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NCLEX RN· Psychosocial Integrity · NCLEX RN Psychosocial Integrity

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse provides care for a client diagnosed with a conversion reaction. Which assessment finding does the nurse expect to observe?

A. The client is experiencing delusions of messianic grandeur.
B. The client believes that the world is ending on a specific date.
C. The client is experiencing persistent pain after the resolution of herpes zoster.
D. The client is experiencing blindness without an identified physical cause.

Expert Explanatory Rationale

Correct Answer: The client is experiencing blindness without an identified physical cause.

Question 2 of 5

A pregnant client receives news that the fetus has polycystic kidney disease. The client states to the nurse, 'I am so afraid my baby is going to die.' Which response by the nurse to the client is best?

A. Finding out your baby has a serious health problem must be painful.
B. How does your husband feel about this problem?
C. How is your baby doing now?
D. What you need to do is to focus on the present.

Expert Explanatory Rationale

Correct Answer: Finding out your baby has a serious health problem must be painful.

Question 3 of 5

A newborn male infant is diagnosed with an undescended testicle (cryptorchidism), and these findings are shared with the parents. The parents ask questions about the condition. The nurse should respond to the parents that which condition can occur and have a psychosocial impact if the undescended testicle is not corrected?

A. Atrophy
B. Infertility
C. Malignancy
D. Feminization

Expert Explanatory Rationale

Correct Answer: Infertility

Question 4 of 5

When performing an assessment on a client who is suicidal, which question is the most appropriate for the nurse to ask?

A. Do you have a death wish?'
B. Do you wish your life was over?'
C. Do you ever think about ending it all?'
D. Do you have any thoughts of killing yourself?'

Expert Explanatory Rationale

Correct Answer: Do you have any thoughts of killing yourself?'

Question 5 of 5

While assisting with bathing, the client who has sustained a spinal cord injury states, 'I can't do this. I wish I were dead.' Which therapeutic response should the nurse make to encourage communication?

A. Why do you say that?
B. You wish you were dead?
C. Would you prefer a shower instead?
D. Are you frustrated with your limitations?

Expert Explanatory Rationale

Correct Answer: You wish you were dead?

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