NCLEX Psychosocial Integrity Questions

NCLEX Psychosocial Integrity Questions 5.0 (1 review) Students also studied Terms in this set (25) Science MedicineNursing Save Basic Care and Comfort NCLEX que...44 terms Jessi_Austin7Preview Psychosocial Integrity NCLEX REVIE...20 terms mgiven2capital Preview NCLEX Psychosocial Integrity 36 terms Kate383Preview Acute F 19 terms lana The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?Repression.Identification.Displacement.Introjection.Repression Which of the following situations on a psychiatric unit are an example of a trusting patient-nurse relationship?The nurse offers to contact the doctor if the patient has a headache.The patient tells the nurse that he feels suicidal.The nurse gives the patient his daily medications right on schedule.The nurse enforces rules strictly on the unit.The patient tells the nurse that he feels suicidal

A nurse is teaching a primipara patient how to correctly breastfeed her infant for the first time. The patient states, "Why is this so hard? I feel like a bad mother already!" Which of the following responses is best?"Even though breast-feeding seems like it should be natural, it needs practice to be good at." "I think your baby is the problem, not you." "When I had my first child, I found it hard to breast-feed at first too." "Breast-feeding is a natural act. I'm not sure why it's so hard for you." "Even though breast-feeding seems like it should be natural, it needs practice to be good at." The nurse cares for a patient whose baby was born with unexpected spina bifida. Which of the following statements is MOST therapeutic to say to the parents?"Let's talk about the different ways you can help your baby to lead a great life." "Spina bifida is not a big deal. It's completely curable, so you shouldn't be upset." "Although spina bifida can't be fixed, you should know that you're not alone." "I know it is shocking to see a child this way, but you will get used to it." "Let's talk about the different ways you can help your baby to lead a great life." A new mother is admitted to the acute psychiatric unit with severe postpartum depression. She is tearful and states, "I don't know why this happened to me! I was so excited for my baby to come, but now I don't know!" Which of the following responses by the nurse is MOST therapeutic?"What happened once you brought the baby home? Did you feel nervous?" "Has your husband been helping you with the housework at all?" "Having a new baby is stressful, and the tiredness and different hormone levels don't help. It happens to many new mothers and is very treatable." "Maybe you weren't ready for a child after all." "Having a new baby is stressful, and the tiredness and different hormone levels don't help. It happens to many new mothers and is very treatable."

A patient learns that she has uterine fibroids and becomes very upset. The patient asks the nurse, "Will I ever be able to have children? Do I have to get a hysterectomy?" Which of the following responses by the nurse is MOST correct?"I'm afraid so. Adoption is always a possibility if you want children." "I will get the doctor to answer your questions for you." "You will most likely be infertile, but your uterus does not need to be removed." "Many women with uterine fibroids are able to have children and do not necessarily need a hysterectomy." "Many women with uterine fibroids are able to have children and do not necessarily need a hysterectomy." A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells, "I don't want to answer any more questions! There are too many voices in this room!" Which of the following assessment questions should the nurse ask NEXT?"Who else is talking in this room? It's just you and me." "I don't hear any other voices." "Are the voices telling you to do things?" "Do you feel as though you want to harm yourself or anyone else?" Are the voices telling you to do things (assess for command hallucinations) A patient has just been told by the physician that she has stage III uterine cancer. The patient says to the nurse, "I don't know what to do. How do I tell my husband?" and begins to cry. Which of the following responses by the nurse is the MOST therapeutic?"How do you think would be best to tell your husband?" "Why do you think this is happening to you?" "I think this will all be easier to deal with than you think." "It seems to me that this is a lot to handle. I'll stay here with you." It seems to me that this is a lot to handle, I'll stay here with you A patient with postpartum depression is scheduled for discharge today. Which of the following statements by the patient would indicate the postpartum depression has RESOLVED?"I feel great, so much better!" "I feel a little stressed, but I might be able to care for my baby safely." "That scary fog that was clouding my head has disappeared. I feel much more supported and able to care for my baby." "I've missed my baby so much." "That scary fog that was clouding my head has disappeared. I feel much more supported and able to care for my baby."

In a mental health facility, clients are allowed to eat together in the dining room to promote social interaction.The nurse is caring for a manic client in the seclusion room, and it is time for lunch. Which of the following actions should the nurse take?Allow the client to eat together with the other residents

with strict 1:1 supervision.

As a reward, inform the client he may go to the dining room when he controls his behavior.Hold the meal until dinner or until the client is able to come out of seclusion.Serve the meal to the client in the seclusion room.Serve the meal to the client in the seclusion room The mother of a two-year-old and a four-year-old becomes frustrated and asks the nurse for advice on how to handle time-out situations for her children. Which of the following guidelines, if given by the nurse, is

CORRECT?

"The two-year-old should get a time-out for two minutes and the four-year-old should get a time-out of four minutes." "Both children should be given spankings instead of time- out. It's more effective." "The two-year-old should get a time-out for four minutes and the four-year-old should get a time-out of two minutes." "The two-year-old should get a spank on the bottom, and the four-year-old should get a time-out of five minutes." "The two-year-old should get a time-out for two minutes and the four-year-old should get a time-out of four minutes." (one minute per year) A patient is admitted in the first trimester of pregnancy with steady cramping, bleeding, and dilation of the cervix to 3 centimeters. The patient looks panicked and says, "Am I going to lose my baby?" Which of the following responses by the nurse is BEST?"I'm afraid that, due to dilation of the cervix, it may be too late to save this pregnancy. I am here for you to answer any questions you may have." "I believe that, using medications, we still have a chance to save this baby." "It appears so. Does that frighten you?" "No, you're not going to lose the baby. Bleeding during the first trimester is normal." "I'm afraid that, due to dilation of the cervix, it may be too late to save this pregnancy. I am here for you to answer any questions you may have."