NCLEX-PN
Psychosocial Integrity NCLEX PN Questions Questions
Extract:
Question 1 of 5
When assessing a client with amyotrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?
Correct Answer: B
Rationale: ALS causes progressive muscular weakness and wasting, while cognitive function and sensory abilities remain intact, though grieving may occur.
Question 2 of 5
James returns home from school angry and upset because his teacher gave him a low grade on an assignment. After returning home from school, he kicks the dog. This coping mechanism is known as:
Correct Answer: C
Rationale: Displacement is the transference of emotions, such as anger, to a substitute target that may be less threatening. In this scenario, James redirects his anger from the teacher to the dog. Denial is refusing to acknowledge an aspect of reality. Suppression is consciously putting aside unwanted thoughts or feelings. Fantasy involves imagining unrealistic scenarios.
Therefore, in this case, the correct answer is displacement as James displaces his anger towards the dog.
Question 3 of 5
A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic self-expectations) is when the client can:
Correct Answer: A
Rationale: The correct answer is to 'report a positive self-concept.' The problem statement is Negative Self-Concept, so the goal is for the client to achieve a positive self-concept. This involves helping the client recognize their worth and strengths.
Choices B, C, and D do not directly address the resolution of Negative Self-Concept. Identifying negative thoughts (
B) is a step towards improvement but does not represent a successful resolution. Recognizing positive thoughts (
C) is positive but not the primary goal in addressing Negative Self-Concept. 'Give one positive cue with each negative cue' (
D) is not as comprehensive as achieving an overall positive self-concept.
Question 4 of 5
A primary belief of psychiatric mental health nursing is:
Correct Answer: B
Rationale: The correct answer is that every person is worthy of dignity and respect. This is a fundamental principle in psychiatric mental health nursing, emphasizing the importance of treating individuals with dignity and respect regardless of their condition. This belief forms the basis of establishing a therapeutic nurse-client relationship.
Choice A is a positive belief, but the primary focus in psychiatric mental health nursing is on respecting the worth and dignity of each individual.
Choice C is related to understanding individual human needs but does not encompass the core value of dignity and respect.
Choice D is incorrect as psychiatric nursing emphasizes the importance of interpreting and understanding all behaviors as meaningful expressions of the client's experience.
Question 5 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.