NCLEX-RN
Psychosocial Integrity NCLEX PN Questions
1. For which condition would electroconvulsive therapy (ECT) be used?
- A. Severe clinical depression
- B. Substance abuse disorders
- C. Antisocial personality disorder
- D. Psychosis occurring in schizophrenia
Correct answer: A
Rationale: Electroconvulsive therapy (ECT) is indicated for severe clinical depression, especially in cases where clients do not respond well to psychotropic medications or require immediate intervention due to the severity of their depression. ECT is not typically used as a primary treatment for substance abuse disorders, antisocial personality disorder, or psychosis occurring in schizophrenia. While ECT is an effective intervention for severe depression, it is important to consider individual client needs and response to other treatment options before resorting to ECT.
2. A client injured in a motor vehicle accident was brought to the emergency department and taken immediately for a scan. The client's family arrives and asks about the client's condition. Which response would the nurse provide?
- A. Please do not worry; everything will be all right.
- B. I am sorry; I do not have any information about the client.
- C. You will have to wait for the primary health care provider.
- D. Please wait; I will update you as soon as I have any information.
Correct answer: D
Rationale: In this situation, the most appropriate response for the nurse to provide to the client's family is to assure them that they will be updated as soon as there is relevant information available. This response not only acknowledges the family's concern but also demonstrates the nurse's commitment to keeping them informed. Option A, providing false reassurances, is not advisable as it may impact the family's ability to cope with potential bad news. Option B, stating that the nurse has no information, is not helpful and can cause distress. Option C, directing the family to the primary health care provider, is not ideal as the nurse should strive to communicate directly with the family to establish trust and provide support.
3. Which feeling would be difficult for a client with major depression to express?
- A. Need for comforting
- B. Anger toward others
- C. Remorse for past behaviors
- D. Feelings of low self-esteem
Correct answer: B
Rationale: Clients with major depression often have difficulty expressing anger toward others as their anger is typically directed inwards. Expressing the need for comforting is common among clients with major depression. They can also articulate remorse for past behaviors to an excessive degree. Furthermore, feelings of low self-esteem can be openly expressed by clients with major depression. Therefore, the difficulty in expressing anger toward others is the most appropriate choice as clients with major depression tend to internalize their anger.
4. The parents of a gifted child note that their child has been showing signs of rebellion and acting out. Which is one important thing to teach the parents about gifted children?
- A. They need boundaries like any other child.
- B. Intense emotions require an outlet, not punishment.
- C. All discipline models approve of physical aggression.
- D. Gifted children should be allowed to freely express themselves.
Correct answer: A
Rationale: Gifted children, like all children, require boundaries to feel loved and safe. Setting boundaries helps in guiding their behavior and providing a sense of security. Punishment should be reserved for behavior that is unsafe or violates these boundaries. It is incorrect to assume that all discipline models advocate for physical aggression; discipline should be applied appropriately and in a non-violent manner. While it's important for gifted children to express themselves, this should be within the limits of acceptable behavior and not as a means to overstep boundaries or rules.
5. The client is a 35-year-old multiparous individual scheduled for a tubal ligation. The nurse assesses the client's emotional response to the planned procedure. Which factor in the client's history will contribute to the healthy resolution of any emotional problem associated with sterilization?
- A. Belief that the surgery will relieve her monthly dysmenorrhea
- B. Knowledge that her partner does not want to have any more children
- C. Feeling that her family is complete and she now has the children she planned for
- D. Recovery from her previous complicated birth and a desire to avoid another birth
Correct answer: C
Rationale: The correct answer is feeling that her family is complete and she now has the children she planned for. Many couples in their 30s who feel that their families are complete choose sterilization as their method of contraception. Sterilization by means of tubal ligation should not be expected to have an effect on dysmenorrhea. The decision to undergo sterilization should be the individual's own choice and should not be influenced by others, including partners. Decisions regarding sterilization should ideally be made when the individual is not under stress, such as after recovery from a previous complicated birth. Therefore, the key factor contributing to a healthy resolution of emotional issues related to sterilization is the feeling of family completeness and achieving the planned number of children.
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