Psychosocial Integrity NCLEX Questions Quizlet - Nurselytic

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Psychosocial Integrity NCLEX Questions Quizlet Questions

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Question 1 of 5

Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. What should the nurse do next?

Correct Answer: C

Rationale: When no urine is seen in the tubing after inserting a catheter in a female client who has not voided for 8 hours, it is possible that the catheter is in the vagina rather than the bladder. Leaving the initial catheter in place can help locate the meatus for the second attempt. The client should have at least 240 mL of urine output after 8 hours, indicating the need for catheterization. Clamping the catheter (Option
A) does not address the issue of incorrect catheter placement. Pulling the catheter back and redirecting it (Option
B) is not effective unless the catheter is completely removed, requiring a new catheter. There is no indication of a urinary tract obstruction to notify the healthcare provider (Option
D) as the catheter could be inserted easily.

Question 2 of 5

Which nursing diagnosis has the highest priority when planning care for a client with an indwelling urinary catheter?

Correct Answer: D

Rationale: The correct answer is 'High risk for infection.' When caring for a client with an indwelling urinary catheter, the highest priority is to prevent infections, as these catheters are a significant source of infection. Options A and B, self-care deficit and functional incontinence, may be concerns but are not directly related to the indwelling catheter. Option C, fluid volume deficit, is not typically associated with the presence of an indwelling urinary catheter.

Question 3 of 5

What nonverbal action should the nurse implement to demonstrate active listening?

Correct Answer: A

Rationale: Active listening is effectively demonstrated through attentive verbal and nonverbal communication strategies.
To convey active listening and show the client that the nurse is engaged and attentive, it is essential for the nurse to sit facing the client. This posture communicates openness and willingness to listen. Option B, crossing arms and legs, creates a barrier and can signal defensiveness or disinterest, making it an incorrect choice. Option C, avoiding eye contact, hinders the establishment of a connection and can convey disengagement. Option D, leaning back in the chair, may give the impression of disinterest or lack of engagement.
Therefore, maintaining eye contact and sitting facing the client are crucial nonverbal actions to exhibit active listening and promote effective therapeutic communication.

Question 4 of 5

The mother of a 5-month-old is being educated about her baby's nutrition by the nurse. Which statement by the mother indicates the need for further teaching?

Correct Answer: C

Rationale: The correct answer is ''I dip his pacifier in honey so he'll take it.'' This statement indicates a need for further teaching because honey should be avoided in infants due to the risk of infant botulism. Honey may contain spores of Clostridium botulinum, which can lead to serious illness in infants as they lack the necessary digestive enzymes to eliminate the spores. Feeding rice cereal, responding to night-time feedings, and storing formula in the refrigerator are appropriate practices for infant care, indicating understanding of the instructions.

Question 5 of 5

Which of the following is an example of an opioid?

Correct Answer: D

Rationale: Opioids are a type of drug classified as narcotics. Nurses working with clients with substance abuse issues often encounter opioids. Opioids have the potential for addiction. Examples of opioids include methadone, codeine, morphine, and hydromorphone. Mescaline (
Choice
A) is a hallucinogen, not an opioid. Diazepam (
Choice
B) is a benzodiazepine used to treat anxiety and other conditions, not an opioid. Phenobarbital (
Choice
C) is a barbiturate used to treat seizures and insomnia, not an opioid.

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