NCLEX-RN: Psychosocial Integrity Practice Questions

NCLEX-RN: Psychosocial Integrity Practice Questions
1.Which couple is at greatest risk for domestic violence?
A. A couple which consists of a husband and wife both of whom are affected with Alzheimer’s
disease
B. A poverty stricken couple without any healthcare resources in the community
C. A pregnant woman and a husband who was physically abused as a young child
D. A wealthy couple with feelings that they are immune from punishment and above the law
Correct Response: C
A pregnant woman and a husband who was physically abused as a young child is the couple is at
most risk for domestic violence because pregnancy and a personal prior history of abuse are two
commonly occurring risk factors among abused woman and male abusers, respectively.
Current research indicates that abuse and neglect affect all people of all ages and of all
socioeconomic classes including the wealthy as well as the poverty stricken.
Other patient populations at risk of abuse and neglect include female gender, infants, children, the
cognitively impaired, the developmentally challenged, the elderly and those with physical or
mental disabilities; some of the other traits and characteristics associated with abusers include
substance related use and abuse, a psychiatric mental health disorder, poor parenting skills, poor
anger management skills, poor self-esteem, poor coping skills, poor impulse control, immaturity,
and the presence of a current crisis.
2. You are caring for a client who has been assessed as having a past history of violent and
dangerous behaviors towards others. You, as the nurse, are concerned about this client’s past
history and the dangers that may adversely affect others including staff , visitors and other
clients on the unit. What is
the first thing that you should do to prevent violence towards others?
A. Restrain the client
B. Place the client in seclusion
C. Get an order for a sedating medication
D. Establish trust with the client.
Correct Response: D

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