RN Domain 7: Psychosocial Integrity (Quiz 3) 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 3): 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 A client is admitted with burns on the torso and both legs. The provider prescribes an initial dose of 500 mL IV human albumin 5%. When the nurse reviews the client's chart, which of the following requires notifying the provider before administering the albumin? A. The client's hemoglobin is 14 g/dL B. The client has a history of diabetes mellitus C. The client is allergic to penicillin D. The client is a member of Jehovah's Witnesses None 2. RN Psychosocial Integrity,NCLEX-RN A patient diagnosed with Alzheimer's disease (AD) is demonstrating signs of impaired reasoning. The healthcare provider suspects an alteration in which area of the brain? A. Frontal lobe B. Occipital lobe C. Amygdala D. Hippocampus None 3. RN Psychosocial Integrity,NCLEX-RN The healthcare provider is counseling a patient who was diagnosed with depression. Which of the following statements made by the patient should the healthcare provider recognize as a sign of transference? A. I may not be good looking, but I get really good grades B. I drink so I can deal with the difficult situation at work C. I'm glad I lost my job because now I don't have to commute D. It's amazing how much you remind me of my favorite teacher None 4. RN Psychosocial Integrity,NCLEX-RN A patient is abusive to others and insensitive to their feelings, and the patient shows no remorse. Which is the most likely personality disorder? A. Narcissistic B. Paranoid C. Histrionic D. Antisocial None 5. 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. Why don't you wait and bring this up at your next therapy session? B. There is no way this is true. Let's walk around the unit and I'll prove it to you C. This must seem frightening to you, but I believe you are safe here D. I'm going to put you in your room for a while, so you won't scare the others None 6. RN Psychosocial Integrity,NCLEX-RN A mother has given birth to an infant with Down syndrome and a congenital heart defect. The nurse recognizes that the mother will need to process which emotion before successfully bonding with her newborn? A. Acceptance B. Anger C. Grief D. Guilt None 7. RN Psychosocial Integrity,NCLEX-RN The health care provider (HCP) has prescribed haloperidol for a client with Tourette's syndrome. When the nurse educates the client about possible side effects, including tardive dyskinesia (TD), which statement is accurate? A. There is no current treatment for tardive dyskinesia B. Tardive dyskinesia occurs within one week of starting the drug C. Nearly everyone on this drug develops tardive dyskinesia D. The risk of developing tardive dyskinesia increases over time None 8. RN Psychosocial Integrity,NCLEX-RN After the provider leaves a male client's room, the client tells the oncology nurse that he was just informed that his cancer is terminal. Which of the following responses by the nurse is MOST therapeutic? A. Now you have a chance to make the most of the time that's left B. Don't give up hope. There are new discoveries every day C. Your provider should have waited to tell you until your family was here D. I'm so sorry. Do you feel like talking more about this? None 9. RN Psychosocial Integrity,NCLEX-RN Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint, and respirations are depressed. Intoxication of which of the following drugs could contribute to these clinical signs? A. Methamphetamine B. Methadone C. Ecstasy D. Cocaine None 10. RN Psychosocial Integrity,NCLEX-RN A 22-year old mother from Mexico arrives at the Emergency Department with her 3-month old daughter, who has a temperature of 100.6 °F (38.1 °C) and signs of sepsis. The ED physician orders a lumbar puncture, but the mother is hesitant to consent until her husband arrives. What should the ED nurse do? A. Contact the Department of Children's Services to report child abuse B. Tell the ED physician that the mother refuses C. Keep trying to contact the husband D. Ask the ED social worker to intervene None 11. RN Psychosocial Integrity,NCLEX-RN The nurse provides teaching for a client who will receive electroconvulsive therapy (ECT). Which statement by the client indicates a need for further education? A. There will be 6 to 12 treatment sessions B. I will be able to recall the treatment when I wake C. During ECT, I will be asleep and pain-free D. Electric current causes a seizure in the brain None 12. RN Psychosocial Integrity,NCLEX-RN The nursing instructor is teaching students about ego defense mechanisms. Which of the following statements about ego defense mechanisms is true? A. People can choose to use ego defense mechanisms B. Use of ego defense mechanisms is always unhealthy C. Ego defense mechanisms can reduce stress and anxiety D. Most people use only one of the ego defense mechanisms None 13. RN Psychosocial Integrity,NCLEX-RN Following inpatient treatment for alcohol dependence, a client tells the nurse that he will be participating in Alcoholics Anonymous (AA). The nurse knows that AA's primary purpose is to A. help members learn to manage stress B. provide social activities without using alcohol C. help members maintain sobriety D. teach members to adhere to a 12-step program None 14. RN Psychosocial Integrity,NCLEX-RN The nurse in a mental health unit asks a client, "Are you ready for lunch?" The client responds, "Am I ready for lunch?" and continues to repeat the phrase all afternoon. This behavior is called A. echolalia B. catatonia C. echopraxia D. cyclothymia None 15. RN Psychosocial Integrity,NCLEX-RN A client with Stage 4 lung cancer is experiencing sadness, mourning, and grief about their terminal illness. Which of the following activities should the nurse encourage to most therapeutically assist the client? A. Attend a support group with other cancer clients B. Begin to donate their personal belongings to a charity C. Join a campaign to raise funds for cancer research D. Plan a vacation with their family for next year None 16. RN Psychosocial Integrity,NCLEX-RN Bereavement may be defined as A. the period of mourning after a death B. the physical symptoms in response to a loss C. postponing awareness of the reality of the death D. the socially acceptable expression of a loss None 17. RN Psychosocial Integrity,NCLEX-RN A 63-year-old male of Chinese descent complains of severe postoperative pain that does not respond to analgesics. He tells the nurse, "If I could get acupuncture, my pain would go away." The nurse understands that Asian cultures use acupuncture to A. restore energy balance B. expel evil spirits C. promote serenity D. block pain pathways None 18. RN Psychosocial Integrity,NCLEX-RN When administering haloperidol (Haldol) to a client with a psychotic disorder, the nurse knows to observe for which adverse effect? A. Seizures B. Dysuria C. Hypotension D. Drooling None 19. RN Psychosocial Integrity,NCLEX-RN The nurse is instructing a client who has just been prescribed fluoxetine (Prozac) for depression. At what time of day should the client take the medication? A. Dinner B. Midday C. Bedtime D. Morning None 20. RN Psychosocial Integrity,NCLEX-RN The nurse is interviewing a new mother who gave birth one month ago. The mother has a documented history of substance abuse disorder. What is the FIRST question the nurse should ask the mother? A. When was the last time you used an illegal substance? B. How do you manage the stress of being a new mother? C. Do you feel you are bonding well with your baby? D. Can I offer you any resources or information at this time? None 21. RN Psychosocial Integrity,NCLEX-RN The nurse is educating a client with a new diagnosis of major depressive disorder. The client states that they are reluctant to take the prescribed medication. What is the nurse's BEST response? A. It's either this or electroconvulsive therapy B. Tell me your concerns about taking this medication C. You won't begin to feel better unless you take this medication D. Think about it and we'll talk at your next appointment None 22. RN Psychosocial Integrity,NCLEX-RN When the nurse delivers a lunch tray to a Jewish patient, the patient declines to eat because the tray has a hamburger, fries, and a milkshake. What should the nurse do? A. Call the dietary department to bring a new tray B. Remind the patient that a new tray will take a long time C. Ask the dietician to teach the patient about a balanced diet D. Inform the patient that the doctor ordered this diet None 23. RN Psychosocial Integrity,NCLEX-RN A mother calls the pediatric clinic, concerned that her 3-year-old son has an imaginary friend. What should the nurse tell the mother? A. This isn't unusual for young children. It's creative play B. Don't worry or say anything that might upset him C. Ignore the behavior. It'll go away when he goes to school D. We should have your son evaluated. I'll get a referral None 24. RN Psychosocial Integrity,NCLEX-RN The nurse is caring for a client during electroconvulsive therapy (ECT). Which of the following nursing actions is MOST important for client safety? A. Monitor the client's airway and perform suctioning as needed B. Check vital signs and cardiac rhythm on thhononitor screen C. Remove the client's dentures, glasses, and hearing aids. D. Position and support the client's arms and legs during the process None 25. RN Psychosocial Integrity,NCLEX-RN A client who has been admitted to the inpatient mental health unit with a diagnosis of bipolar disorder is constantly arranging the client snack area and sweeping the unit's floors. The client also follows the housekeeper, offering advice on the best way to clean. Which activity is MOST appropriate for this client? A. Television B. Hiking C. Painting D. Chess None 1 out of 25 Time is Up! Time's up