NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse provides care to a school-age client who is prescribed amoxicillin suspension 250 mg PO for treatment of an upper respiratory infection (URI). Prior to administering the medication, the nurse provides which information to the client?
Correct Answer: A
Rationale: Informing the client that amoxicillin is an antibiotic that will help them recover provides age-appropriate education about the medication’s purpose, promoting understanding and adherence. Other options may mislead or unnecessarily alarm the child.
Question 2 of 5
After undergoing dilation and curettage following an early miscarriage, a client is crying. Which response would the nurse give?
Correct Answer: A
Rationale: The correct response acknowledges the client's grief without judgment and provides validation.
Choice B is inappropriate as it suggests replacing the lost child with other children, which is insensitive and dismissive of the client's current loss.
Choice C minimizes the client's feelings by focusing on the ability to get pregnant rather than addressing the emotional impact of the miscarriage.
Choice D is dismissive and patronizing, suggesting that the miscarriage was for the best, which can be hurtful and diminish the client's grief.
Question 3 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 4 of 5
The nurse observes the parent of an adult client crying in the waiting area. The parent says to the nurse, 'My father died of meningitis decades ago. Now my child may die of the same thing.' Which is the best initial response by the nurse?
Correct Answer: C
Rationale: Acknowledging that the situation may evoke memories validates the parent’s emotional distress and opens communication. Offering facts, a chaplain, or dismissal does not address the immediate emotional need.
Question 5 of 5
Which instruction should the nurse provide to a preschool-age client to prevent altered growth and development?
Correct Answer: C
Rationale: Teaching a preschool-age child and their parents about the importance of impulse control is essential to prevent the risk of altered growth and development. Preschool-age children are at a stage where they are developing self-regulation skills, so teaching them to manage their impulses can help in their overall growth and development. Trust is a critical concept taught during infancy to foster secure attachments. Empathy is crucial for parents of toddlers to understand their child's emotions. Problem-solving skills are typically emphasized for school-age children to enhance cognitive development.