NCLEX-RN
Psychosocial Integrity NCLEX Questions Questions
Extract:
Question 1 of 5
Which priority action would the nurse manager use to help the nurse who may be experiencing burnout?
Correct Answer: D
Rationale: The correct priority action for the nurse manager to help a nurse experiencing burnout is to assist the nurse in identifying personal responses to job stress. This involves recognizing work stressors in the environment and evaluating coping strategies to determine their effectiveness. While transferring the nurse to another unit could be a solution, the initial focus should be on self-awareness and coping strategies. Choosing a position on a low-stress unit and attending educational programs can be beneficial in reducing burnout, but they are not the primary steps to address burnout when it occurs.
Question 2 of 5
Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder?
Correct Answer: B
Rationale: In conversion disorder, the nurse would observe apathy toward the physical symptom. The development of the symptom serves as an unconscious method of reducing anxiety. The symptom is accepted passively, known as 'la belle indifférence.' There is no anger observed as symptoms are passively accepted. Similarly, there is no direct anxiety related to the physical symptom, as the conflict is resolved through the symptom development. While many individuals might experience agitation and seek to identify the cause of physical symptoms, in conversion disorder, there is an unusual calmness or indifference towards the physical manifestation, indicating apathy rather than other emotional responses.
Question 3 of 5
Which method is used to verify the placement of a newly inserted central venous access device (CVAD)?
Correct Answer: A
Rationale: The correct method to verify the placement of a newly inserted central venous access device (CVA
D) is a chest x-ray. This is crucial to detect any potential complications such as pneumothorax, which can occur during subclavian vein catheter insertion. Symptoms of pneumothorax may include shortness of breath and anxiety. Flushing the line with heparin is not used for placement verification, but rather for maintaining patency after verification. Withdrawing blood to ensure patency is done after placement is confirmed, not for initial verification. Chest fluoroscopy may be used during the insertion process but is not typically employed for placement verification.
Question 4 of 5
After undergoing dilation and curettage following an early miscarriage, a client is crying. Which response would the nurse give?
Correct Answer: A
Rationale: The correct response acknowledges the client's grief without judgment and provides validation.
Choice B is inappropriate as it suggests replacing the lost child with other children, which is insensitive and dismissive of the client's current loss.
Choice C minimizes the client's feelings by focusing on the ability to get pregnant rather than addressing the emotional impact of the miscarriage.
Choice D is dismissive and patronizing, suggesting that the miscarriage was for the best, which can be hurtful and diminish the client's grief.
Question 5 of 5
Which statement by an 8-year-old girl, who was just admitted to the hospital, needs to be explored?
Correct Answer: C
Rationale: The correct answer is C. An 8-year-old child showing a strong attraction to boys at this age may raise concerns about precocious sexual behavior or exposure to inappropriate sexual content, potentially signaling the need to investigate for possible sexual abuse. It is important to explore this statement further.
Choice A, expressing admiration for bright colors, is a common behavior for children of this age and does not raise immediate concerns.
Choice B, inquiring about the mother's visit, is a typical concern for a hospitalized child seeking comfort and support.
Choice D, expressing fear and seeking reassurance from the nurse, is also a normal reaction for an 8-year-old in a new and possibly intimidating environment. However, the statement in
Choice C stands out as it deviates from age-appropriate behavior and warrants further exploration to ensure the child's safety and well-being.