NCLEX : Maintaining Psychosocial Integrity

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Maintaining Psychosocial Integrity

The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Possible Answers:
Areas with lots of people
Areas with lots of needles
Enclosed areas
Wide-open spaces
Correct answer: Wide-open spaces
Explanation: A patient with agoraphobia has a fear of wide-open spaces.

Example Question #1 : Maintaining Psychosocial Integrity

A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
Possible Answers:
The child has not seen a person die before
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
This is a normal reaction
Correct answer: This is a normal reaction
Explanation: This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.

Example Question #1 : Care

When reviewing a client's chart, the nurse sees that the doctor identified that the client is experiencing a situational crisis. An event that could cause this is:
Possible Answers:
Abortion
Child abuse
Rape
Retirement
Correct answer: Abortion
Explanation: Abortion is a common cause of a situational crisis. Retirement may cause a maturation crisis, and child abuse and rape may cause an adventitious crisis.

Example Question #1 : Maintaining Psychosocial Integrity

The nurse is caring for a patient with severe acrophobia. What area of the hospital should the nurse avoid with the patient?
Possible Answers:
Wide-open spaces
Areas with exposed levels, such as balconies
Areas with lots of needles
Enclosed areas
Correct answer: Areas with exposed levels, such as balconies
Explanation: A patient with acrophobia has a fear of heights, thus exposure to exposed levels or other significant drop-offs will scare the patient.
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