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NCLEX RN· Psychosocial Integrity · NCLEX RN Psychosocial Integrity Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is admitted to the psychiatric unit with a diagnosis of schizophrenia. The client verbalizes to the nurse, 'Someone wants to kill me tonight.' Which response by the nurse is best?

A. No one wants to kill you.
B. Why do you think that?
C. They don't know you are hospitalized, so you are safe.
D. It must feel frightening to think someone wants to hurt you.

Expert Explanatory Rationale

Correct Answer: It must feel frightening to think someone wants to hurt you.

Question 2 of 5

A client experiencing urticaria (hives) and pruritus states to the nurse, 'What am I going to do? I'm getting married next week, and I'll probably be covered in this rash and itching like crazy.' Which statement made by the nurse is the most therapeutic?

A. You're troubled that this will extend into your wedding?
B. It's probably just due to prewedding jitters. You'll be fine.
C. The antihistamine will help a great deal, just you wait and see.
D. Do you think this would really be something that could ruin your wedding?

Expert Explanatory Rationale

Correct Answer: You're troubled that this will extend into your wedding?

Question 3 of 5

A nurse in the outpatient clinic receives four phone messages. Which call does the nurse return first?

A. The parent of a preschool-age child who continuously throws temper tantrums, is always moving, and is impulsive.
B. The parent whose adolescent child has vomited every day for 2 weeks and now weighs 74 pounds.
C. The parent who receives calls from the school about an adolescent child's aggressive behavior toward schoolmates.
D. The adult child of an older adult who is having difficulty sleeping after a spouse died 2 weeks ago.

Expert Explanatory Rationale

Correct Answer: The parent whose adolescent child has vomited every day for 2 weeks and now weighs 74 pounds.

Question 4 of 5

The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. The family is asking what to expect when the end draws near. Which response by the nurse is most appropriate?

A. I will have the doctor talk to you about that.
B. The hospice nurse is the best person to answer your questions. I can put in a consult for you.
C. Don't worry about that right now. You don't know if there is another treatment option that will work.
D. I can tell you what to look for when the time comes. In the meantime, what are your wishes and goals for care?

Expert Explanatory Rationale

Correct Answer: I can tell you what to look for when the time comes. In the meantime, what are your wishes and goals for care?

Question 5 of 5

The nurse is caring for a client who has been admitted to the hospital for the insertion of a subclavian central venous catheter (CVC). The client is concerned because her job requires that she frequently works with the public. With this assessment data, which client concern would be the priority when managing care?

A. Poor self-care
B. Body image insecurity
C. Neck range of motion restrictions
D. Uncontrolled pain related to the CVC

Expert Explanatory Rationale

Correct Answer: Body image insecurity

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