NCLEX-RN
Psychosocial Integrity NCLEX PN Questions
1. Which therapeutic approach would indicate the client is receiving desensitization therapy?
- A. Imagery
- B. Modeling
- C. Role playing
- D. Assertiveness training
Correct answer: A
Rationale: The correct answer is 'Imagery.' Imagery is a therapeutic approach used in desensitization therapy. It helps in facilitating positive self-talk and involves the client initiating and controlling mental pictures to correct faulty cognitions. Modeling, role-playing, and assertiveness training are effective general behavioral approaches but are not specific to desensitization therapy.
2. Which intervention would the nurse use to provide emotional support for a resident in a nursing home who recently immigrated from another country?
- A. Offer choices consistent with the resident's heritage.
- B. Assist the resident in adjusting to the nursing home culture.
- C. Ensure that the resident is treated respectfully like the other residents.
- D. Correct any misconceptions the resident may have about appropriate health practices.
Correct answer: A
Rationale: When providing emotional support to a resident in a nursing home who recently immigrated from another country, it is essential for the nurse to offer choices that align with the resident's heritage. This approach respects the resident's cultural beliefs and practices, promoting a sense of familiarity and comfort. Assisting the resident in adjusting to the nursing home culture is important but may not address the specific emotional support needed. While ensuring that the resident is treated respectfully is crucial, offering choices consistent with the resident's heritage goes a step further by acknowledging and valuing the resident's cultural background. Correcting any misconceptions about health practices is essential, but in this context, emotional support through cultural sensitivity takes precedence.
3. 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.
4. A 9-year-old boy is told that he must stay in the hospital for at least 2 weeks. The nurse finds him crying and unwilling to talk. What is the priority nursing care at this time?
- A. Assuring him that his illness is not permanent
- B. Distracting him to prevent further embarrassment
- C. Arranging for him to receive tutoring immediately
- D. Providing privacy to allow him to express his feelings
Correct answer: D
Rationale: The priority nursing care for a 9-year-old child who is crying and unwilling to talk in the hospital is to provide privacy to allow him to express his feelings. Children need an opportunity to express their emotions in private, and talking about their feelings can be therapeutic. Assurances about the illness not being permanent may not be the child's primary concern at this moment. Distracting the child could give the impression that crying is wrong. Arranging tutoring does not address the immediate emotional needs of the child.
5. Which consideration is the most accurate when applying the principles of mental health?
- A. Emotionally ill individuals may initially reject psychological support from family or others.
- B. People with emotional illnesses may experience challenges in problem-solving.
- C. Mental illness is not solely characterized by signs and symptoms of socially inappropriate behavior.
- D. Emotional health is promoted when there is a sense of mastery of self and the environment.
Correct answer: D
Rationale: Emotional health is enhanced when an individual feels a sense of control over themselves and their surroundings, fostering security, reducing anxiety, and promoting optimal functioning. While some emotionally ill individuals may reject help initially, many are in distress and acknowledge the need for psychological support. Some seek care based on positive past experiences or the attention received. Additionally, individuals with excellent cognitive function may face challenges in problem-solving due to emotional or psychological barriers. Not all individuals with mental illness exhibit socially inappropriate behavior; it is a misconception that mental illness is solely characterized by such signs and symptoms. Therefore, the most accurate consideration among the choices is that emotional health thrives when there is a feeling of mastery over oneself and the environment.
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