PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
Which nursing intervention should the nurse include when caring for a client with Alzheimer's disease
being admitted to a long term care facility?
1. Offer multiple environmental stimuli at the same time to provide distraction.
2. Encourage the client to participate in activities such as board games.
3. Restrain the client in a chair to prevent falls when sundowning occurs.
4. Involve the client in supervised walking as a routine. - CORRECT ANSWERS 4. Correct: A regular
routine and physical activity help client's with Alzheimer's disease maintain abilities for a longer period
of time. Physical activities promote strength, agility and balance. The client's walking should be
supervised for client safety issues.
1. Incorrect: Environmental stimuli should be limited with clients with Alzheimer's Disease. The client
can become agitated and/or more disoriented with an increase in environmental stimuli.
2. Incorrect: Board games would not be appropriate due to the client's cognitive and memory
impairment. Board games require complex cognitive actions.
3. Incorrect: Restraints should be avoided because they increase agitation. The client may become
agitated by the restriction of he restraints. Also the client may perceive the restraints as a threat.
An alcoholic client was admitted to the medical unit with substance-withdrawal delirium. Two days later,
the client decides to leave the hospital against medical advice. What is the priority nursing intervention
at this time?
1. Hide the client's clothes so that he cannot leave.
2. Administer the ordered sedative.
3. Place restraints on the client.
4. Determine why the client wants to leave. - CORRECT ANSWERS 4. Correct: Always assess why the
client wishes to leave first. This will provide an opportunity to attempt to fix the problem and possibly
revise the client's decision.
1., 2. & 3. Incorrect: Confining a client against his or her wishes, except in an emergency situation, may
be considered false imprisonment. Actions that may invoke these charges include: locking an individual
in a room, taking a person's clothes for the purposes of detainment against his or her will, and retaining
in mechanical restraints a competent voluntary client who demands to be released.
,PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
A client who was diagnosed with paranoid delusions has been prescribed a chest x-ray. The client
refuses the chest x-ray and states "No, they want to kill me with the rays from the x-ray machine."
Which nursing response is appropriate?
1. "Do you think people want to kill you with rays?"
2. "You don't have to worry that someone is going to kill you."
3. "I don't want you to talk about the x-ray technicians."
4. "Where did you get the idea that someone was trying to kill you?" - CORRECT ANSWERS 1. Correct:
By restating the client's primary idea this reinforces to the client that statement has been heard. This
allows the client to clarify the statement or realize that the nurse has understood the comment. This is
the therapeutic communication technique of restating.
2. Incorrect: The nurse is using the nontherapeutic communication technique of giving reassurance. The
nurse is stating that the client has nothing to worry about. The client may feel the nurse is moderating
their intense concern of the possibility of being killed.
3. Incorrect: The nurse is disregarding the client's concern about possibly being killed. The nurse is
redirecting the conversation about the client to concern for the x-ray technicians. The nurse is preferring
the conversation to be focused on another topic. This is an example of the nontherapeutic
communication technique of introducing an unrelated topic.
4. Incorrect: Demanding a reason from the client about their thoughts or feelings is an example of the
nontherapeutic communication technique of requesting an explanation. This is a direct question. The
client will need to defend their feelings or thought. The client may feel intimidated and stop
communicating with the nurse.
A client had a suspicious area of the skin biopsied and sent to the lab for analysis. The client states "I am
worried that the pathology report will indicate cancer." Which response would the nurse initiate to
assist the client in reducing their anxiety?
1. "You are anxious about the pathology report?"
2. "Would you like me to recommend a movie for you to watch?"
3. "I will notify your daughter that you are concerned about the pathology report."
4. "Have you tried taking long, slow deep breaths and not thinking negative thoughts?" - CORRECT
ANSWERS 1. Correct: Utilizing the therapeutic communication technique of restating encourages the
client to continue expressing their thoughts and feelings. This correct response by the nurse will also
,PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
encourage the client to continue verbalizing or clarify their statement if needed. Restating is an effective
communication technique to reduce the client's anxiety.
2. Incorrect: The nurse is presenting another option for the client to discuss that is not related to the
current conversation. Sometimes distraction, a nontherapeutic communication technique, is used by the
nurse to reduce their anxiety which is not client driven communication. The focus of the nurse should be
the client. Communication should be client-centered to explore client feelings, identify client
preferences, empower the client, provide the client choices, or in some way put emphasis on the client.
3. Incorrect: The nurse is deciding for the client to notify the daughter about the pathology report. The
nurse is not demonstrating empathy to the client. The client may feel insignificant, since the nurse wants
to talk to her daughter. This will discourage the client to verbalize their feelings. In addition, the nurse
must comply by the Health Insurance Portability and Accountability Act (HIPAA).
4. Incorrect: The nurse is giving advice which is a nontherapeutic communication technique. Introducing
relaxation techniques such as taking slow deep breaths and clearing the mind of negative thoughts will
block the client from expressing their thoughts and feelings. The questions does not identify that the
client has negative feelings. The nurse is telling the client how to feel. This is an example of
nontherapeutic communication technique of giving advice.
The nurse is talking with several high school students after a classmate from their school died in a motor
vehicular accident. Which statement by the nurse is therapeutic?
1. "Sometimes bad things happen to people we care about."
2. "I was so upset that the student who died had been drinking."
3. "Why are you angry? Tell me how you feel about losing your friend."
4. "What would you like to talk about concerning the loss of your classmate?" - CORRECT ANSWERS 4.
Correct: The therapeutic communication technique of giving broad openings will allow the students to
move the topic of the death of their classmate in the direction of their choice. The students will feel
more freedom to communicate with the nurse and the other students.
1. Incorrect: The high school students are experiencing the grief process due the death of one of their
classmates. The nurse is showing a lack of understanding about the feelings of the students. The
students will not experience any relief from their grief by stating that others have lost persons they
cared about. This statement is an example of the nontherapeutic technique of belittling feelings
expressed.
2. Incorrect: The nurse is utilizing the nontherapeutic communication technique of expressing
disapproval. The students may respond by being unsettled or resentful at the nurse. This will block the
, PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
communication pathway, and the students will not be receptive to what the nurse as the group leader is
communicating.
3. Incorrect: The nurse is stating that the students are angry without the students sharing their feelings.
Beginning the statement with the word why implies that the nurse already has identified what emotion
the students have. This presumption of anger may not be correct, and students may not express their
feelings freely. This is the nontherapeutic communication of requesting explanation.
A client with a history of schizophrenia was admitted with abdominal pain and has been undergoing
diagnostic tests. When the nurse enters the room, the client is alone and looking at the wall and states
"Why should I hurt them?" What would be an appropriate intervention by the nurse?
Select all that apply
1. Directly ask the client "Are you hearing voices?"
2. State "Tell the voice that you do not want to hurt anyone."
3. Focus on reality based topics of conversation.
4. Observe for signs of increasing anxiety in the client.
5. Tell the client "You know that you are not being told to hurt someone."
6. Inquire about what the client believes he or she is being told to do. - CORRECT ANSWERS 1., 3., 4., &
6. Correct: Did you pick up on the cues that this client is experiencing auditory hallucinations? The most
obvious cues that this client is hallucinating are the verbal response when there is no one present and
the client is looking at the wall when responding. When you think a client is hallucinating, you should
directly ask the client about the hallucination by asking such questions as: "Are you hearing voices?" In
order to intervene with a client who is experiencing a hallucination, you should focus on reality-based
diversions including reality-based topics of conversation. Also, hallucinations can be anxiety producing
for clients, so you should observe for any signs of increasing anxiety, which can be a sign that the
hallucinations are increasing. The nurse can explore the hallucination experience with this client by
asking directly "What are the voices telling you to do?" Another way to specifically explore the
hallucination with this client is to ask if they are being told to do something that would cause harm to
someone.
2. Incorrect: You never want to react to the client's hallucinations as if they are real. In this case, you
would not tell the client to talk back to the "voices" and argue with them or discuss things as if the
voices are real.
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
Which nursing intervention should the nurse include when caring for a client with Alzheimer's disease
being admitted to a long term care facility?
1. Offer multiple environmental stimuli at the same time to provide distraction.
2. Encourage the client to participate in activities such as board games.
3. Restrain the client in a chair to prevent falls when sundowning occurs.
4. Involve the client in supervised walking as a routine. - CORRECT ANSWERS 4. Correct: A regular
routine and physical activity help client's with Alzheimer's disease maintain abilities for a longer period
of time. Physical activities promote strength, agility and balance. The client's walking should be
supervised for client safety issues.
1. Incorrect: Environmental stimuli should be limited with clients with Alzheimer's Disease. The client
can become agitated and/or more disoriented with an increase in environmental stimuli.
2. Incorrect: Board games would not be appropriate due to the client's cognitive and memory
impairment. Board games require complex cognitive actions.
3. Incorrect: Restraints should be avoided because they increase agitation. The client may become
agitated by the restriction of he restraints. Also the client may perceive the restraints as a threat.
An alcoholic client was admitted to the medical unit with substance-withdrawal delirium. Two days later,
the client decides to leave the hospital against medical advice. What is the priority nursing intervention
at this time?
1. Hide the client's clothes so that he cannot leave.
2. Administer the ordered sedative.
3. Place restraints on the client.
4. Determine why the client wants to leave. - CORRECT ANSWERS 4. Correct: Always assess why the
client wishes to leave first. This will provide an opportunity to attempt to fix the problem and possibly
revise the client's decision.
1., 2. & 3. Incorrect: Confining a client against his or her wishes, except in an emergency situation, may
be considered false imprisonment. Actions that may invoke these charges include: locking an individual
in a room, taking a person's clothes for the purposes of detainment against his or her will, and retaining
in mechanical restraints a competent voluntary client who demands to be released.
,PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
A client who was diagnosed with paranoid delusions has been prescribed a chest x-ray. The client
refuses the chest x-ray and states "No, they want to kill me with the rays from the x-ray machine."
Which nursing response is appropriate?
1. "Do you think people want to kill you with rays?"
2. "You don't have to worry that someone is going to kill you."
3. "I don't want you to talk about the x-ray technicians."
4. "Where did you get the idea that someone was trying to kill you?" - CORRECT ANSWERS 1. Correct:
By restating the client's primary idea this reinforces to the client that statement has been heard. This
allows the client to clarify the statement or realize that the nurse has understood the comment. This is
the therapeutic communication technique of restating.
2. Incorrect: The nurse is using the nontherapeutic communication technique of giving reassurance. The
nurse is stating that the client has nothing to worry about. The client may feel the nurse is moderating
their intense concern of the possibility of being killed.
3. Incorrect: The nurse is disregarding the client's concern about possibly being killed. The nurse is
redirecting the conversation about the client to concern for the x-ray technicians. The nurse is preferring
the conversation to be focused on another topic. This is an example of the nontherapeutic
communication technique of introducing an unrelated topic.
4. Incorrect: Demanding a reason from the client about their thoughts or feelings is an example of the
nontherapeutic communication technique of requesting an explanation. This is a direct question. The
client will need to defend their feelings or thought. The client may feel intimidated and stop
communicating with the nurse.
A client had a suspicious area of the skin biopsied and sent to the lab for analysis. The client states "I am
worried that the pathology report will indicate cancer." Which response would the nurse initiate to
assist the client in reducing their anxiety?
1. "You are anxious about the pathology report?"
2. "Would you like me to recommend a movie for you to watch?"
3. "I will notify your daughter that you are concerned about the pathology report."
4. "Have you tried taking long, slow deep breaths and not thinking negative thoughts?" - CORRECT
ANSWERS 1. Correct: Utilizing the therapeutic communication technique of restating encourages the
client to continue expressing their thoughts and feelings. This correct response by the nurse will also
,PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
encourage the client to continue verbalizing or clarify their statement if needed. Restating is an effective
communication technique to reduce the client's anxiety.
2. Incorrect: The nurse is presenting another option for the client to discuss that is not related to the
current conversation. Sometimes distraction, a nontherapeutic communication technique, is used by the
nurse to reduce their anxiety which is not client driven communication. The focus of the nurse should be
the client. Communication should be client-centered to explore client feelings, identify client
preferences, empower the client, provide the client choices, or in some way put emphasis on the client.
3. Incorrect: The nurse is deciding for the client to notify the daughter about the pathology report. The
nurse is not demonstrating empathy to the client. The client may feel insignificant, since the nurse wants
to talk to her daughter. This will discourage the client to verbalize their feelings. In addition, the nurse
must comply by the Health Insurance Portability and Accountability Act (HIPAA).
4. Incorrect: The nurse is giving advice which is a nontherapeutic communication technique. Introducing
relaxation techniques such as taking slow deep breaths and clearing the mind of negative thoughts will
block the client from expressing their thoughts and feelings. The questions does not identify that the
client has negative feelings. The nurse is telling the client how to feel. This is an example of
nontherapeutic communication technique of giving advice.
The nurse is talking with several high school students after a classmate from their school died in a motor
vehicular accident. Which statement by the nurse is therapeutic?
1. "Sometimes bad things happen to people we care about."
2. "I was so upset that the student who died had been drinking."
3. "Why are you angry? Tell me how you feel about losing your friend."
4. "What would you like to talk about concerning the loss of your classmate?" - CORRECT ANSWERS 4.
Correct: The therapeutic communication technique of giving broad openings will allow the students to
move the topic of the death of their classmate in the direction of their choice. The students will feel
more freedom to communicate with the nurse and the other students.
1. Incorrect: The high school students are experiencing the grief process due the death of one of their
classmates. The nurse is showing a lack of understanding about the feelings of the students. The
students will not experience any relief from their grief by stating that others have lost persons they
cared about. This statement is an example of the nontherapeutic technique of belittling feelings
expressed.
2. Incorrect: The nurse is utilizing the nontherapeutic communication technique of expressing
disapproval. The students may respond by being unsettled or resentful at the nurse. This will block the
, PSYCHOSOCIAL INTEGRITY QUESTIONS AND ANSWERS LATEST
UPDATED 2024/2025 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED TO SCORE
A+ FOR PASS
communication pathway, and the students will not be receptive to what the nurse as the group leader is
communicating.
3. Incorrect: The nurse is stating that the students are angry without the students sharing their feelings.
Beginning the statement with the word why implies that the nurse already has identified what emotion
the students have. This presumption of anger may not be correct, and students may not express their
feelings freely. This is the nontherapeutic communication of requesting explanation.
A client with a history of schizophrenia was admitted with abdominal pain and has been undergoing
diagnostic tests. When the nurse enters the room, the client is alone and looking at the wall and states
"Why should I hurt them?" What would be an appropriate intervention by the nurse?
Select all that apply
1. Directly ask the client "Are you hearing voices?"
2. State "Tell the voice that you do not want to hurt anyone."
3. Focus on reality based topics of conversation.
4. Observe for signs of increasing anxiety in the client.
5. Tell the client "You know that you are not being told to hurt someone."
6. Inquire about what the client believes he or she is being told to do. - CORRECT ANSWERS 1., 3., 4., &
6. Correct: Did you pick up on the cues that this client is experiencing auditory hallucinations? The most
obvious cues that this client is hallucinating are the verbal response when there is no one present and
the client is looking at the wall when responding. When you think a client is hallucinating, you should
directly ask the client about the hallucination by asking such questions as: "Are you hearing voices?" In
order to intervene with a client who is experiencing a hallucination, you should focus on reality-based
diversions including reality-based topics of conversation. Also, hallucinations can be anxiety producing
for clients, so you should observe for any signs of increasing anxiety, which can be a sign that the
hallucinations are increasing. The nurse can explore the hallucination experience with this client by
asking directly "What are the voices telling you to do?" Another way to specifically explore the
hallucination with this client is to ask if they are being told to do something that would cause harm to
someone.
2. Incorrect: You never want to react to the client's hallucinations as if they are real. In this case, you
would not tell the client to talk back to the "voices" and argue with them or discuss things as if the
voices are real.
