NCLEX RN· Psychosocial Integrity · Psychosocial Integrity NCLEX RN
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
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 The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms.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?
Expert Explanatory Rationale
Correct Answer: disorganized schizophrenia
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?
Expert Explanatory Rationale
Correct Answer: Physical abuse
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?
Expert Explanatory Rationale
Correct Answer: You will be at risk for developing gestational diabetes with your next pregnancy and also for developing diabetes mellitus.'
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?
Expert Explanatory Rationale
Correct Answer: Inform the client that she is being secluded to help regain her self-control.
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?
Expert Explanatory Rationale
Correct Answer: Chronic pain