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Psychosocial Integrity – Part 3

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Psychosocial Integrity – Part 3

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Question 1 of 25

1. Question

1. The nurse is providing teaching instructions to a group of clients who will have planned orthopedic surgeries next week. She is reviewing methods to reduce the compression of leg veins post-operatively when a client voices concerns of blood clots. Which of the following statements by the client would indicate the need for further teaching?

A. I should avoid crossing my legs.
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B. I should sit for long periods of time so I can rest after my surgery.
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C. I should place a pillow behind my knee.
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D. I should avoid restrictive clothing in my legs.
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Hint

Hint: Remember that prolonged immobility leads to venous stasis and increases DVT risk—early ambulation and leg exercises, not extended sitting, are encouraged post-operatively.
Question 2 of 25

2. Question

2. A nurse is assessing a client diagnosed with a substance use disorder in preparation to be discharged from a rehabilitation facility. Which of the following would be the most effective support system in preventing relapse?

A. Family.
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B. Narcotics Anonymous(NA)/Alcoholic Anonymous (AA) meetings.
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C. Friends.
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D. All of the above.
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Hint

Hint: Consider which option provides structured, ongoing peer support and accountability specifically focused on maintaining sobriety—features shown to reduce relapse risk more than informal relationships alone.
Question 3 of 25

3. Question

3. Which of the following is an example of an opioid?

A. Mescaline.
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B. Diazepam.
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C. Phenobarbital.
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D. Methadone.
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Hint

Hint: Think about drugs used for opioid dependence and potent mu-receptor agonists—this option is a synthetic opioid used for analgesia and maintenance therapy, unlike benzodiazepines, barbiturates, or hallucinogens.
Question 4 of 25

4. Question

4. A 17-year old Asian client is being seen for lower abdominal pain in the right quadrant. The client is accompanied by his parents. The nurse notes that the client’s father does not make eye contact and shows little response when told that the client will need surgery. Which of the following is the most appropriate action of the nurse?

A. Contact an interpreter to give the information again in the father's native language.
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B. Continue to provide information about surgery to both the client and his parents.
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C. Call social services to evaluate the parent's standard of care.
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D. Contact the physician about postponing the surgery.
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Hint

Hint: Consider adolescent client autonomy and family involvement—address the patient directly and provide information to both patient and parents, recognizing that cultural differences in eye contact do not necessarily indicate lack of understanding.
Question 5 of 25

5. Question

5. Which of the following best describes Eye Movement Desensitization and Reprocessing (EMDR)?

A. A client follows the nurse's finger with his eyes until he reaches a hypnotic state.
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B. A client reads a story about a traumatic event and then visualizes the result.
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C. A client focuses on a negative thought in his mind while moving his eyes back and forth.
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D. None of the above.
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Hint

Hint: EMDR involves bilateral stimulation (commonly guided side-to-side eye movements) while the client actively holds a distressing memory or negative belief in mind to facilitate reprocessing and desensitization.
Question 6 of 25

6. Question

6. Which of the following is an example of neurofeedback used with a child diagnosed with reactive attachment disorder (RAD)?

A. Parents or a nurse hold a child close during play until he becomes angry enough to unleash his rage.
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B. Parents give their child a sticker when he behaves appropriately.
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C. A child uses a sand tray to draw shapes and to release stress while talking with a nurse.
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D. A child's brain waves are monitored through electrodes placed on the scalp.
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Hint

Hint: Neurofeedback involves real-time feedback of the child’s brain activity (EEG) using scalp sensors to help train self-regulation, rather than behavioral rewards, play therapy, or exposure to provoke emotions.
Question 7 of 25

7. Question

7. A nurse is using therapeutic techniques to help a client who is having difficulty applying for a job because of panic and anxiety. The nurse pretends to be the job supervisor while the client practices answering questions during an imaginary interview. This technique is an example of:

A. Reinforcement.
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B. Presenting reality.
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C. Role playing.
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D. Summarizing.
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Hint

Hint: This approach involves rehearsing behaviors and responses in a simulated interpersonal situation to build confidence and reduce anxiety through practice.
Question 8 of 25

8. Question

8. Which of the following actions of the nurse is most appropriate when working with a client who is extremely angry?

A. Place a light hand on the client's shoulder to imply understanding.
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B. Maintain close proximity to convey trust.
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C. Temporarily change the subject if the client's behavior is changing.
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D. Close the door to the room to provide privacy.
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Hint

Hint: Consider therapeutic redirection as a de-escalation technique—briefly shifting focus can interrupt escalating emotion and help the client regain composure when their affect is changing.
Question 9 of 25

9. Question

9. Your patient has been diagnosed with a left ankle sprain. On the discharge instructions, the physician has prescribed the RICE protocol. This acronym stands for:

A. Rest, Ice, Compression, Elevation.
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B. Radiology, Ice, Compression, Elevation.
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C. Rest, Ice, Cast, Elevation.
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D. Radiology, Ice, Cast, Elevation.
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Hint

Hint: Think of immediate conservative care for a sprain: the first letter stands for reducing activity, and the C is a method to reduce swelling using a bandage or wrap rather than a diagnostic test or rigid immobilization.
Question 10 of 25

10. Question

10. Which of the following interventions is most appropriate when working with the family of a client who is being treated for substance abuse?

A. Advocate for the client before the family.
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B. Provide referrals for community resources and support groups.
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C. Take the side of the family before the client.
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D. Both b and c.
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Hint

Hint: Prioritize connecting the family and client with community resources and support while maintaining a nonjudgmental, unbiased stance rather than taking sides.
Question 11 of 25

11. Question

11. Which of the following is a nursing intervention for a client who is having an acute panic attack?

A. Encourage the client to sit down in a quiet environment.
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B. Allow the client to direct the situation.
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C. Try to focus the client on one aspect of care, such as regulating breathing patterns.
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D. Speak in a commanding tone of voice to get the client's attention.
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Hint

Hint: During a panic attack, help the client regain control by calmly directing them to a single, simple coping action—often a focus on slow, regulated breathing—to interrupt the escalating physiological response.
Question 12 of 25

12. Question

12. A nurse is assisting a client who has been diagnosed with depression. Which of the following is an example of a short-term outcome as part of the nursing process for this client?

A. Client will verbalize that depression symptoms have lifted.
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B. Client will identify life stressors that may be contributing to depression.
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C. Client's insomnia will be resolved as evidenced by 8 hours of sleep each night.
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D. Client will identify a mental health counselor in the community with whom she can meet for ongoing therapy.
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Hint

Hint: Short-term outcomes are achievable, measurable steps that increase the client’s insight or coping (for example, identifying contributing factors) rather than complete symptom resolution or arranging long-term therapy.
Question 13 of 25

13. Question

13. Which of the following is an example of passive aggression?

A. Clenched fists.
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B. Yelling.
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C. Jealousy.
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D. Intimidation.
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Hint

Hint: Passive aggression involves indirect, subtle expressions of hostility or resentment (e.g., sulking, withholding, or covert emotional responses) rather than overt physical or verbal acts of anger.
Question 14 of 25

14. Question

14. A client is being treated for anxiety and desires to be free from anxious feelings and despair. According to Maslow’s hierarchy of needs, which level does this client need to meet?

A. Physiological.
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B. Safety.
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C. Belonging.
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D. Self esteem.
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Hint

Hint: Think about the Maslow level that addresses psychological security—freedom from fear, anxiety, and sense of stability rather than basic survival, social connection, or esteem needs.
Question 15 of 25

15. Question

15. Which of the following examples indicates that the nurse is giving recognition as a form of therapeutic communication?

A. You need to take your medicine now, Adam.,Jill
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B. your father is trying to make amends with you.
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C. The physician wants to meet with you and your husband, Amy.,Linda
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D. you brushed your hair this morning.
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Hint

Hint: Recognition involves acknowledging a patient’s observable actions or efforts (small accomplishments or changes) to reinforce positive behavior rather than giving advice, interpreting motives, or instructing.
Question 16 of 25

16. Question

16. During her shift at the hospital, a nurse receives a stern reprimand from a physician over something which she had no control. The nurse does not respond. When she returns home that evening, she sees her children’s toys all over the floor, gets mad, and begins to yell at them. Which form of defense mechanism is this nurse using?

A. Symbolization.
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B. Suppression.
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C. Displacement.
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D. Projection.
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Hint

Hint: Think about the defense that involves unconsciously redirecting angry or unacceptable feelings from the real source to a safer, more available target—often someone or something less threatening.
Question 17 of 25

17. Question

17. A client is receiving treatment for delusional behavior. He believes that his neighbor is purposefully poisoning his water system in an attempt to make him sick. Which of the following responses of the nurse is most appropriate?

A. Did you have the water tested to be sure?"
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B. Why do you feel like your neighbor is trying to poison you?"
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C. Let's just sit here and watch this television program."
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D. Don't be silly; your neighbor would do no such thing."
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Hint

Hint: Use a nonjudgmental, open-ended approach to explore the client’s belief and feelings rather than dismissing, arguing, or changing the subject.
Question 18 of 25

18. Question

18. A nurse has applied a cold pack to a client’s arm to help decrease swelling and inflammation after an injury. Which of the following signs indicates that the cold pack should be removed?

A. The skin on the arm appears mottled.
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B. The cold pack has been in place for 10 minutes.
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C. The client complains of feeling nauseated.
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D. The capillary refill in the area distal to the arm is 2 seconds.
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Hint

Hint: Monitor the skin for changes in color or signs of cold injury—mottling, persistent pallor, numbness, or pain indicate compromised circulation and warrant immediate removal of the cold pack.
Question 19 of 25

19. Question

19. A client is undergoing treatment for alcoholism. Twelve hours after his last drink, he develops tremors, increased heart rate, hallucinations, and seizures. Which stage of withdrawal is this client experiencing?

A. Stage 1.
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B. Stage 2.
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C. Stage 3.
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D. Stage 4.
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Hint

Hint: Timing (within the first day) plus tremors, autonomic hyperactivity, hallucinations and seizures point to the severe withdrawal phase—think delirium tremens rather than mild or early withdrawal.
Question 20 of 25

20. Question

20. Which of the following nursing interventions is essential when working with a client who has antisocial personality disorder?

A. Monitor intake and output.
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B. Set strict limits on behavior.
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C. Provide diversion for the client.
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D. Limit visits from family or friends.
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Hint

Hint: Emphasize the need for clear, consistent boundaries and predictable consequences to manage manipulative, impulsive, or aggressive behaviors common in this disorder.
Question 21 of 25

21. Question

21. Which is a true statement regarding stress related disorders?

A. Stress related disorders are only caused by stress.
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B. Symptoms of stress related disorders would not exist if the client was not experiencing stress.
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C. Stress related disorders are also called psychophysiologic disorders.
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D. None of the above.
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Hint

Hint: Think about the mind–body connection term used for conditions where psychological factors produce or exacerbate physical symptoms—this term emphasizes a physiological component, not that stress is the only cause.
Question 22 of 25

22. Question

22. Which of the following nursing outcomes is most appropriate during the crisis stage of caring for a victim of domestic violence?

A. The client will verbalize community resources from which to seek shelter after discharge.
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B. The client will write a plan to keep herself and her children safe.
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C. The client will contact an attorney for help with pressing charges.
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D. The client will be safe and receive treatment for injuries.
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Hint

Hint: In the crisis stage the priority is immediate stabilization—ensure the client’s safety and address urgent physical injuries before focusing on legal or long-term planning.
Question 23 of 25

23. Question

23. Which of the following is a symptom associated with sensory overload?

A. Disorientation.
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B. Drowsiness.
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C. Emotional lability.
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D. Depression.
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Hint

Hint: Consider which sign reflects an acute cognitive/perceptual response to excessive stimulation—look for sudden confusion or altered orientation rather than primarily mood or sleep-related symptoms.
Question 24 of 25

24. Question

24. Which of the following is a true statement about palliative care?

A. The goal of palliative care is to provide end of life care for a client as he transitions toward death.
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B. Palliative care provides comfort and support for those who may have a terminal illness.
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C. Palliative care provides resources for funeral arrangements after death.
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D. Palliative care is a support network for family and friends after the death of a loved one.
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Hint

Hint: Think about care that focuses on symptom relief and quality of life for people with serious illness at any stage, provided alongside curative treatment, rather than services that occur only after death.
Question 25 of 25

25. Question

25. According to the CDC, people in which of the following age groups are most likely to meet the criteria for major depression?

A. 18-24 years.
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B. 25-34 years.
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C. 35-44 years.
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D. 45-64 years.
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Hint

Hint: Consider midlife stressors—such as chronic health problems, caregiving burdens, and major life transitions—which the CDC notes are associated with higher rates of major depression in this age range.

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