behavioral characteristic describes the domestic abuser?
Correct Answer: D
Rationale: The correct answer is 'Low self-esteem.' Domestic abusers often exhibit behaviors stemming from their own experiences of abuse, leading to a cycle of violence. They commonly have low self-esteem, which drives their need to exert control and power over their partners.
Choice A, 'Alcoholic,' is not a defining behavioral characteristic of domestic abusers.
Choice B, 'Overconfident,' is not typically associated with abusers who often exhibit insecurity and control issues.
Choice C, 'High tolerance for frustrations,' is not a primary characteristic of domestic abusers; rather, they often have a low tolerance for situations that challenge their need for control.
Question 5 of 5
A 16-month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her, and begins to cry. What would be the initial action by the nurse?
Correct Answer: B
Rationale: The correct answer is to explain that this behavior is expected. During normal development, fear of strangers becomes prominent beginning around age 6-8 months. Such behaviors include clinging to parents, crying, and turning away from the stranger. These fears and behaviors extend into the toddler period and may persist into preschool. Changing client care assignments (
Choice
A) is not necessary as the child's behavior is developmentally appropriate. Discussing the appropriate use of 'time-out' (
Choice
C) is not relevant in this situation as the child is displaying normal attachment behavior, not misbehavior. Explaining that the child needs extra attention (
Choice
D) may not be necessary as the child is likely seeking comfort from the familiar presence of the mother, which is a typical response in a stressful situation like being in a hospital environment.