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4. Psychosocial Integrity

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?

A

Rationalization

B

Sublimation

C

Conversion

D

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? 

A

Increased concentration

B

Improved comprehension

C

Enhanced logic

D

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? 

A

1 to 2 weeks

B

4 to 6 weeks

C

2 to 3 months

D

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?

A

Esteem

B

Love and belonging

C

Oxygen

D

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?

A

Acupuncture

B

Therapeutic touch

C

St. John's wort

D

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?

A

Mania

B

Generalized anxiety disorder

C

Schizophrenia

D

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? 

A

Succinylcholine

B

Diazepam

C

Atropine

D

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?

A

One-third

B

One-half

C

Two-thirds

D

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?

A

Weight loss

B

Constipation

C

Insomnia

D

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?

A

Levodopa

B

Chlordiazepoxide

C

Phenytoin

D

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?

A

Antipsychotics

B

Anticonvulsants

C

Antidepressants

D

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?

A

Reference

B

Persecution

C

Grandeur

D

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?

A

Korsakoff’s Psychosis

B

Alcoholic Chronic Brain Syndrome

C

Wernicke’s Syndrome

D

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?

A

Force the client to participate in group activities

B

Avoid scheduled appointments to reduce pressure

C

Accept the client’s indifference or avoidance behavior

D

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?

A

Hypotension

B

Extreme weight gain

C

Insomnia

D

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 ?

A

Laxatives

B

Diuretics

C

Ipecac

D

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?

A

Situational crisis

B

Post-traumatic stress disorder

C

Burnout

D

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?

A

Only at the end of the shift

B

After several tasks are completed

C

When the goal is fully achieved

D

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?

A

Coherent logic

B

Loose associations

C

Reality-based ideas

D

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?

A

Clarification

B

Reflection

C

Asking "why" questions

D

Focusing on feelings

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