NCLEX-RN
Psychosocial Integrity NCLEX RN Questions Questions
Extract:
Question 1 of 5
Two months after a right mastectomy for breast cancer, a client comes to the office for a follow-up appointment. After being diagnosed with cancer in the right breast, the client was told that the risk for cancer in the left breast existed. When asked about her breast self-examination (BSE) practices since the surgery, the client replied, 'I don't need to do that anymore.' The nurse interprets this response to be using which coping mechanism?
Correct Answer: A
Rationale: The coping strategy of denying or minimizing a health problem can produce health situations that may be life threatening. Denial can lead to an avoidance of self-care measures, such as taking medications or performing a BSE. None of the remaining options are coping mechanism.
Question 2 of 5
A client becomes angry while waiting for a supervised break to smoke a cigarette outside and states, 'I want to go outside now and smoke. It takes forever to get anything done here!' Which intervention is best for the nurse to implement?
Correct Answer: D
Rationale: The best nursing action is to review the schedule of outdoor breaks and provide concrete information about the schedule. Suggesting a nicotine patch (Option
A) is not suitable as the client wants to smoke. Reassuring the client about another break (Option
B) does not address the client's frustration and does not promote effective communication. Having the client leave the unit with another staff member (Option
C) is not appropriate as it goes against unit rules and does not address the client's concerns.
Therefore, the most appropriate intervention is to review the schedule of outdoor breaks with the client to provide clarity and address the client's frustration effectively.
Question 3 of 5
The nurse is working in a mental health facility that uses group therapy with the clients. The nurse understands which to be correct regarding group therapy?
Correct Answer: D
Rationale: In group therapy, roles and responsibilities are established during the working stage, as members actively engage. Termination (
A) occurs at the end, feelings about accomplishments (
B) are explored in termination, and unclarity about purpose (
C) occurs in the forming stage.
Question 4 of 5
A client on the psychiatric unit begins to pace and continuously wring hands, and the nurse notes the client's voice is becoming louder and angrier. Which action does the nurse take?
Correct Answer: D
Rationale: Assisting the client to express feelings helps de-escalate agitation by addressing the underlying emotions, promoting safety and therapeutic communication. Seclusion is a last resort, reflection may not address acute agitation, and journaling may not be feasible in this state.
Question 5 of 5
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk of a heart attack or stroke. Which health promotion brochure is most important for the nurse to provide to this client?
Correct Answer: C
Rationale: The most important health promotion brochure to provide to an obese client newly diagnosed with arteriosclerosis is one focused on decreasing cholesterol levels through diet. Arteriosclerosis is significantly influenced by excess dietary fat, especially saturated fat and cholesterol. Monitoring blood pressure at home, while important, does not directly address the underlying cause of arteriosclerosis. Smoking cessation and stress management are crucial for overall cardiovascular health, but lowering cholesterol through diet takes precedence in this scenario.