NCLEX-PN
Psychosocial Integrity Nclex PN Questions Questions
Extract:
Question 1 of 5
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Correct Answer: B
Rationale: The correct answer is asking, "Did someone grab you by your arms?"? This question is direct and addresses the possibility of abuse, which is crucial when dealing with suspected abuse cases. It is important to ask direct questions in a sensitive and non-accusatory manner to gather information.
Choice A is too general and may not prompt a disclosure of abuse.
Choice C assumes falling as the cause without addressing abuse directly.
Choice D is vague and does not specifically inquire about potential abuse, making it less effective in identifying abuse cases compared to the correct choice.
Question 2 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 3 of 5
A mother has just given birth to a baby who died soon after. The mother has been crying and states, 'I can't believe this has happened to me. I did everything right during this pregnancy.' How should the nurse respond to this mother?
Correct Answer: D
Rationale: Perinatal loss is a great tragedy for the parents. A bereaved mother must resolve the crisis of perinatal loss in addition to the crisis of pregnancy. Such a loss is described as losing part of one's self-loss of self-worth. The perinatal grief response must involve attachment and detachment as a part of the mourning process.
Question 4 of 5
Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?
Correct Answer: B
Rationale: Coffee might cause diarrhea in a client with an ileostomy. The other foods might cause odor.
Question 5 of 5
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
Correct Answer: B
Rationale: The correct answer is 'the child being shaken.' In cases of suspected child abuse, bruises on both upper arms can be indicative of a child being shaken, as children who are shaken are frequently grasped by both upper arms. The presentation of a 10-month-old child being difficult to awaken, along with bruises on the upper arms, raises concern for inflicted injury. Symptoms of brain injury associated with shaking include a decreased level of consciousness.
Choices A, C, and D are less likely in this scenario as they do not align with the concerning signs of suspected abuse indicated by the bruises and the child's altered level of consciousness.