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NCLEX RN· Psychosocial Integrity · RN Psychosocial Integrity NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which statement made by a client who has experienced a spinal cord injury resulting in chronic immobility issues warrants immediate follow-up by the nurse to assure client safety?

A. I'm so angry that this happened to me.
B. I really don't want to live my life like this.
C. I'm definitely not looking forward to going home.
D. I don't know if I can make all these major adjustments to my life.

Expert Explanatory Rationale

Correct Answer: I really don't want to live my life like this.

Question 2 of 5

The nurse is interviewing a client being admitted to the mental health inpatient unit who was involved in a fire 2 months ago. The client is reporting insomnia, difficulty concentrating, nervousness, hypervigilance, and frequently thinking about fires. The nurse should recognize these complaints to be indications of which disorder?

A. Phobia
B. Dissociative disorder
C. Obsessive-compulsive disorder
D. Post-traumatic stress disorder (PTSD)

Expert Explanatory Rationale

Correct Answer: Post-traumatic stress disorder (PTSD)

Question 3 of 5

The nurse in the emergency department (ED) provides care for a client who states that the client's spouse, 'Became angry and physically abusive.' Which action does the nurse take first?

A. Encourage the client to verbalize feelings.
B. Assess the client for physical trauma.
C. Provide a list of shelters appropriate for the situation.
D. Assist the client to identify a support system.

Expert Explanatory Rationale

Correct Answer: Assess the client for physical trauma.

Question 4 of 5

The nurse is talking to a group of student nurses about content of thought in clients with schizophrenia. The nurse gives an example of a client stating that her new tooth filling allows her to communicate with the Secret Service and follow their directives. Which response correctly identifies this content of thought?

A. somatic delusion
B. delusion of grandeur
C. delusion of persecution
D. delusion of control or influence

Expert Explanatory Rationale

Correct Answer: delusion of control or influence

Question 5 of 5

A client with a diagnosis of depression states to the nurse, 'I should have died. I've always been a failure.' Which therapeutic response should the nurse make to the client?

A. You don't see anything positive?
B. You still have a great deal to live for.
C. Feeling like a failure is part of your illness.
D. You've been feeling like a failure for some time now?

Expert Explanatory Rationale

Correct Answer: You've been feeling like a failure for some time now?

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