RN Psychosocial Integrity NCLEX Questions

Question 1 of 40

The nurse is talking to a group of student nurses about content of thought in clients with schizophrenia. The nurse gives an example of a client stating that her new tooth filling allows her to communicate with the Secret Service and follow their directives. Which response correctly identifies this content of thought?

A. somatic delusion

B. delusion of grandeur

C. delusion of persecution

D. delusion of control or influence

Correct Answer:

Rationale:

Question 2 of 40

A nurse has admitted a client to the mental health unit following an attempted suicide. The client also attempted suicide four months earlier. Which is the best way to ensure client safety?

A. give the client a task to do, such as folding towels, to distract him

B. assign a staff member to remain with the client one-on-one at all times

C. obtain an order for chemical and physical restraints to be used as needed

D. keep the client in the day room around other clients who can help watch the client

Correct Answer:

Rationale:

Question 3 of 40

The nurse is caring for a client whose family brought him to the hospital because they were worried about his personal safety. Which of the following statements by the client during the admission assessment indicates the need for immediate intervention by the nurse?

A. Things are so bad that sometimes I don't know what to do make them better.

B. My family normally supports my goals and helps me when I have a difficult time.

C. I wish that everyone would leave me alone and quit trying to give me advice all the time.

D. I keep a gun in my nightstand and sometimes I fall asleep holding it, trying to decide if I should pull the trigger or not.

Correct Answer:

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Question 4 of 40

The mental health nurse is caring for a client with Cluster B personality disorder. The nurse would expect the client to exhibit which behaviors? Select all that apply.

A. suspicious of others, magical thinking, eccentric behavior, paranoia, relationship deficits

B. preoccupation with rules and details, hoarding, ritualistic behavior, extremely devoted to work

C. easily bored, poor and shallow interpersonal relationships, enjoys being the center of attention

D. impulsivity, unpredictable behavior, extreme mood shifts, easily angered, playing people against each other

Correct Answer:

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Question 5 of 40

The nurse is educating a group of student nurses about perceived loss. The nurse knows that the students understand when one of them verbalizes which example?

A. a single mother loses her job

B. a student fails his college chemistry class

C. a husband is grieving the loss of his wife of 40 years

D. a first-time mother is disappointed that she had a boy instead of a girl

Correct Answer:

Rationale:

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