NCLEX-RN
RN Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse provides care for a client diagnosed with impaired vision. Which interventions will the nurse implement to meet the client's needs? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: All options are appropriate: (
A) Even voice tone ensures clarity; (
B) Explaining sounds reduces confusion; (
C) Reducing noise aids hearing; (
D) Staying in the field of vision supports communication; (E) Identifying self orients the client. These interventions enhance safety and interaction.
Question 2 of 5
A client with the diagnosis of hyperparathyroidism states to the nurse, 'I can't stay on this diet. It is too difficult for me.' Which therapeutic response by the nurse is best when intervening in this situation?
Correct Answer: C
Rationale: By paraphrasing the client's statement, the nurse can encourage the client to verbalize emotions. The nurse also sends feedback to the client that the message was understood. An open-ended statement or question such as this prompts a thorough response from the client. Option 1 requests information that the client may not be able to express. Option 2 devalues the client's feelings. Option 4 gives advice, which blocks communication.
Question 3 of 5
A client diagnosed with acute kidney injury is having trouble remembering information and instructions as a result of altered laboratory values. Which actions should the nurse take when communicating with this client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: The client with acute kidney injury may have difficulty remembering information and instructions because of anxiety and altered laboratory values. Communications should be clear, simple, and understandable. The family is included whenever possible. Information about treatment should be explained using understandable language. Thorough and complete explanations may be confusing and will not be understandable for the client.
Question 4 of 5
The parent of an infant client with tetralogy of Fallot (TOF) is pumping her breasts at the client's bedside. The unlicensed assistive personnel (UAP) says to the nurse, 'She should breast feed that baby instead of pumping all the time. What's wrong with her?' Which is the best response for the nurse to make?
Correct Answer: C
Rationale: Asking the UAP about their understanding of the baby’s condition encourages education and clarifies why pumping may be necessary (e.g., due to the infant’s cardiac condition). This promotes teamwork and understanding without judgment or confrontation.
Question 5 of 5
When the home care nurse arrives, the client with a diagnosis of emphysema is smoking. Which statement by the nurse would be most therapeutic?
Correct Answer: C
Rationale: Clients with emphysema must avoid smoking and all airborne irritants. The nurse who observes a maladaptive behavior in a client should not make judgmental comments and should instead explore an adaptive strategy with the client without being overly controlling. This will place the decision making in the client's hands and provide an avenue for the client to share what may be expressions of frustration about an inability to stop what is essentially a physiological addiction. Option 1 is an intrusive use of sarcastic humor that is degrading to the client. Option 2 is a disciplinary remark and places a barrier between the nurse and the client within the therapeutic relationship. In option 4, the nurse preaches and is judgmental.