NCLEX-RN
NCLEX Psychosocial Questions Questions
Extract:
Question 1 of 5
While receiving a preoperative enema, a client starts to cry and says, 'I'm sorry you have to do this messy thing for me.' Which is the nurse's best response?
Correct Answer: B
Rationale: The nurse's best response in this situation is to acknowledge the client's emotional state, as it shows empathy and encourages further expression of feelings.
Choice A, 'I don't mind it,' dismisses the client's emotions and does not address the underlying issue.
Choice C, 'This is part of my job,' focuses on the task rather than the client's emotional needs.
Choice D, 'Nurses get used to this,' minimizes the client's feelings and lacks empathy. By selecting choice B, 'You seem upset,' the nurse acknowledges the client's distress and opens the door for further communication and support.
Question 2 of 5
A client says, 'I hear a man speaking from the corner of the room. Do you hear him, too?' Which response is best?
Correct Answer: D
Rationale: The best response is D: 'No, I don't hear him, but that must be upsetting for you.' This response acknowledges the client's experience without validating the hallucination. The nurse expresses empathy by acknowledging the client's feelings ('that must be upsetting for you'), showing understanding and support.
Choice A focuses on the content of the hallucination, which may inadvertently reinforce the delusion.
Choice B validates the hallucination by agreeing that the nurse also hears the man.
Choice C denies the client's experience and can lead to further distress by invalidating their perception.
Question 3 of 5
A client has just died, and their son states, 'She was the most wonderful mother. There was no one who was a better mother than she was. She was perfect.' Which stage of grief is this son experiencing?
Correct Answer: C
Rationale: The son is experiencing the idealization stage of grief. During this stage, individuals tend to idealize the deceased person and remember them in a highly positive light, overlooking any negative aspects. This idealization serves as a coping mechanism to deal with the loss.
Choice A, Denial, is incorrect as denial involves refusing to accept the reality of the loss.
Choice B, Anger, is incorrect as it involves feelings of resentment and frustration.
Choice D, Shock, is incorrect as shock is the initial reaction to the loss and is different from idealizing the deceased individual.
Question 4 of 5
When performing a cultural assessment with a patient from a different culture, what action should the nurse take first?
Correct Answer: B
Rationale: When conducting a cultural assessment, the first step is to inquire if the patient has any affiliation with a specific cultural group. This helps the nurse understand the patient's background and beliefs. Requesting an interpreter before interviewing the patient may be necessary if language barriers exist. Waiting for a family member to assist with the assessment may delay the process and compromise patient confidentiality. Telling the patient what the nurse knows about their culture assumes knowledge and may lead to misunderstandings or inaccuracies.
Question 5 of 5
Which behavioral characteristic describes the domestic abuser?
Correct Answer: D
Rationale: The correct answer is 'Low self-esteem.' Domestic abusers often exhibit behaviors stemming from their own experiences of abuse, leading to a cycle of violence. They commonly have low self-esteem, which drives their need to exert control and power over their partners.
Choice A, 'Alcoholic,' is not a defining behavioral characteristic of domestic abusers.
Choice B, 'Overconfident,' is not typically associated with abusers who often exhibit insecurity and control issues.
Choice C, 'High tolerance for frustrations,' is not a primary characteristic of domestic abusers; rather, they often have a low tolerance for situations that challenge their need for control.