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[ANSWERS & RATIONALE] NCLEX Questions for Psychosocial Integrity

Posted by Cedric on Mar 26, 2012
Click here to view the questions. 1. D. The goal is to implement suicide precautions because the danger of suicide is when the depression lifts and the client has the energy to formulate a plan. The nurse would not encourage her to go home (1) where she could not be observed constantly. She could be moved into a room with other clients (2), but this is not the priority... Continue Reading

NCLEX Questions for Psychosocial Integrity

Posted by Cedric on Mar 24, 2012
1. When a depressed client becomes more active and there is evidence that her mood has lifted, an appropriate goal to add to the nursing care plan is to a. Encourage her to go home for the weekend. b. Move her to a room with three other clients. c. Begin to explore the reasons she became depressed. d. Monitor her whereabouts at all times. 2. One day the nurse overhears a... Continue Reading

Psychosocial Integrity NCLEX Review Questions Part 2 Answers and Rationale

Posted by admin on May 03, 2011
View Questions 1.    Answer A. The nature of the accident, the child’s pain, and the unfamiliar facility environment support a nursing diagnosis of Anxiety. A diagnosis of Hypothermia related to head injury isn’t appropriate because the child is alert and oriented, indicating that a head injury, if present, isn’t severe and is unlikely to cause... Continue Reading

Psychosocial Integrity NCLEX Review Questions Part 2

Posted by admin on May 02, 2011
1.    After a car accident, Jessy, age 10, is treated in the emergency department for a fractured clavicle and evaluated for a possible head injury. Alert and oriented, she keeps asking what will happen to her. Which nursing diagnosis is most appropriate? a.    Anxiety related to separation from parents and an unfamiliar environment b.    Hypothermia related to head... Continue Reading

Psychosocial Integrity NCLEX Review Questions Answers and Rationale

Posted by admin on Apr 12, 2011
View Questions 1.    A. Children with oppositional defiant disorder frequently violate the rights of others. They are defiant, disobedient, and blame others for their actions. Accountability for their actions would demonstrate progress for the oppositional child. Options C and D aren’t outcome criteria but interventions. Option B is incorrect as the... Continue Reading

Psychosocial Integrity NCLEX Review Questions

Posted by admin on Apr 11, 2011
1.    Nurse Rhea outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder? a.    Accept responsibility for own behaviors b.    Be able to verbalize own needs and assert rights c.    Set firm and consistent limits with the client d.    Allow the child to establish his own limits and boundaries 2.    The definition of... Continue Reading

Psychosocial Adaptation NCLEX Review Questions Answers and Rationale

Posted by admin on Sep 06, 2010
View Questions 1.    Answer D.  Diaphoresis and tremors occur in the first phase of alcohol withdrawal. The blood pressure and heart rate increase in the first phase of alcohol withdrawal. Illusions are common in persons withdrawing from alcohol. Illusions occur most often in dim artificial lighting where the environment is not perceived accurately.... Continue Reading

Psychosocial Adaptation NCLEX Review Questions

Posted by admin on Sep 04, 2010
1.    A man is admitted to the nursing care unit with a diagnosis of cirrhosis. He has a long history of alcohol dependence. During the late evening following his admission, he becomes increasingly disoriented and agitated. Which of the following would the client be least likely to experience? a.    Diaphoresis and tremors. ... Continue Reading