Psychosocial Integrity Nclex PN Questions - Nurselytic

Correct Answer: B

Rationale: The correct answer reflects a primary belief of psychiatric mental health nursing, which is that every person is worthy of dignity and respect. This belief forms the foundation of providing holistic and compassionate care in mental health nursing. While it is true that most people have the potential to change and grow, this choice does not directly address a core belief of mental health nursing. Human needs being individual to each person is a general principle of nursing care but does not specifically capture a primary belief in psychiatric mental health nursing. The statement that some behaviors have no meaning and cannot be understood contradicts the fundamental principle that all behavior has meaning and can be understood from the client's perspective in psychiatric mental health nursing.

Correct Answer: C

Rationale: Based on the symptoms described, Ashley's level of anxiety should be assessed as severe. In severe anxiety, individuals have difficulty solving problems and understanding their environment. They often exhibit somatic symptoms like dizziness, nausea, rapid pulse, and hyperventilation. In contrast, mild anxiety may lead to mild discomfort or even enhanced performance. Moderate anxiety involves grasping less information, mild difficulty in problem-solving, and slight changes in vital signs. Panic, on the other hand, is characterized by markedly disturbed behavior and a potential loss of touch with reality.
Therefore, in Ashley's case, the presence of somatic symptoms and vital sign changes indicates severe anxiety.

Correct Answer: A

Rationale: The correct answer is 'whole brain death.' Most protocols for determining whole brain death require two separate clinical examinations, including the induction of painful stimuli, pupillary responses to light, oculovestibular testing, and apnea testing. This comprehensive approach ensures that all functions of the brain, including the brainstem, are evaluated to confirm the absence of brain function.

Choices B and D are incorrect as they do not reflect the specific tests required for determining whole brain death.
Choice C, 'circulatory death,' does not involve the evaluation of brain function and is not a current definition of death in the United States.

Correct Answer: D

Rationale: Prevention of child abuse is centered on teaching parents how to care for their child and cope with the demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents benefit by understanding the developmental needs of their children, while learning how to manage their home environment more effectively. The classes also increase the parents' social contacts and teach about community resources. Contacting child protective services (
Choice
A) is not appropriate in this scenario as there is no indication of abuse or neglect. Providing literature (
Choice
B) may not be as effective as parenting classes in addressing the mother's concerns. Consulting a therapist (
Choice
C) may be beneficial for underlying mental health issues, but parenting classes specifically focus on child care and coping skills, making
Choice D the most suitable option in this situation.

Correct Answer: B

Rationale:
Choice B, crisis intervention, is the correct answer. Counseling by a nurse specialist in a rape crisis situation is a form of crisis intervention, which is part of the Crisis Intervention Model. It aims to provide immediate support and help the victim cope with the traumatic event. Empathetic concern (
Choice
C) is important but refers more to the nurse's attitude rather than the specific action described. Assessment (
Choice
A) typically involves gathering information and may have already been done before counseling. Unwarranted intrusion (
Choice
D) is not applicable here as the counseling is provided to support the victim in a professional and caring manner.