Psychosocial Integrity:
Supporting mental health, coping, and therapeutic communication
6–12%
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Question 1 of 20
1. The nurse is assessing a client who reports sudden blindness without any physiological basis. The client is demonstrating the defense mechanism known as which of the following?
Rationalization
Sublimation
Conversion
Suppression
Question 2 of 20
2. The nurse is caring for a client experiencing severe anxiety. Which of the following intellectual changes is associated with severe anxiety?
Increased concentration
Improved comprehension
Enhanced logic
Impaired problem solving
Question 3 of 20
3. The nurse is assessing a client dealing with a typical situational crisis. A typical situational crisis is usually self-limiting, lasting approximately how long?
1 to 2 weeks
4 to 6 weeks
2 to 3 months
6 months to 1 year
Question 4 of 20
4. The nurse is prioritizing care for a client using Maslow's Hierarchy of Needs. Which of the following is considered the most basic physiological need?
Esteem
Love and belonging
Oxygen
Safety
Question 5 of 20
5. The nurse is discussing complementary therapies with a client diagnosed with seasonal affective disorder. Which of the following is considered the first-line complementary treatment for this condition?
Acupuncture
Therapeutic touch
St. John's wort
Phototherapy
Question 6 of 20
6. The nurse is preparing a client for electroconvulsive therapy. This treatment modality is primarily used for clients diagnosed with which of the following conditions?
Mania
Generalized anxiety disorder
Schizophrenia
Depression
Question 7 of 20
7. The nurse is preparing to administer medications before a client's scheduled procedure. Which of the following medications is typically given to decrease oral secretions?
Succinylcholine
Diazepam
Atropine
Phenobarbital
Question 8 of 20
8. The nurse is considering communication strategies with a client. Nonverbal communication accounts for approximately what fraction of all human communication?
One-third
One-half
Two-thirds
Three-fourths
Question 9 of 20
9. The nurse is assessing a client being treated for depression. Which of the following symptoms is considered a potential late change associated with lifting depression?
Weight loss
Constipation
Insomnia
Suicidal ideation
Question 10 of 20
10. The nurse is caring for a client diagnosed with Huntington's Disease. Which of the following medications may be used to reduce choreiform movements and subdue behavioral changes?
Levodopa
Chlordiazepoxide
Phenytoin
Lisinopril
Question 11 of 20
11. The nurse is reviewing the medication administration record for a client diagnosed with Post-Traumatic Stress Disorder. Which of the following medication classifications is commonly administered for this disorder?
Antipsychotics
Anticonvulsants
Antidepressants
Mood stabilizers
Question 12 of 20
12. The nurse is assessing a client with persistent false beliefs. The persistent false belief that one possesses great power or is a monarch is known as a delusion of which of the following?
Reference
Persecution
Grandeur
Control
Question 13 of 20
13. The nurse is caring for a client with a history of chronic alcoholism. The chronic disorder related to alcoholism characterized by confusion, and is known as which of the following?
Korsakoff’s Psychosis
Alcoholic Chronic Brain Syndrome
Wernicke’s Syndrome
Delirium Tremens
Question 14 of 20
14. The nurse is attempting to establish a therapeutic relationship with a client who is severely withdrawn. Which of the following nursing actions is most appropriate in this scenario?
Force the client to participate in group activities
Avoid scheduled appointments to reduce pressure
Accept the client’s indifference or avoidance behavior
Engage in direct questioning to identify feelings
Question 15 of 20
15. The nurse is assessing a client undergoing alcohol withdrawal. Which of the following clinical manifestations is characteristic of early alcohol withdrawal?
Hypotension
Extreme weight gain
Decreased pulse rate
Question 16 of 20
16. The nurse is caring for a client with bulimia nervosa and chronic purging behaviors. Which of the following substances used for purging is specifically associated with the risk of ?
Laxatives
Diuretics
Ipecac
Enemas
Question 17 of 20
17. The nurse is experiencing emotional exhaustion and decreased professional effectiveness. This state is defined as which of the following?
Situational crisis
Post-traumatic stress disorder
Burnout
Adjustment disorder
Question 18 of 20
18. The nurse is teaching a client activities of daily living . When should the nurse provide positive feedback to enhance learning and motivation?
Only at the end of the shift
After several tasks are completed
When the goal is fully achieved
Immediately after every accomplishment
Question 19 of 20
19. The nurse is caring for a client diagnosed with schizophrenia. Which of the following thought disturbances is commonly observed in this disorder?
Coherent logic
Loose associations
Reality-based ideas
Logical organization
Question 20 of 20
20. The nurse is utilizing therapeutic communication techniques with a client. Which of the following responses is generally avoided in therapeutic communication because it can make the client defensive?
Clarification
Reflection
Asking "why" questions
Focusing on feelings