, COMPREHENSIVE NCLEX RN PSYCHOSOCIAL INTEGRITY
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● The nurse is caring for a client on the psychiatric unit. The client
states, "The voices are bothering me. They are yelling and telling me
stuff. They are really bad." Which of the following responses by the
nurse would be most appropriate? Answer: "I do not hear any voices.
What are you hearing?"
A hallucination is a false sensory perception. It involves all five senses
and bodily sensations. Initially, the nurse needs to assess what kind of
voices are being heard. That is, are they friendly, commanding, or
controlling voices? Acknowledging that the client is experiencing the
voices but telling the client that the nurse does not may assist the client
to realize that the voices are not real.
● A college foreign exchange student is living with a family in
England and is confused about the family's Catholic prayers and rituals.
The student longs for her Protestant practices and reports to the campus
nurse for direction. The nurse recognizes the student is experiencing
which type of spiritual distress? Answer: Spiritual alienation
Spiritual alienation occurs when an individual is separated from her/his
faith community.
● On entering the room of a client who has undergone a dilatation
and curettage (D&C;) for a spontaneous abortion, the nurse finds the
client crying. Which comment by the nurse would be most appropriate?
Answer: "I am truly sorry you lost your baby."
QUESTIONS AND ANSWERS GRADED A+
QUESTIONS AND ANSWERS GRADED A+
● The nurse is caring for a client on the psychiatric unit. The client
states, "The voices are bothering me. They are yelling and telling me
stuff. They are really bad." Which of the following responses by the
nurse would be most appropriate? Answer: "I do not hear any voices.
What are you hearing?"
A hallucination is a false sensory perception. It involves all five senses
and bodily sensations. Initially, the nurse needs to assess what kind of
voices are being heard. That is, are they friendly, commanding, or
controlling voices? Acknowledging that the client is experiencing the
voices but telling the client that the nurse does not may assist the client
to realize that the voices are not real.
● A college foreign exchange student is living with a family in
England and is confused about the family's Catholic prayers and rituals.
The student longs for her Protestant practices and reports to the campus
nurse for direction. The nurse recognizes the student is experiencing
which type of spiritual distress? Answer: Spiritual alienation
Spiritual alienation occurs when an individual is separated from her/his
faith community.
● On entering the room of a client who has undergone a dilatation
and curettage (D&C;) for a spontaneous abortion, the nurse finds the
client crying. Which comment by the nurse would be most appropriate?
Answer: "I am truly sorry you lost your baby."
