These questions are one of the NCLEX prep samples for Psychosocial Integrity. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free.
1. Considering the physical developmental period of a 1 year old, hospitalization may affect or delay his progression with
2. A client makes a suicide attempt on the evening shift. The staff intervenes in time to prevent harm. In assessing the situation, the most important rationale for the staff to discuss the incident is that
a. The staff needs to file an incident report so that the hospital administration is kept informed.
b. They need to reenact the attempt so that they understand exactly what happened.
c. Because the client made one suicide attempt, there is high probability he will make a second attempt in the immediate future.
d. The staff needs to discuss the client’s behavior to determine what cues in his behavior might have warned them that he was contemplating suicide.
3. Trust may develop in the nurse-client relationship when the nurse
a. Encourages the client to use “testing” behaviors.
b. Uses consistency in approaching the client.
c. Tells the client how he should behave.
d. Avoids limit setting.
4. A 20-year-old male client is admitted to the psychiatric unit with a diagnosis of schizophrenia, acute episode. He is having auditory hallucinations and seems disoriented to time and place. The nurse knows that an hallucination can be explained as a (n)
a. Distortion of real auditory or visual perception.
b. Sensory experience without foundation in reality.
c. Voice that is heard by the client but is not really there.
d. Idea without foundation in reality.
5. A student failed her psychology final exam and spent the entire evening berating the teacher and the course. This behavior would be an example of which defense mechanism?
b. Acting out.
6. While working with an alcoholic client, the most important approach by the nurse would be to
a. Explicitly outline expectations of the client.
b. Establish strict guidelines of behavior.
c. Set up a working nurse-client relationship.
d. Maintain a nonjudgmental attitude toward the client.
7. In working with a depressed client, the nurse should understand that depression is most directly related to a person’s
a. Having experienced a sense of loss.
b. Remembering his traumatic childhood.
c. Stage in life.
d. Experiencing poor interpersonal relationships with others.
8. Three days after admission for depression, a 54-year-old female client approaches the nurse and says, “I know I have cancer of the uterus. Can’t you let me stay in bed and have some peace before I die?” In responding, the nurse must keep in mind that
a. The client must be postmenopausal.
b. Thoughts of disease are common in depressed clients.
c. Antidepressant medications frequently cause vaginal spotting.
d. Clients suffering from depression can be demanding, making many requests of the nurse.
9. The nurse has been interviewing a client who has not been able to discuss any feelings. This day, 5 minutes before the time is over, the client begins to talk about important feelings. The intervention is to
a. Tell the client that it is time to end the session now, but another nurse will discuss his feelings with him.
b. End just as agreed, but tell the client these are very important feelings and he can continue tomorrow.
c. Go over the agreed-upon time, as the client is finally able to discuss important feelings.
d. Set an extra meeting time a little later to discuss these feelings.
10. When encouraged to join an activity, a depressed client on the psychiatric unit refuses and says, “What’s the use?” The approach by the nurse that would be most effective is to
a. Tell her that this is a self-defeating attitude and it will only make her feel worse.
b. Sit down beside her and ask her how she is feeling.
c. Convince her how helpful it will be to engage in the activity.
d. Tell her it is time for the activity, help her out of the chair, and go with her to the activity.
11. The nurse is in the day room with a group of clients when a client who has been quietly watching TV suddenly jumps up screaming and runs out of the room. The nurse’s priority intervention would be to
a. Turn off the TV, and ask the group what they think about the client’s behavior.
b. Send another client out of the room to check on the agitated client.
c. Ignore the incident because these outbreaks are frequent.
d. Follow after the client to see what has happened.
12. The most appropriate short-term nursing goal for schizophrenic clients is to
a. Set limits on bizarre behavior.
b. Protect client from inappropriate impulses.
c. Quickly establish a warm, close relationship.
d. Establish a trusting, nonthreatening relationship.
13. A client has just begun to discuss important feelings when the time of the interview is up. The next day, when the nurse meets with the client at the agreed-upon time, the initial intervention would be to say
a. Nothing and wait for the client to introduce a topic.
b. “What would you like to talk about today?”
c. “Good morning, how are you today?”
d. “Yesterday you were talking about some very important feelings. Let’s continue.”
14. A client with the diagnosis of paranoid personality disorder is admitted to the psychiatric unit. As the nurse approaches the client with medication, he refuses it, accusing the nurse of trying to kill him. The nurse’s best strategy would be to tell him that
a. “I will give you an injection if necessary.”
b. “You may decide if you want to take the medication by mouth or injection, but you must take it.”
c. “It is not poison and you must take the medication.”
d. “It’s all right if you don’t take the medication right now.”
15. A male client on the psychiatric unit becomes upset and breaks a chair when a visitor does not show up. The first nursing intervention should be to
a. Set limits and restrict the client’s behavior.
b. Ask direct questions about the client’s behavior.
c. Stay with the client during the stressful time.
d. Plan with the client for how he can better handle frustration.