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Psychosocial Integrity.

Psychosocial Integrity. 20 questions tagged to this NCSBN client-needs category. Drill the ones you missed last time.

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Verified current

11 items

Post-NGN questions with verified answers and rationales. This is the core drill.

A patient diagnosed with major depressive disorder tells the nurse, "I'm suc h a burden to everyone. My family would be better off without me." The nurse's most appropriate response is:

Verified current
  • a"You have so much to live for. Think about your family."
  • b"Are you having thoughts of hurting yourself?"Correct
  • c"Everyone feels down sometimes. It will get better."
  • d"I'll let your doctor know you're feeling this way."
Rationale

When a patient makes statements suggesting suicidal ideation, the nurse should directly assess suicide risk by asking about thoughts of self -harm. This approach acknowledges the patient's distress while obtaining crucial infor mation for safety planning. Saying "You have so much to live for" (option a) minimizes the patient's feelings and may ================================================================================ [PAGE 335 of 393] ================================================================================ make them feel misunderstood. Stating "Everyone feels down sometimes" (opt

Source recency: 2025

A nurse is caring for a patient experiencing alcohol withdrawal. The priority nursing intervention is to:

Verified current
  • aEncourage the patient to attend an Alcoholics Anonymous meeting
  • bProvide a quiet, dimly lit environment with mini mal stimulation
  • cAdminister benzodiazepines as prescribedCorrect
  • dRestrict visitors to reduce emotional stress
Rationale

The priority nursing intervention for alcohol withdrawal is administering benzodiazepines as prescribed to prevent or treat serious complications such as seizures and delirium tremens, w hich can be life -threatening. Benzodiazepines help manage symptoms by acting on the same neurotransmitter system affected by alcohol. While providing a quiet environment (option b) supports comfort, it doesn't address the physiological aspects of withdrawa l. Encouraging AA attendance (option a) is appropriate ================================================================================ [PAGE 336 of 393] =

Source recency: 2025

The nurse observes that a patient has been isolating in their room, refusing to attend group therapy sessions. The most therapeutic approach would be to:

Verified current
  • aInsist that the patient attend group sessions to comply with the treatment plan
  • bInform the patient that privileges will be restricted if they don't participate
  • cDocument the patient's non -compliance and wait for their readiness to engage
  • dSpend time with the patient to explore reasons for not wanting to attendCorrect
Rationale

Taking time to understand the patient's perspective demonstrates therapeutic communication and patient -centered care. This approach may reveal u nderlying issues such as anxiety, paranoia, or past negative group experiences that can be addressed individually. Insisting on attendance (option a) or restricting privileges (option b) creates an adversarial relationship and focuses on compliance rather than therapeutic outcomes. Documenting non -compliance and waiting (option c) is passive and misses an opportunity for therapeutic intervention.

Source recency: 2025

A nurse is assessing a patient with anorexia nervosa. Which of the following physical findings would the nurse expect to observe?

Verified current
  • aHypertension
  • bBradycardiaCorrect
  • cElevated bod y temperature
  • dIncreased bowel sounds
Rationale

Bradycardia (heart rate <60 beats/minute) is a common physical finding in patients with anorexia nervosa, resulting from the body's adaptation to conserve energy in response to starvation. Other expected findings include hypotension (not hypertension as in option a), hypothermia (not elevated temperature as in option c), and decreased bowel sounds due to reduced gastrointestinal motility (not increased sounds as in option d). These cardiovascular changes can lead to serious complications including arrhythmias and sudden cardiac death.

Source recency: 2025

A nurse is providing care for a patient who has been diagnosed with schizophrenia. The patient refuses to eat, stating, "The food is poisoned." The most appropriate nursing intervention is to:

Verified current
  • aExplain that the f ood is not poisoned and encourage the patient to eat
  • bAllow the patient's family to bring food from home
  • cOffer to eat a small portion of the food to demonstrate it is safeCorrect
  • dDocument the refusal and notify the healthcare provider
Rationale

For a patient with paranoid delusions about poisoned food, having the nurse eat some food first provides concrete evidence of safety that may help overcome the delusion without directly challenging th e patient's beliefs. This approach acknowledges the patient's concern while modeling reality. Explaining the food isn't poisoned (option a) directly contradicts the delusion and may increase the patient's paranoia. While family food (option b) might be acc epted, it doesn't address the underlying delusion. Simply documenting and notifying (option d) fails to address the patient's nutritional need

Source recency: 2025

The therapeutic communication technique that encourages a patient to elaborate on a topic is:

Verified current
  • aReflecting
  • bAsking why ques tions
  • cGiving advice
  • dUsing open -ended questionsCorrect
Rationale

Open -ended questions encourage patients to elaborate on topics b ecause they cannot be answered with a simple "yes" or "no" and invite patients to share their thoughts and feelings more extensively. Reflecting (option a) involves paraphrasing or restating the patient's message, which may clarify understanding but doesn' t necessarily encourage elaboration. "Why" questions (option b) often make patients feel defensive or imply ================================================================================ [PAGE 338 of 393] ======================================================================

Source recency: 2025

A nurse suspects a patient may be experiencing domestic violence. The most appropriate screening question would be:

Verified current
  • a"Does your partner ever hit you when they get angry?"
  • b"Why do you stay in a relationship that is har mful to you?"
  • c"Do you feel safe in your current relationship?"Correct
  • d"Have you considered leaving your abusive partner?"
Rationale

This question is open -ended, non -judgmental, and focused on the patient's perception of safety, making it the most appropriate screening question for domestic violence. Asking directly about hittin g (option a) may be too specific and confrontational for initial screening. Asking why the patient stays (option b) implies judgment and places blame on the victim. Asking about leaving (option d) assumes abuse has been disclosed and may not be appropriate as an initial screening question.

Source recency: 2025

The nursing intervention most likely to be effective for a patient experiencing delusions is:

Verified current
  • aArguing with the patient about the false belief
  • bValidating the emotional content without reinforcing the delusionCorrect
  • cAgreeing with the delusion to gain th e patient's trust
  • dChallenging the logic of the patient's belief system
Rationale

This approach acknowledges the patient's emotional experience (e.g., fear, suspicion) without validating the false belief, maintaining therapeutic rapport while supporting reality orientation. Arguing with the patient (option a) may damage therapeutic relationship and often strengthens delusional beliefs. Agreeing with the delusion (option c) reinforces false beliefs and is counterproductive to treatment. Challenging the logic ================================================================================ [PAGE 339 of 393] ======================================================================

Source recency: 2025

A family member of a patient with schizophrenia asks about the genetic risk for their children. The nurse's best response would be:

Verified current
  • a"Schizophrenia is directly inherited, so your children will develop the disorder."
  • b"There is no genetic component to schizophrenia; it's ca used by environmental factors."
  • c"Schizophrenia has both genetic and environmental factors, but having a relative with the disorder increases risk."Correct
  • d"You should consider genetic testing before having children to determine their risk."
Rationale

This statement accurately reflects current understanding that schizophrenia has multifactorial etiology with both genetic and environmental components. First -degree relatives of people with schizophrenia have approximately 10% risk (compared t o 1% in general population), but genetics alone don't determine outcome. The statement that schizophrenia is directly inherited (option a) oversimplifies the complex genetic component. Claiming no genetic component (option b) contradicts established eviden ce. Recommending genetic testing (option d) is inappropriate as specific predictive genetic testin

Source recency: 2025

A nurse is developing a care plan for a patient with generalized anxiety disorder. What is the most appropriate nursing diagnosis?

Verified current
  • aIneffective coping related to inadequate psychological resources
  • bAnxiety related to threat to self -conceptCorrect
  • cSocial isolation related to altered thought processes
  • dDisturbed sleep pattern relate d to psychological stress
Rationale

This nursing diagnosis most accurately reflects the core issue in generalized anxiety disorder —persistent, excessive worry and anxiety rel ated to perceived threats to self-concept or well -being. While ineffective coping (option a) may be present, it doesn't specify the primary problem of anxiety. Social isolation (option c) may be a consequence of anxiety but is not the defining feature of g eneralized anxiety disorder. Disturbed sleep (option d) represents a symptom rather than the primary problem for patients with generalized anxiety disorder. =============================================

Source recency: 2025

A nurse is teaching about the stages of grief according to Kubler-Ross. Which is the correct order?

Accuracy reviewed
  • aAnger, denial, bargaining, depression, acceptance
  • bDenial, anger, bargaining, depression, acceptanceCorrect
  • cDenial, bargaining, anger, acceptance, depression
  • dDepression, denial, anger, bargaining, acceptance
Rationale

The Kubler-Ross model of grief has five stages in order: Denial, Anger, Bargaining, Depression, Acceptance (DABDA). Not all patients experience every stage, and the stages are not always linear.

Source recency: 2026

Challenge and research

9 items

Research prompt, investigate at the source. No answer is provided.

The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse’s immediate intervention is the client’s:

Research prompt, investigate at the source
General Nursing
Where to look

NCSBN: Psychosocial Integrity | Topics: General Nursing

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. The most appropriate maintenance goal should focus on which of the following?

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

The spouse of a client admitted to the mental health unit for alcohol withd rawal says to the nurse “I should get out of this bad situation.” The most helpful response by the nurse would be:

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

The nurse determines that the wife of an alcoholic client is benefiting from attending Al-Anon group when she hears the wife say: 45

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

The client has been hospitalized and is participating in a substance abuse therapy group sessions. On discharge, the client has consented to participate in AA community groups. The nurse is monitoring the client’s response to the substance abuse sessions. Which statement by the client best indicates that the client has developed effective coping response styles and has processed information effectively for self use?

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

A hospitalized client with a history of alcohol abuse tells the nurse, “I am leaving now. I have to go. I don’t want anymore treatment. I have things that I have to do right away.” The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client’s concerns with the client, the client dresses and begins to walk out of the hospital room. The most important nursing action is to:

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

What information is important to include in the nutritional counseling of a family with a member who has bipolar disorder?

Research prompt, investigate at the source
Nutrition / Diet
Where to look

NCSBN: Psychosocial Integrity | Topics: Nutrition / Diet

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

In conferring with the treatment team, the nurse should make which of the following recommendations for a client who tells the nurse that everyday thoughts of suicide are present?

Research prompt, investigate at the source
Mental Health / Psych
Where to look

NCSBN: Psychosocial Integrity | Topics: Mental Health / Psych

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

Which of the following short term goals is most appropriate for a client with bipolar disorder who is having difficulty sleeping?

Research prompt, investigate at the source
General Nursing
Where to look

NCSBN: Psychosocial Integrity | Topics: General Nursing

Verify at source

Sources pending verification. Confirm against your current drug reference (Davis, Lippincott, or the manufacturer label) before relying on this in practice.

Source recency: 2014

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