NCLEX-RN
Psychosocial Integrity NCLEX PN Questions
1. Which behavior indicates that the client has learned the most effective method to cope with anger?
- A. Goes for a long jog
- B. Talks about the anger
- C. Goes outside and screams
- D. Focuses on cause of anger
Correct answer: B
Rationale: The correct answer is 'Talks about the anger.' This response indicates that the client has learned a positive coping method, as discussing angry feelings is a healthier way of dealing with anger. Talking about anger allows for expression and communication, leading to a better understanding of the emotions involved. Going for a long jog or screaming outside may provide temporary relief, but they do not address the root cause or help in processing the emotions effectively. Focusing solely on the cause of anger without expressing feelings may lead to increased frustration and escalation of anger, rather than promoting constructive coping mechanisms.
2. Which intervention should the nurse use for a client who hallucinates, yells, and curses throughout the day?
- A. Ignore the client's behavior if the client is not harming anyone.
- B. Isolate the client until the behavior decreases or stops.
- C. Explain how the behavior affects other people on the unit.
- D. Seek to understand what the behavior means to the client.
Correct answer: D
Rationale: When a client experiences hallucinations, yells, and curses, it is essential to seek to understand the underlying meaning of their behavior. All behavior has significance, and understanding the client's perspective can guide appropriate interventions. Ignoring the behavior may exacerbate the situation and isolating the client could lead to increased anxiety and further acting out. Explaining the impact on others is not helpful in this scenario as the client is not intentionally hallucinating; yelling and cursing are responses to the hallucinations.
3. Which implemented strategies would not be effective in preventing post-traumatic stress in the nursing staff?
- A. Providing breaks to the staff whenever needed
- B. Encouraging the staff to work for more than 12 hours per day
- C. Encouraging the staff to encourage and support their coworkers
- D. Asking the staff and managers to talk about their feelings with each other
Correct answer: B
Rationale: To prevent post-traumatic stress in the nursing staff, it is crucial to avoid overworking them. Encouraging staff to work for more than 12 hours per day can lead to burnout and increased stress levels, thus exacerbating post-traumatic stress. Providing breaks whenever needed is essential to ensure rest and rejuvenation during demanding shifts. Encouraging staff to support and uplift their coworkers can create a positive work environment, fostering resilience against stress. Additionally, promoting open communication by asking staff and managers to discuss their feelings can facilitate emotional processing and mutual support, ultimately reducing the risk of post-traumatic stress.
4. What is the nurse's priority action when a client receiving a unit of packed red blood cells experiences tingling in the fingers and headache?
- A. Call the health care provider (HCP).
- B. Stop the transfusion.
- C. Slow the infusion rate.
- D. Assess the intravenous (IV) site for infiltration.
Correct answer: B
Rationale: When a client receiving a packed red blood cell transfusion experiences tingling in the fingers and headache, these symptoms may indicate an adverse reaction to the transfusion. The nurse's priority action is to immediately stop the transfusion and initiate a normal saline infusion at a keep vein open (KVO) rate. This helps maintain the client's vein patency while addressing the adverse reactions. After stopping the transfusion and initiating the saline infusion, the nurse should assess the client, including vital signs evaluation. Subsequently, the healthcare provider should be notified. Calling the healthcare provider is important, but it should be done after the immediate action of stopping the transfusion. Slowing the infusion rate is not appropriate during a suspected transfusion reaction as it can exacerbate the adverse effects. Assessing the IV site for infiltration is a routine nursing intervention and is not the priority when managing a potential adverse reaction to a blood transfusion.
5. What behavior is expected of members of Alcoholics Anonymous (AA)?
- A. Speaking at and participating in weekly meetings
- B. Promising to attend at least 12 meetings yearly
- C. Maintaining controlled drinking after 6 months
- D. Acknowledging an inability to control the drinking
Correct answer: D
Rationale: A fundamental aspect of Alcoholics Anonymous (AA) is the acceptance of one's inability to control their drinking behavior. This acknowledgment is crucial for individuals seeking recovery from alcohol abuse issues. While speaking at and participating in meetings is encouraged, it is not a strict requirement for AA members. Similarly, there is no specific mandate on the number of meetings to attend yearly, as long as the individual finds the support they need. Maintaining controlled drinking after 6 months is not aligned with AA principles, as the group emphasizes complete abstinence from alcohol to support long-term sobriety.
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