RN Domain 7: Psychosocial Integrity (Quiz 2) Welcome to your NCLEX-RN Practice Quizzes. Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 7 (Quiz 2): Psychosocial Integrity. (25 questions) Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away. Best of Luck! 1. RN Psychosocial Integrity,NCLEX-RN Which of the following alterations in sensory function is normal for an elderly client? A. Decreased sensitivity to bright light B. Increased ability to taste spices C. Decreased chronic pain perception D. Increased sound discrimination None 2. RN Psychosocial Integrity,NCLEX-RN The children of a patient diagnosed with Alzheimer's disease (AD) tell the healthcare provider, "Our mother seems better during the day, but she gets very confused and agitated in the late afternoon and evenings." How should the healthcare provider document the patient's behavior? A. Sundowning B. Delirium C. Depression D. Psychosis None 3. RN Psychosocial Integrity,NCLEX-RN A client tells the mental health nurse that they have suddenly stopped taking their prescribed fluoxetine because of the side effects, especially the insomnia. What should the nurse do FIRST? A. Ask the provider to lower the dose B. Provide behavioral therapy referrals C. Initiate admission to an inpatient facility D. Assess the client for risk of suicide None 4. RN Psychosocial Integrity,NCLEX-RN Which of the following statements best explains the role of the nurse when the nurse is planning care for a culturally diverse population? A. Focus only on the needs of each client demographic, ignoring the nurse's beliefs and practices B. Blend the values of the nurse that are for the good of the client and minimize the client's individual values and beliefs during care C. Include care that is culturally congruent with the staff from predetermined national data D. Provide care while remaining aware of one's own biases, focusing on the client's individual needs rather than the staff's usual practices None 5. RN Psychosocial Integrity,NCLEX-RN A pediatric nurse is caring for a 9-year old girl with a known history of having been abused. Which therapeutic action should the nurse include in the child's care plan? A. Ensure that the care setting allows the child to redevelop trust B. Encourage the child to identify potential abusive settings C. Ask the child to call the nurse if the abuser visits the unit D. Instruct the child on typical characteristics of abusers None 6. RN Psychosocial Integrity,NCLEX-RN After a client learns that they sustained a C7 spinal cord injury due to trauma, the client tells the nurse, "I wish I were dead. I'm useless to everyone." What is the nurse's MOST therapeutic response? A. You are feeling a sense of hopelessness now B. Don't say that. It makes me very sad. C. I'll ask your doctor to send a therapist D. I'm sure you still have a lot to offer others None 7. RN Psychosocial Integrity,NCLEX-RN A client is brought by his friends to the Emergency Department. They tell the nurse that he has been shouting, "I am God!" The nurse knows the client is experiencing A. a hallucination B. an effusion C. an illusion D. a delusion None 8. RN Psychosocial Integrity,NCLEX-RN A patient is admitted to an inpatient psychiatric unit because of their plan to commit suicide by taking an overdose of medication. When a healthcare provider administers medications to this patient, which of these interventions is the priority? A. Make sure that the patient is not "cheeking" the medications B. Monitor the patient's vital signs before administering the medications C. Monitor the patient for signs of anorexia, nausea, and xerostomia D. Teach the patient how to recognize adverse effects of the medications None 9. RN Psychosocial Integrity,NCLEX-RN After visiting his father in the Alzheimer's unit, the adult son finds the nurse and says, "I'm so excited! Dad's been telling me stories about growing up. I think his memory is returning!" What is the nurse's best response? A. He still has long-term memory, so that's what he talks about B. I'm so glad you were able to be here for those wonderful stories C. I'm so glad you told me. I'll let the doctor know right away D. Yes. We listen to him all day long, repeating the same thing None 10. RN Psychosocial Integrity,NCLEX-RN In Maslow's Hierarchy of Needs, which stage is the most fundamental? A. Belonging B. Safety C. Esteem D. Physiological None 11. RN Psychosocial Integrity,NCLEX-RN The best therapeutic action for a client with organic brain syndrome is to A. maintain a safe, consistent environment B. encourage long visits by the family C. provide sudoku and word search games D. give detailed explanations of activities None 12. RN Psychosocial Integrity,NCLEX-RN A patient has been diagnosed with agoraphobia. Which of the following would the healthcare provider identify as a characteristic of this disorder? A. Fears to use public transportation B. Avoids being in the presence of clowns C. Refuses to use a public restroom D. Avoids interacting with strangers None 13. RN Psychosocial Integrity,NCLEX-RN A male client with a diagnosis of paranoid schizophrenia is admitted to the inpatient mental health unit. The client tells the nurse that he hears God telling him that he is a sinner and must punish himself. Which is the nurse's most appropriate response? A. You have too much potential to be punished B. Please tell us when you need to punish yourself C. Exactly how will you punish yourself? D. Tell me about your sins that need to be punished None 14. RN Psychosocial Integrity,NCLEX-RN Which of the following assessment findings in a patient's health history supports a diagnosis of substance dependence? A. Withdrawal symptoms when not using the substance B. Continued tardiness and absenteeism from work C. Numerous legal problems and interpersonal conflicts D. Impaired judgment and risk-taking behaviors None 15. RN Psychosocial Integrity,NCLEX-RN Following a suicide attempt by hanging, a client is admitted to the psychiatric unit. Which action by the nurse is most important in maintaining client safety? A. Engage other clients to come and speak with the client B. Place the client in a high-risk seclusion room for 48 hours C. Assign a staff member to stay with the client at all times D. Take the client's clothing and provide a hospital gown None 16. RN Psychosocial Integrity,NCLEX-RN During a discussion group in the psychiatric unit, a female client suddenly becomes upset and leaves the group, yelling, "Everyone here hates me!" What should the nurse do? A. After group, approach the client to talk about her feelings B. Describe the client's situation to the other group members C. Require the client to return to group and discuss her concerns D. Ask the group members to apologize for upsetting the client None 17. RN Psychosocial Integrity,NCLEX-RN As part of the administration of a MiniMental Status Exam (MMSE), the healthcare provider asks the patient to copy a simple geometric shape. This part of the exam tests which of the following mental functions? A. Orientation and short-term memory B. Hearing and language skills C. Visual comprehension and praxis D. Attention and calculation abilities None 18. RN Psychosocial Integrity,NCLEX-RN When assessing a patient with severe depression, which of the following would the healthcare provider identify as a cognitive alteration? A. Powerlessness B. Anxiety C. Low self-esteem D. Somatic delusions None 19. RN Psychosocial Integrity,NCLEX-RN A client with a diagnosis of bipolar, manic phase, was started 6 days ago on lithium carbonate 300 mg PO tid. What is the best time for the nurse to plan for a serum lithium level blood draw on day 7? A. Before the client goes to bed B. Between lunch and dinner C. After the client eats lunch D. In the morning, before breakfast None 20. RN Psychosocial Integrity,NCLEX-RN Two weeks after giving birth, a new mother calls the clinic and reports pronounced fatigue, sadness, and tearfulness. She states, "I feel so overwhelmed, I don't know what to do!" Which of the following questions is most appropriate for the nurse to ask? A. How much sleep do you get in a 24-hour period? B. Is there a friend or a relative who can come and help you care for your baby? C. Do you ever think about harming yourself or your baby? D. Do you blame yourself for not being able to cope with motherhood? None 21. RN Psychosocial Integrity,NCLEX-RN The nurse working in an assisted living facility is preparing morning medications when a female client enters the breakfast room, wearing only her underwear. Which of the following is the MOST appropriate nursing intervention? A. Point out how the other clients are dressed and send her to her room B. Walk the client back to her room and help her select an outfit C. Ask the client if she forgot to do anything different this morning D. Approach the client and tell her she is offending other residents. None 22. RN Psychosocial Integrity,NCLEX-RN During a counseling session with a patient who was diagnosed with depression, the patient states, "I know my husband doesn't love me anymore." Which response by the healthcare provider demonstrates therapeutic communication? A. Let's talk about what you did to cause him to stop loving you B. Try not to think about it too much because it will make your depression worse C. What happened to make you think your husband doesn't love you anymore? D. You should really try not to dwell on something that probably isn't true None 23. RN Psychosocial Integrity,NCLEX-RN A male patient tells his nurse that the CIA is monitoring and recording every movement, and microphones have been planted in the walls of the unit. Which response by the nurse would be the most therapeutic? A. I'm going to put you in your room for a while, so you won't scare the others B. Why don't you wait and bring this up at your next therapy session? C. This must seem frightening to you, but I believe you are safe here D. There is no way this is true. Let's walk around the unit and I'll prove it to you. None 24. RN Psychosocial Integrity,NCLEX-RN When a nurse is administering medication to an inpatient with paranoid schizophrenia, which is the best method? A. Wait until the patient seems calm B. Two nurses should be present C. Show trust by closing the door D. Leave the patient's door open None 25. RN Psychosocial Integrity,NCLEX-RN The nurse is using a professional interpreter to obtain a medical-social history from a client who is not proficient in English. Which of the following is the correct way to interview the client with an interpreter? A. Limit the interview to one hour B. Look at the interpreter when asking questions C. Tell the client to speak słowly and clearly D. Face both the client and the interpreter None 1 out of 25 Time is Up! Time's up
