an older adult who recently began self administration of insulin calls the nurse daily to review the steps that should be taken when giving an inject

NCLEX-RN

Psychosocial Integrity NCLEX Questions Quizlet

1. An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?

A. "I know you are capable of giving yourself the insulin."
B. "Giving yourself the injection seems to make you nervous."
C. "When I watched you give yourself the injection, you did it correctly."
D. "Tell me what you want me to do to help you give yourself the injection at home."

Correct answer: C

Rationale: The most appropriate response by the nurse in this scenario is option C. By acknowledging and affirming the client's demonstrated ability to self-administer the injection correctly, the nurse is providing positive reinforcement. This positive reinforcement helps to build the client's confidence and encourages them to take total responsibility for their daily injections. Option A, while positive, does not specifically reinforce the client's behavior related to giving the injection. Option B focuses on the client's feelings of nervousness, which may not be helpful in promoting independence. Option D, by offering help without assessing the client's actual needs, reinforces dependence on the nurse rather than encouraging self-reliance.

2. Which is the most appropriate nursing intervention when providing care for parents who have experienced a stillbirth?

A. Giving a detailed explanation of possible causes of the stillbirth
B. Providing the parents the opportunity to say goodbye to their newborn
C. Explaining that an autopsy is not recommended in the setting of a stillbirth
D. Arranging follow-up care and providing information to the parents before they leave the hospital

Correct answer: B

Rationale: The most appropriate nursing intervention when caring for parents who have experienced a stillbirth is to provide them with the opportunity to say goodbye to their newborn. This helps in the grieving process and allows the parents closure. Giving a detailed explanation of possible causes of the stillbirth may overwhelm the parents and is not the immediate priority. While an autopsy can be performed in the case of a stillbirth, the decision should be discussed with the parents and their wishes respected. Arranging follow-up care and providing information before the parents leave the hospital is crucial in ensuring they have the necessary support and resources to cope with the loss effectively.

3. After a mastectomy or a hysterectomy, a client may feel incomplete as a woman. Which statement would alert the nurse to this feeling in a client who has undergone a total hysterectomy?

A. "I don't know who can help me during my recovery."
B. "I feel washed out; there isn't much left."
C. "I'm scared about the pain in recovery."
D. "I can't wait to get home; I so want to see my grandchild."

Correct answer: B

Rationale: The correct answer is "I feel washed out; there isn't much left." This statement suggests a feeling of emptiness or incompleteness after the surgical procedure. Concern about who can assist during recovery, fear of pain, or excitement to go home and see a grandchild are not indicative of feeling incomplete as a woman after a hysterectomy. These other statements focus on practical concerns, physical discomfort, and positive emotions, respectively.

4. Which term refers to a comprehensive set of thoughts or images of oneself?

A. Global self
B. Core self-concept
C. Personal identity
D. Ideal self

Correct answer: A

Rationale: The term 'Global self' specifically refers to a comprehensive set of thoughts or images about oneself. It encompasses a person's overall perception of themselves, including their beliefs, values, and self-image. 'Core self-concept' is more focused on the fundamental beliefs individuals hold about themselves, 'Personal identity' relates to the characteristics and qualities that distinguish a person from others, and 'Ideal self' represents the person an individual aspires to be rather than their current self-perception. Therefore, 'Global self' is the most appropriate term for the description provided in the question.

5. Which of the following outcomes is most appropriate during the crisis stage of caring for a victim of domestic violence?

A. The client will verbalize community resources from which to seek shelter after discharge.
B. The client will write a plan to keep herself and her children safe.
C. The client will contact an attorney for help with pressing charges.
D. The client will be safe and receive treatment for injuries.

Correct answer: D

Rationale: During the crisis stage of caring for a victim of domestic violence, the immediate priority is ensuring the client's safety and providing treatment for any injuries sustained. This focuses on addressing the urgent physical and emotional needs of the victim. While options like verbalizing community resources or creating safety plans are important for long-term support, they are not the primary concerns during the crisis phase. Contacting an attorney for legal assistance, though vital in the future, is not the immediate priority during the crisis stage when the client's safety and health are at the forefront.