NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet
1. Which of the following is an age-related developmental task for a 68-year-old client?
- A. Dealing with loss of friends
- B. Commitment to parenthood
- C. Setting career goals
- D. Solidification of sense of self
Correct answer: A
Rationale: As individuals age, they face various developmental tasks unique to that stage of life. For a 68-year-old client, dealing with the loss of friends becomes a significant aspect of their development. This age group often experiences the passing of peers and friends, leading to feelings of loneliness and the need to adjust to a changing social circle. Commitment to parenthood (Choice B) is more relevant to younger adults in their child-rearing years. Setting career goals (Choice C) is typically associated with early to mid-career stages rather than later in life. Solidification of sense of self (Choice D) is a task that is more commonly associated with earlier adulthood when individuals are establishing their identity. Therefore, the most appropriate developmental task for a 68-year-old client is dealing with the loss of friends.
2. When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?
- A. Place the chair parallel to the bed, with its back toward the head of the bed, and assist the client in moving to the chair.
- B. With the nurse's feet spread apart and knees aligned with the client's knees, stand and pivot the client into the chair.
- C. Assist the client to a standing position by gently lifting upward from underneath the axillae.
- D. Stand beside the client, place the client's arms around the nurse's neck, and gently move the client to the chair.
Correct answer: B
Rationale: Option B is the correct procedure for assisting a client from the bed to a chair. By positioning the nurse's feet apart and aligning the knees with the client's knees, the nurse maintains a stable base of support while pivoting the client into the chair. This technique minimizes the risk of injury to both the nurse and the client. Placing the chair at a 45-degree angle to the bed, with the back of the chair toward the head of the bed, provides a clear path for the client to move. Option C is incorrect because lifting a client under the axillae can potentially cause nerve damage and strain. Option D is also incorrect as it involves an unsafe method of moving the client and can lead to injuries or accidents.
3. When the health care provider diagnoses metastatic cancer and recommends a gastrostomy for an older female client in stable condition, the son tells the nurse that his mother must not be told the reason for the surgery because she 'can't handle' the cancer diagnosis. Which legal principle is the court most likely to uphold regarding this client's right to informed consent?
- A. The family cannot provide the consent required in this situation as the older adult is capable of making decisions.
- B. The son cannot waive informed consent for the client since there is no evidence of mental incompetence.
- C. The court will not allow the health care provider to make the decision to withhold informed consent under therapeutic privilege.
- D. If informed consent is withheld from a client, health care providers could be found guilty of negligence.
Correct answer: D
Rationale: Health care providers may be found guilty of negligence, specifically assault and battery, if they carry out a treatment without the client's consent. The client's condition is stable, so the family cannot provide consent without her involvement, making option A incorrect. There is no evidence of mental incompetence in the client, so the son cannot waive informed consent, making option B incorrect. While therapeutic privilege may have been accepted in the past, it is unlikely to be upheld by today's courts, making option C incorrect. It is crucial for health care providers to obtain informed consent from clients before proceeding with any treatment to avoid legal consequences and uphold ethical standards.
4. Which action should the nurse implement when providing wound care instructions to a client who does not speak English?
- A. Ask an interpreter to provide wound care instructions.
- B. Speak directly to the client, with an interpreter translating.
- C. Request the accompanying family member to translate.
- D. Instruct a bilingual employee to read the instructions.
Correct answer: B
Rationale: When providing wound care instructions to a client who does not speak English, the nurse should speak directly to the client with the assistance of an interpreter for accurate translation. The interpreter is trained to provide objective translations in the client's primary language, ensuring the client understands the instructions and can ask questions. Using family members for translation is discouraged as they may alter instructions or feel uncomfortable discussing certain topics. Instructing a bilingual employee to read the instructions is not ideal as they may lack the necessary training in accurate interpretation, which could lead to misunderstandings in crucial wound care instructions.
5. At a senior citizens meeting, a healthcare professional talks with a client who has Type 1 diabetes mellitus. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity?
- A. ''I give myself insulin injections in my thighs.''
- B. ''Sometimes when I put my shoes on, I don't know where my toes are.''
- C. ''Here are my glucose readings that I noted on my calendar.''
- D. ''If I bathe more than once a week, my skin feels too dry.''
Correct answer: B
Rationale: The correct answer is when the client states, ''Sometimes when I put my shoes on, I don't know where my toes are.'' This statement indicates peripheral neuropathy, which can lead to a lack of sensation in the lower extremities. When clients are unable to feel pressure or pain in their feet, they are at a high risk for skin impairment, such as cuts, wounds, or ulcers. Option A is not directly related to impaired skin integrity, as self-administering insulin in the thighs does not pose a direct risk to skin integrity. Option C shows good glucose monitoring, which is important but does not directly indicate impaired skin integrity. Option D suggests dry skin due to infrequent bathing, which is more related to general skin care and not as predictive of impaired skin integrity as the statement in Option B.
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