NCLEX RN PSYCHOSOCIAL INTEGRITY
,COMPREHENSIVE NCLEX RN PSYCHOSOCIAL INTEGRITY
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● A nurse is caring for a 14-year-old adolescent who states, "No one
understands me." Which statement by the nurse best demonstrates
empathy? Answer: "It's difficult to be a teenager. Tell me more about
your experiences."
Explanation:
Empathy is the ability to put oneself in another's place and experience a
feeling as that person is experiencing it. The correct answer
acknowledges the adolescent's feelings and conveys an understanding
without intimidating the client. Asking how adults can help and
reflecting on parental understanding or favorite coursework is helpful
overall but does not demonstrate empathy for the client.
● A client with major depression and suicidal ideation is suddenly
calmer and more energetic. Which conclusion should the nurse reach?
Answer: The client is imminently suicidal.
Explanation:
When a client with major depression and suicidal ideation displays a
sudden elevation in mood, seems calmer, has more energy, and is more
peaceful, the nurse should judge these behaviors as an indication that a
suicide attempt is imminent. These symptoms may indicate relief from
ambivalent thoughts about suicide and that the client has an immediate
plan for killing himself.
, ● A client who is suspicious of others, including staff, is brought to
the hospital wearing a wrinkled dress with stains on the front. The
assessment also reveals a flat affect, confusion, and slow movements.
Which goal should the nurse identify as the initial priority when
planning this client's care? Answer: helping the client feel safe and
accepted
Explanation:
The initial priority for this client is to help them overcome their
suspiciousness of others, including staff, and thereby feel safe and
accepted. Introducing the client to others, giving the client information
about the program, and providing clean clothes are important, but these
are of lower priority than helping the client feel safe and accepted.
● A client who is dying from AIDS is admitted to the inpatient
psychiatric unit because they attempted suicide. Their close friend
recently died from AIDS. The client states to the nurse, "What's the use
of living? My time's running out." What is the nurse's best response?
Answer: "You're in a lot of pain. What are you feeling?"
Explanation:
The nurse recognizes the client's pain, hopelessness, and sense of loss
related to their condition and the loss of their friend and encourages
them to express their feelings. Giving the client permission to talk about
their feelings of sadness, loss, and hopelessness and listening to them is
an important nursing intervention for the dying client.Telling the client
to make good use of their remaining time diverts attention from the
content of the client's statements and blocks expression of
feelings."Don't give up" is a type of pep talk that ignores the client's
,COMPREHENSIVE NCLEX RN PSYCHOSOCIAL INTEGRITY
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● A nurse is caring for a 14-year-old adolescent who states, "No one
understands me." Which statement by the nurse best demonstrates
empathy? Answer: "It's difficult to be a teenager. Tell me more about
your experiences."
Explanation:
Empathy is the ability to put oneself in another's place and experience a
feeling as that person is experiencing it. The correct answer
acknowledges the adolescent's feelings and conveys an understanding
without intimidating the client. Asking how adults can help and
reflecting on parental understanding or favorite coursework is helpful
overall but does not demonstrate empathy for the client.
● A client with major depression and suicidal ideation is suddenly
calmer and more energetic. Which conclusion should the nurse reach?
Answer: The client is imminently suicidal.
Explanation:
When a client with major depression and suicidal ideation displays a
sudden elevation in mood, seems calmer, has more energy, and is more
peaceful, the nurse should judge these behaviors as an indication that a
suicide attempt is imminent. These symptoms may indicate relief from
ambivalent thoughts about suicide and that the client has an immediate
plan for killing himself.
, ● A client who is suspicious of others, including staff, is brought to
the hospital wearing a wrinkled dress with stains on the front. The
assessment also reveals a flat affect, confusion, and slow movements.
Which goal should the nurse identify as the initial priority when
planning this client's care? Answer: helping the client feel safe and
accepted
Explanation:
The initial priority for this client is to help them overcome their
suspiciousness of others, including staff, and thereby feel safe and
accepted. Introducing the client to others, giving the client information
about the program, and providing clean clothes are important, but these
are of lower priority than helping the client feel safe and accepted.
● A client who is dying from AIDS is admitted to the inpatient
psychiatric unit because they attempted suicide. Their close friend
recently died from AIDS. The client states to the nurse, "What's the use
of living? My time's running out." What is the nurse's best response?
Answer: "You're in a lot of pain. What are you feeling?"
Explanation:
The nurse recognizes the client's pain, hopelessness, and sense of loss
related to their condition and the loss of their friend and encourages
them to express their feelings. Giving the client permission to talk about
their feelings of sadness, loss, and hopelessness and listening to them is
an important nursing intervention for the dying client.Telling the client
to make good use of their remaining time diverts attention from the
content of the client's statements and blocks expression of
feelings."Don't give up" is a type of pep talk that ignores the client's
