NCLEX Psychosocial Integrity Questions

On a psychiatric unit, the preferred milieu environment is BEST described as:

The nurse cares for a client diagnosed with conversion reaction. The nurse identifies the client is utilizing which of the following defense mechanisms?

A 22-year-old patient and her husband come to the ER after a fall down the stairs. The patient has a black eye, avoids looking at the nurse, and gives yes/no answers to the nurse’s assessment questions. Which of the following actions should the nurse take NEXT?

A client comes to the local clinic complaining that sometimes his heart pounds and he has trouble sleeping. The physical exam is normal. The nurse learns that the client has recently started a new job with expanded responsibilities and is worried about succeeding. Which of the following responses by the nurse is BEST?

Which of the following statements to the nurse, made by a patient who will be undergoing hip surgery, indicates a readiness for the procedure?

The nurse observes that a preschooler who was admitted to the unit three days ago has enuresis. His mother is very upset and says, “But he hasn’t done that in years!” Which of the following responses, if made by the nurse to the mother, is MOST appropriate?

The nurse cares for a ninety-two year-old patient whose wife recently passed away. Which of the following statements, if made by the patient to the nurse, requires further investigation?

The nurse works on a medical/surgical unit that has a shift with an unusually high number of admissions, discharges, and call bells ringing. A nurse’s aide, who looks increasingly flustered and overwhelmed with the workload, finally announces “This is impossible! I quit!” and stomps toward the break room. Which of the following statements, if made by the nurse to the nurse’s aide, is BEST?

Which of the following situations on a psychiatric unit are an example of a trusting patient-nurse relationship?

A patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells, “I don’t want to answer any more questions! There are too many voices in this room!” Which of the following assessment questions should the nurse ask NEXT?

A new mother is admitted to the acute psychiatric unit with severe postpartum depression. She is tearful and states, “I don’t know why this happened to me! I was so excited for my baby to come, but now I don’t know!” Which of the following responses by the nurse is MOST therapeutic?

A patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST?

An older patient is scheduled for hip replacement surgery in twelve hours. As the nurse reviews the health history, she notes that the patient has a history of alcoholism. Which of the following actions should be taken to best care for this patient?

The wife of a client with PTSD (post traumatic stress disorder) communicates to the nurse that she is having trouble dealing with her husband’s condition at home. Which of the following suggestions made by the nurse is CORRECT?

The nurse cares for a patient on the psychiatric unit who has been diagnosed with depression. Which of the following statements, if made by the patient to the nurse, would require IMMEDIATE intervention?

The nurse cares for a client diagnosed with bipolar disorder on the psychiatric unit. Which of the following, if noted by the nurse, is an unexpected outcome for this patient?

A patient with postpartum depression is scheduled for discharge today. Which of the following statements by the patient would indicate the postpartum depression has RESOLVED?

A patient has just been told by the physician that she has stage III uterine cancer. The patient says to the nurse, “I don’t know what to do. How do I tell my husband?” and begins to cry. Which of the following responses by the nurse is the MOST therapeutic?

A patient learns that she has uterine fibroids and becomes very upset. The patient asks the nurse, “Will I ever be able to have children? Do I have to get a hysterectomy?” Which of the following responses by the nurse is MOST correct?

The mother of a two-year-old and a four-year-old becomes frustrated and asks the nurse for advice on how to handle time-out situations for her children. Which of the following guidelines, if given by the nurse, is CORRECT?

A nurse is teaching a primipara patient how to correctly breastfeed her infant for the first time. The patient states, “Why is this so hard? I feel like a bad mother already!” Which of the following responses is best?

The nurse cares for a patient whose baby was born with unexpected spina bifida. Which of the following statements is MOST therapeutic to say to the parents?

A patient is admitted in the first trimester of pregnancy with steady cramping, bleeding, and dilation of the cervix to 3 centimeters. The patient looks panicked and says, “Am I going to lose my baby?” Which of the following responses by the nurse is BEST?

In a mental health facility, clients are allowed to eat together in the dining room to promote social interaction. The nurse is caring for a manic client in the seclusion room, and it is time for lunch. Which of the following actions should the nurse take?

A client who has sustained damage to the bladder is being prepared for diagnostic tests. The client asks, “If I have my bladder removed, how will I ever be able to urinate?” The most therapeutic answer by the nurse is?