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NCLEX RN· Psychosocial Integrity · Psychosocial Integrity NCLEX RN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is admitting a client with schizophrenia. The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms. The nurse understands that this client is experiencing which type of schizophrenia?

A. residual schizophrenia
B. paranoid schizophrenia
C. catatonic schizophrenia
D. disorganized schizophrenia
E. undifferentiated schizophrenia

Expert Explanatory Rationale

Correct Answer: disorganized schizophrenia

Question 2 of 5

An older client is brought to the emergency department by a family member with whom the client lives. The nurse observes that the client has poor hygiene, contractures, and pressure ulcers on the sacrum, the scapula, and the heels. Based on the nurse's assessment data, the client is suspected of which form of victimization?

A. Sexual abuse
B. Physical abuse
C. Emotional abuse
D. Psychological abuse

Expert Explanatory Rationale

Correct Answer: Physical abuse

Question 3 of 5

A postpartum client with a diagnosis of gestational diabetes is scheduled for discharge. During the discharge teaching, the client asks the nurse, 'Do I have to worry about this diabetes anymore?' Which is the most appropriate response by the nurse?

A. Your blood glucose level is within normal limits now, so you will be all right.'
B. You will have to worry about the diabetes only if you become pregnant again.'
C. You will be at risk for developing gestational diabetes with your next pregnancy and also for developing diabetes mellitus.'
D. When you have gestational diabetes, you have diabetes forever, and you must be treated with medication for the rest of your life.'

Expert Explanatory Rationale

Correct Answer: You will be at risk for developing gestational diabetes with your next pregnancy and also for developing diabetes mellitus.'

Question 4 of 5

A client with the diagnosis of mania is placed in a seclusion room after an outburst of violent behavior that involved a physical assault on another client. Which intervention should the nurse include in the plan of care before seclusion?

A. Ask the client if she understands why the seclusion is necessary.
B. Remain silent because verbal interaction would be too stimulating.
C. Tell the client that she will be allowed to come out when she can behave.
D. Inform the client that she is being secluded to help regain her self-control.

Expert Explanatory Rationale

Correct Answer: Inform the client that she is being secluded to help regain her self-control.

Question 5 of 5

A client with arterial leg ulcers tells the nurse, 'I'm so discouraged. I have had this pain for more than a year now. The pain never seems to go away. I can't do anything, and I feel as though I'll never get better.' The nurse determines that which is the priority client concern?

A. Fatigue
B. Uneasiness
C. Chronic pain
D. An acute illness

Expert Explanatory Rationale

Correct Answer: Chronic pain