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NCLEX RN· Psychosocial Integrity · NCLEX Patient Needs Psychosocial Integrity Therapeutic Communications

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A primigravida client who came to the clinic has been diagnosed with a urinary tract infection. She repeatedly verbalizes concern regarding the safety of the fetus. Which should the nurse address first?

A. Maternal and infant safety
B. Obtaining a sedative prescription
C. Instructions regarding improved hygiene
D. Instructions regarding medication compliance

Expert Explanatory Rationale

Correct Answer: Maternal and infant safety

Question 2 of 5

An English-speaking Hispanic client has a newly applied long leg cast to stabilize a right proximal fractured tibia. During rounds at night, the nurse finds the client restless, withdrawn, and unusually quiet. Which nursing statement would be most appropriate?

A. Are you uncomfortable?
B. Tell me what you are feeling.
C. You'll feel better in the morning.
D. I'll get your pain medication right away.

Expert Explanatory Rationale

Correct Answer: Tell me what you are feeling.

Question 3 of 5

A client has recently been diagnosed with polycystic kidney disease. The nurse has a series of discussions with the client that are intended to help the client adjust to the disorder. Which should the nurse plan to include as part of one of these discussions?

A. Ongoing fluid restriction
B. The need for genetic counseling
C. The risk of hypotensive episodes
D. Depression regarding massive edema

Expert Explanatory Rationale

Correct Answer: The need for genetic counseling

Question 4 of 5

A client diagnosed with hyperaldosteronism has developed kidney failure and states to the nurse, 'This means that I will die very soon.' Which is the most appropriate therapeutic response for the nurse to make to the client?

A. You will do just fine.
B. What are you thinking about?
C. You sound discouraged today.
D. I read that death is a beautiful experience.

Expert Explanatory Rationale

Correct Answer: What are you thinking about?

Question 5 of 5

An older adult client who appears alert, oriented, and well-groomed shares with the nurse, 'Lately, I am seeing things that are not there. It is always people. I am awake and sitting down and I know they are not there, but I see them.' Which response by the nurse is appropriate?

A. Has anyone in your family ever been diagnosed with schizophrenia?
B. What medications have you been taking recently?
C. Don't worry. You may actually have been asleep and dreaming.
D. The Alzheimer organization offers some tests you may want to take.

Expert Explanatory Rationale

Correct Answer: What medications have you been taking recently?

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