Psychosocial Integrity NCLEX Questions Quizlet - Nurselytic

Correct Answer: D

Rationale: Group therapy is a valuable approach in mental health treatment. Working with psychiatric clients in a group setting offers various benefits. Clients in a group setting can learn from others when their behaviors are inappropriate in a safe and trusting environment. This environment allows individuals to express thoughts and feelings without fear of judgment or criticism, fostering a supportive atmosphere. Through interactions with peers, clients can gain insight into their own behaviors and learn alternative ways of coping.
Choice A is incorrect as the presence and support of a nurse are typically important in group therapy sessions.
Choice B is incorrect as group settings provide structure and rules to ensure a safe space for clients to express themselves.
Choice C is incorrect as maintaining confidentiality is crucial in group therapy to build trust and encourage open sharing.

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.

Correct Answer: A

Rationale: The correct step when administering ear drops to an adult client is to place the client in a side-lying position (
A). This position allows for easier administration of the drops and helps prevent spillage. The dropper should be held approximately 1 cm (½ inch) above the ear canal (
B) to ensure accurate delivery of the medication. Placing a cotton ball into the outermost canal (
C) is unnecessary and may interfere with the absorption of the ear drops. Pulling the auricle down and back (
D) is a technique used for children younger than 3 years old to straighten the ear canal, but it is not necessary for adults and may cause discomfort.

Correct Answer: B

Rationale: The correct answer is asking about shortness of breath during normal daily activities because these symptoms suggest right-sided heart failure, leading to increased pressure in the systemic venous system. This pressure causes fluid to shift into the interstitial spaces, resulting in edema. In an ambulatory patient, lower extremities are typically affected first due to gravity. By asking about shortness of breath, the nurse can gather information to confirm the nursing diagnosis of activity intolerance and fluid volume excess, both associated with right-sided heart failure. The other choices are less relevant in this context and do not directly address the client's presenting symptoms.

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.