WorksheetsNCLEX - Psychosocial integrity - Day 2
Total questions: 11
Worksheet time: 11mins
Name
Class
Date
1.
The nurse is planning care for a client with schizophrenia who is experiencing persecutory delusions. Which of the following interventions should the nurse include in the client's plan of care?
a)
Focus on the meaning behind the client's delusions.
b)
Gently attempt to convince the client that the delusions are false.
c)
Explore the client's feelings related to the delusions.
d)
Present the client with logical arguments to discredit the delusions.
e)
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2.
A 25-year-old client is about to undergo a unilateral orchiectomy for treatment of testicular cancer. The client says to the nurse, "I'm so worried that my future spouse is going to call off our engagement." What is the best response by the nurse?
a)
Are you concerned about how the surgery will affect your sexuality?
b)
If you are concerned about infertility, you could always bank your sperm.
c)
The cancer is at an early stage. You are going to be fine.
d)
What have you and your future spouse discussed about your condition?
e)
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3.
The nurse learns that an Orthodox Jewish client has not started taking recently prescribed diltiazem extended-release capsules. The client states "I cannot take the medication in this form." What is the nurse's first action?
a)
Ask the health care provider to prescribe a different calcium channel blocker
b)
Consult with the pharmacist to see if an alternate form of the drug is available
c)
Open the capsule and sprinkle the medication in a cup of applesauce
d)
Warn the client about the dangers of uncontrolled hypertension
e)
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4.
The nurse is talking with a client with obsessive-compulsive personality disorder who is scheduled for a colonoscopy. Due to a computer malfunction, the procedure is being postponed by 2 hours. Which of the following responses by the client would be consistent with obsessive-compulsive personality disorder?
a)
How dare they change my appointment time. I insist that the procedure be done at the scheduled time.
b)
I do not understand why they would do this. It seems like they just want to make things difficult for me.
c)
That is not a problem. I can come in whenever it is convenient for everyone.
d)
This is unacceptable. I had my whole day planned out and I cannot change my plan.
e)
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5.
An adult client is admitted with back pain and found to have a metastatic tumor on the spine. The health care provider (HCP) explains that the client has few months to live and is likely to become totally paralyzed below the waist soon. The next day, the client tells the nurse of wanting to be discharged despite the HCP's recommendation that the client stay a few more days. Which is the most appropriate initial response by the nurse?
a)
I understand your desire to leave, but it would be very risky.
b)
I will ask the palliative care nurse to talk with you to help clarify your care goals.
c)
I will let the HCP know that you want to be discharged and do everything I can to make it happen.
d)
Tell me more about your need to leave the hospital.
e)
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6.
The nurse is screening clients with major depressive disorder for those at risk for suicide. The nurse should recognize the client at highest risk for suicide is the client with
a)
substance use disorder who is married and participates in community programs
b)
Parkinson disease who is divorced and has recently become unemployed
c)
breast cancer who is married and is newly diagnosed with alcohol use disorder
d)
type 2 diabetes mellitus who is recently divorced and has 3 children
e)
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7.
The nurse is planning care for a client with anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.
a)
Monitor the client's serum electrolyte levels.
b)
Remain with the client during and after each meal.
c)
Maintain a strict record of the client's intake and output.
d)
Assist the client to reflect on triggers of disordered eating.
e)
Allow the client to participate in the client's usual exercise routine.
8.
The nurse is talking with a client with alcohol use disorder who has a new prescription for disulfiram. Which of the following information should the nurse include?
a)
Most clients who take this medication do not need to attend therapy or support groups.
b)
Avoid drinking alcohol for 3 days after discontinuing this medication.
c)
Check for alcohol in household items you use regularly, such as mouthwash.
d)
You can expect to experience decreased cravings for alcohol.
e)
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9.
The nurse is planning care for an 8-year-old client with autism spectrum disorder. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply.
a)
Establish a consistent schedule for providing care.
b)
Encourage the parents to be present when providing care.
c)
Assign the same staff members to care for the client when possible.
d)
Place the client in a private room with familiar belongings.
e)
Use therapeutic touch to comfort the client.
10.
The nurse is caring for a client with social anxiety disorder. Which of the following situations would most likely exacerbate the client's symptoms?
a)
shopping in a crowded grocery store
b)
moving into a new home with the spouse
c)
speaking in front of peers at a professional convention
d)
attending an appointment with a new health care provider
e)
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11.
The nurse is caring for a client with schizophrenia who is crying and no longer wearing the hat that the client usually wears. The client states, "I cannot find my hat. The cracks on my head will start leaking if I do not have my hat." Which of the following responses would be appropriate for the nurse to make?
a)
There are no cracks on your head and there is nothing to worry about.
b)
Would you like my assistance searching for your missing hat?
c)
Playing a card game in the activity room will help you feel better.
d)
How long have you had the cracks on your head?
e)
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