Nclex-Rn Practice Questions-Psychosocıal Integrıty - Part 2
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Question 1 |
The nurse discusses organ donation with a family whose loved one has suddenly passed. Common courtesy and sensitivity to the family’s grief are important. Which action facilitates the family’s option of organ donation?
A | Assuring the family that the decision is not theirs to make. |
B | Asking the family about organ donation immediately following the client’s death. |
C | Using a private area to discuss organ donation with the family. |
D | Communicating about the loved one’s death after organ donation forms are signed. |
Question 2 |
Clients unlikely to abstain from alcohol are not appropriate candidates for treatment with disulfiram (Antabuse), nor are clients with:
A | A sedentary occupation. |
B | Chronic hepatitis. |
C | Latex allergy. |
D | Significant cardiac disease. |
Question 3 |
The nurse teaches an alcoholic client the signs and symptoms of alcohol withdrawal. Which statement by the client indicates that he understands the teaching?
A | My heart rate may slow down during withdrawal. |
B | I will become very sleepy during withdrawal. |
C | My hands may begin to shake once I quit drinking. |
D | My blood pressure will drop once I quit drinking. |
Question 4 |
The nurse who works in a rehabilitation facility knows that psychosocial interventions for substance abuse include:
A | Behavioral therapy. |
B | Group therapy. |
C | Pharmacotherapies. |
D | Self-help groups. |
Question 5 |
Clients who have substance use disorders fall into one of five stages. These stages occur along a continuum that provides a useful framework for monitoring progress. A client admits to the nurse that substance use is causing difficulties in the client’s life. Which stage is the client experiencing?
A | Action. |
B | Contemplation. |
C | Maintenance. |
D | Precontemplation. |
Question 6 |
The nurse knows that risk factors for glaucoma include:
A | Asian-American race. |
B | Decreased intraocular pressure. |
C | Diabetes. |
D | Younger age. |
Question 7 |
A client’s family experiences acute grief. Which action by the nurse offers the most comfort to the family?
A | The nurse speaks about the philosophy of death. |
B | The nurse tells the family, “I care.” |
C | The nurse offers advice about which action the family should take next. |
D | The nurse relates a personal anecdote detailing the nurse’s coping strategies during a similar situation. |
Question 8 |
Which is a behavioral intervention that the nurse can use to assist the client who wishes to quit smoking?
A | Assist with proper performance of spirometry. |
B | Perform complete examination of lungs. |
C | Provide assistance with application of transdermal nicotine replacement patches. |
D | Provide practical counseling. |
Question 9 |
Which disease process is characterized by anxiety about and avoidance of places or situations in which the ability to escape is limited or embarrassing?
A | Agoraphobia. |
B | Arachnophobia. |
C | Sociophobia. |
D | Trypanophobia. |
Question 10 |
Clients who are alcohol dependent usually require a two-phase treatment regimen. Which is an example of an effective two-phase treatment regimen?
A | Detoxification and rehabilitation. |
B | Detoxification and purging. |
C | Rehabilitation and depression. |
D | Rehabilitation and reformation. |
Question 11 |
Which is a self-help group for families of alcoholics?
A | Al-Anon. |
B | Al-Avert. |
C | Alcoholics Anonymous. |
D | Narc-Anon. |
Question 12 |
In a client with anorexia nervosa, the nurse expects to see:
A | Amenorrhea. |
B | Insistence to maintain weight. |
C | Intense fear of weight loss. |
D | Recurrent episodes of binge eating. |
Question 13 |
Sensitive and skilled end-of-life care for clients and family members is critical for gerontological family nurses. Which is a common concern for clients and families experiencing the end of life?
A | Communication about relationships. |
B | Making preparations for the living. |
C | Maintaining public identity. |
D | Management of symptoms. |
Question 14 |
Primary prevention of domestic abuse involves:
A | Conducting community classes to teach parents about normal developmental challenges. |
B | Early intervention to prevent or stop the violence. |
C | Identification of families at risk for violence. |
D | Strengthening individuals and families to enable them to better cope with life stressors. |
Question 15 |
Which is a familial factor that most accurately places a family at risk for child abuse and neglect?
A | The child has a difficult personality. |
B | The family has no history of abuse. |
C | The family is socially isolated. |
D | The parent experiences tremendous stress. |
Question 16 |
Which factor most accurately reflects characteristics of the child that place families at risk for child abuse and neglect?
A | The child is healthy. |
B | The child has a difficult personality. |
C | The family is socially isolated. |
D | The parent believes in physical punishment. |
Question 17 |
Three sets of factors place families at risk for child abuse and neglect. Parental risk factors that place families at risk for child abuse and neglect include:
A | The behavior issues of the child. |
B | The parent’s belief in emotional punishment. |
C | The parent’s strong friendships in the community. |
D | The abuse or neglect the parent suffered as a child. |
Question 18 |
Major depression most prominently affects:
A | The employed. |
B | The educated. |
C | More women than men. |
D | Affluent women. |
Question 19 |
One theory commonly used in family mental health nursing is Bowen’s family systems theory. The central assumption in this theory is that chronic anxiety is the underlying basis for dysfunction. The theory consists of eight interlocking concepts that address anxiety and emotional processes. This includes:
A | Differentiation of self. |
B | Quadriceps. |
C | The family process system. |
D | The nuclear family spiritual system. |
Question 20 |
The nurse knows that families require coping skills to manage illness recovery at home. Which is an appropriate coping skill shown by the family?
A | Inability to acquire needed information. |
B | Inability to manage worry and anxiety. |
C | Inability to seek help if needed. |
D | Problem-solving ability. |
Question 21 |
Which questionnaire should the nurse use to screen a male client for alcohol abuse?
A | CAGE. |
B | COPE. |
C | FACT. |
D | TACE. |
Question 22 |
The foundation of crisis intervention is the development of a state of understanding and comfort between client and nurse. This is known as:
A | Attending behavior. |
B | Paraphrasing. |
C | Rapport. |
D | Reflection. |
Question 23 |
A client experiences a transient ischemic attack (TIA). The nurse informs the client upon discharge that which factor is associated with an increased risk of stroke after a TIA?
A | Clear speech. |
B | Diabetes mellitus. |
C | Symptoms lasting less than 10 minutes. |
D | Younger age. |
Question 24 |
A 24-year-old client undergoes a traumatic belowthe-knee amputation. The nurse assesses the client for risk of suicide. Which is a risk factor for suicide?
A | Age. |
B | Female. |
C | Hopelessness. |
D | Living with family. |
Question 25 |
Which percentage of those with mental illness receive treatment in the health care system?
A | 25%. |
B | 33%. |
C | 40%. |
D | 50%. |
Question 26 |
Bilateral progressive hearing loss in a 27-year-old female was first noticed 2 years ago when she was pregnant with her second child. Which illness is most likely the cause of the client’s progressive hearing loss?
A | Acoustic neuroma. |
B | Cholesteatoma. |
C | Otosclerosis. |
D | Serous otitis media. |
Question 27 |
A 74-year-old client is seen by the physician for treatment of cataracts. The nurse teaches the client about the signs and symptoms of cataracts. Which statement by the client indicates that she understands the teaching?
A | I may experience altered color perception and image distortion. |
B | My vision should improve with the cataracts. |
C | Where do I buy a seeing eye dog? |
D | My nighttime driving should improve with the cataracts. |
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