NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the first sound was heard. Which is the best action for the nurse to take?
Correct Answer: C
Rationale: When the nurse is unable to distinguish the point at which the first sound was heard while taking a client's blood pressure, the best action is to deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading. Deflating the cuff for this duration allows blood flow to return to the extremity, ensuring an accurate reading on that extremity a second time. Option A of deflating the cuff completely and immediately reattempting the reading could lead to a falsely high reading. Option B, re-inflating the cuff completely and leaving it inflated for 90 to 110 seconds, reduces circulation, causes pain, and may alter the reading. Option D, documenting the exact level visualized on the sphygmomanometer where the first fluctuation was seen, is not a reliable method for assessing blood pressure and does not address the issue of obtaining an accurate reading.
Question 2 of 5
Before assessing a new patient, a nurse is told by another healthcare worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge."? The nurse's responsibility is to:
Correct Answer: B
Rationale: The correct answer is to assess the patient based on data collected from all sources. It is important for the nurse to gather information from various sources to form an objective assessment. Biased assessments by others should be evaluated as objectively as possible by the nurse, considering the potential impact of counter-transference. Documenting the other worker's assessment (
Choice
A) may be necessary for thorough documentation but should not influence the nurse's independent assessment. Validating the worker's impression by contacting the patient's significant other (
Choice
C) may not provide an accurate representation of the patient's condition. Discussing the worker's impression with the patient during the assessment interview (
Choice
D) can introduce bias and may not lead to an objective evaluation.
Question 3 of 5
Which of the following is an example of neurofeedback used with a child diagnosed with reactive attachment disorder (RAD)?
Correct Answer: A
Rationale: Neurofeedback is a form of treatment that may be used for children diagnosed with reactive attachment disorder (RA
D). Neurofeedback involves attaching electrodes to the scalp in a method similar to an EEG. The child's brainwaves are then monitored while being exposed to positive images or games to produce positive brain patterns.
Choice A is the correct answer as it describes the process of neurofeedback, which is a common therapeutic approach for managing RAD.
Choices B, C, and D are incorrect because they do not directly involve monitoring brain waves through electrodes to provide feedback for brain pattern adjustments, which is the core concept of neurofeedback therapy.
Question 4 of 5
Which of the following is an example of passive aggression?
Correct Answer: C
Rationale: Passive aggression involves expressing negative feelings indirectly, such as through subtle actions or behaviors. While choices A, B, and D involve more direct and aggressive expressions of anger, jealousy is an example of passive aggression where negative emotions are subtly displayed without openly confronting the issue. Jealousy can manifest as resentment, envy, or possessiveness, and is a common form of passive aggression in interpersonal relationships.
Question 5 of 5
Which of the following is an age-related developmental task for a 68-year-old client?
Correct Answer: A
Rationale: As individuals age, they face various developmental tasks unique to that stage of life. For a 68-year-old client, dealing with the loss of friends becomes a significant aspect of their development. This age group often experiences the passing of peers and friends, leading to feelings of loneliness and the need to adjust to a changing social circle. Commitment to parenthood (
Choice
B) is more relevant to younger adults in their child-rearing years. Setting career goals (
Choice
C) is typically associated with early to mid-career stages rather than later in life. Solidification of sense of self (
Choice
D) is a task that is more commonly associated with earlier adulthood when individuals are establishing their identity.
Therefore, the most appropriate developmental task for a 68-year-old client is dealing with the loss of friends.