NCLEX Psychosocial Questions

NCLEX Psychosocial Questions Related

Review NCLEX Psychosocial Questions related questions and content

A Hispanic patient complains of abdominal cramping caused by empacho. Which action should the nurse take first?

  • A. Ask the patient what treatments are likely to help
  • B. Massage the patient's abdomen until the pain subsides.
  • C. Administer prescribed medications to decrease the cramping
  • D. Offer to contact a curandero(a) for a visit to the patient
Correct Answer: A

Rationale: When a Hispanic patient presents with abdominal cramping related to empacho, it is crucial for the nurse to first understand the patient's cultural beliefs and preferences before initiating any interventions. In the case of a culture-bound syndrome like empacho, it is essential to acknowledge and respect the patient's cultural background. While options like administering medications, arranging a visit by a curandero(a), or providing massage may have potential benefits, assessing the patient's beliefs ensures that interventions are culturally sensitive and aligned with the patient's values. By engaging the patient in a discussion about potential treatments, the nurse can gather valuable information to tailor care effectively, promoting trust and collaboration in the healthcare process. This patient-centered approach enhances the quality of care and fosters a culturally competent nursing practice. Therefore, asking the patient about preferred treatments is the most appropriate initial action to address the patient's condition effectively.

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A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?

  • A. Trust vs. mistrust
  • B. Initiative vs. guilt
  • C. Autonomy vs. shame and doubt
  • D. Intimacy vs. isolation
Correct Answer: C

Rationale: The correct stage for a toddler who is 26 months old, according to Erik Erikson's stages of psychosocial development, is Autonomy vs. shame and doubt. This stage occurs between 18 months to 3 years of age. During this stage, children are focused on developing a greater sense of control and independence. Choice A, Trust vs. mistrust, is the first stage occurring from birth to 18 months, where infants learn to trust or mistrust their caregivers based on their care. Choice B, Initiative vs. guilt, is the third stage occurring from 3 to 5 years, where children start to assert themselves more. Choice D, Intimacy vs. isolation, is a stage occurring in adulthood, not relevant to a toddler's development.

Which statement regarding an interpreter is correct?

  • A. Relatives or friends of the client cannot serve as interpreters.
  • B. The interpreter should aim to convey meaning rather than provide literal translations.
  • C. Interpreting not only the language but also the culture is important.
  • D. The interpreter should be available only during client-provider communication.
Correct Answer: C

Rationale: The correct answer is that interpreting not only the language but also the culture is important. Health care facilities should provide professional interpreters to ensure accurate communication with clients who do not speak English proficiently. It is crucial for interpreters to understand and convey cultural nuances to prevent misunderstandings. Relatives or friends of the client should not serve as interpreters as they may not be impartial or adequately skilled. Providing literal word-for-word translations is not always effective as it may not capture the intended meaning. Interpreters should be available throughout the client's care process, not just during direct communication, to ensure effective and culturally sensitive care.

Which behavioral characteristic describes the domestic abuser?

  • A. Alcoholic
  • B. Overconfident
  • C. High tolerance for frustrations
  • D. Low self-esteem
Correct Answer: D

Rationale: The correct answer is 'Low self-esteem.' Domestic abusers often exhibit behaviors stemming from their own experiences of abuse, leading to a cycle of violence. They commonly have low self-esteem, which drives their need to exert control and power over their partners. Choice A, 'Alcoholic,' is not a defining behavioral characteristic of domestic abusers. Choice B, 'Overconfident,' is not typically associated with abusers who often exhibit insecurity and control issues. Choice C, 'High tolerance for frustrations,' is not a primary characteristic of domestic abusers; rather, they often have a low tolerance for situations that challenge their need for control.

After a client has a spontaneous abortion at 12 weeks' gestation, the nurse notes that both she and her partner are visibly upset and crying. Which statement would be a therapeutic response?

  • A. 'I'll be here if you want to talk.''
  • B. 'Try to relax"?it'll speed up the healing process.''
  • C. 'With any luck, you'll get pregnant again soon.''
  • D. 'It's best that this happened early rather than having the baby die after it was born.''
Correct Answer: A

Rationale: A therapeutic response in this situation is to offer support and empathy. Saying, 'I'll be here if you want to talk' gives the client and her partner the opportunity to express their emotions and seek comfort. It acknowledges their distress and assures them of the nurse's availability. Choice B, advising to relax to speed up the healing process, dismisses their current emotions and may hinder open communication. Choice C, suggesting getting pregnant again soon, minimizes their grief over the loss and may not be what the couple needs to hear at that moment. Choice D, stating it's best that the miscarriage happened early, is insensitive as it invalidates the couple's feelings of loss and grief. Grieving is a natural process, and the timing of the loss does not diminish its significance.

When performing a cultural assessment with a patient from a different culture, what action should the nurse take first?

  • A. Request an interpreter before interviewing the patient
  • B. Wait until a family member is available to help with the assessment
  • C. Ask the patient about any affiliation with a particular cultural group
  • D. Tell the patient what the nurse already knows about the patient's culture
Correct Answer: B

Rationale: When conducting a cultural assessment, the first step is to inquire if the patient has any affiliation with a specific cultural group. This helps the nurse understand the patient's background and beliefs. Requesting an interpreter before interviewing the patient may be necessary if language barriers exist. Waiting for a family member to assist with the assessment may delay the process and compromise patient confidentiality. Telling the patient what the nurse knows about their culture assumes knowledge and may lead to misunderstandings or inaccuracies.

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