NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia? Select all that apply.
Correct Answer: B,D
Rationale: Reassuring safety (
B) and using art/writing for expression (
D) are appropriate for schizophrenia. Overly warm behavior (
A) may be misinterpreted, puzzles (
C) may be too complex, and not informing about leaving (E) can increase anxiety.
Question 2 of 5
A 16-year-old client diagnosed with diabetes is admitted for hyperglycemia. The client states, 'I'm fed up with having my life ruled by diets, doctors' prescriptions, and machines!' Based on this assessment data, which is the priority client concern?
Correct Answer: C
Rationale: Adolescents strive for identity and independence, and the situation describes a common fear of loss of control.
Therefore, the priority problem relates to these feelings of loss of control. Although the child has a chronic illness and may be experiencing a personal crisis, the child's statement focuses on loss of control. There is no information in the question that indicates a lack of knowledge.
Question 3 of 5
Which communication technique is a part of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is providing relevant information to the client. In therapeutic communication, it is essential to provide clients with all pertinent information to help them understand their health status and what to expect. This empowers clients and promotes trust in the nurse-client relationship. Asking for explanations, showing sympathy, and asking personal questions are examples of nontherapeutic communication techniques. Asking personal questions can intrude on the client's privacy and may not be relevant to their care. Showing sympathy, while well-intentioned, may come across as pity rather than true empathy. Asking for explanations can sometimes put clients on the defensive rather than fostering a collaborative dialogue.
Question 4 of 5
A client who is in labor has human immunodeficiency virus (HIV) and states to the nurse, 'I know I will have a sick-looking baby.' Which appropriate therapeutic response should the nurse make?
Correct Answer: C
Rationale: Option 3 is the most therapeutic response, and it will elicit the best information. It addresses the therapeutic communication technique of paraphrasing. Option 3 also is an open-ended response that will provide an opportunity for the client to verbalize her concerns. Parents need to know that their baby will not look sick from HIV at birth and that there may be a period of uncertainty before it is known whether the baby has acquired the infection. Options 1 and 2 provide false reassurances. The client should not be told that there is no reason to worry.
Question 5 of 5
The nurse is seeing a client in the clinic with her 18-month-old daughter. The client asks the nurse when her child should start going to the dentist. Which response by the nurse is correct?
Correct Answer: A
Rationale: The American Academy of Pediatric Dentistry recommends a dental visit by the first birthday to establish a dental home and prevent early childhood caries.