NCLEX Psychosocial Integrity Questions

Which of the following is an example of intrapersonal conflict?

Which of the following clients is most likely ready to be dismissed from an inpatient care setting to home?

Which of the following is a function of risk management?

Who is the center of care?

Which of the following is an example of libel?

You are taking care of 7 patients today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care is the lowest in terms of priority?

The purpose of performing quality control is to:

Marie is a 29-year-old nurse who had been admitted to the hospital after a near-drowning in which she suffered cardiac arrest and hypoxic encephalopathy. She has been stabilized and has a tracheostomy to room air. She has been on the general floor for several weeks, is in a persistent vegetative state, and has a very poor prognosis for any improvement in her neurological status. Monica had previously signed a living will, which indicated that she did not wish to receive enteral feedings to be kept alive if she had a terminal condition or was in a persistent vegetative state from other causes. Her parents have decided to move her to the hospice unit and have given permission for removal of her feeding tube. The patient care technician who has been caring for Monica is very distressed over this decision and feels that the parents are "killing" her. What would be an appropriate initial response?

You are taking care of 5 patients today. One of your patients wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?

One major difference between long term care and respite centers is the fact that long term care facilities:

Your elderly patient has a temperature of 98.5 degrees. Is there anything else that a nurse should do, in addition to documenting this temperature?

Decide which of the following tasks may be delegated to unlicensed assistive personnel.

The abbreviation ac is defined as _____________.

You are caring for Mr. Charles Y. You see a notation on the nursing care plan that states, "remind the patient to use the incentive spirometer tid". This patient will be reminded at which of the following times?

A case manager is planning a discharge for a patient after being admitted to the hospital for an exacerbation of COPD. What information would be a priority in identifying the home care needs for the patient?

You are working as a valued member of the team on your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?

Which is NOT an acceptable abbreviation?

A new nursing unit is opening in the hospital. In order to meet the staffing needs of the unit, nurses from other areas will be moved and required to work in the new area. When notifying the nurses chosen to staff this area, the nurse manager states "you will either move to work on this unit or you will no longer be employed at this hospital." Which of the following strategies is this nurse manager using?

A woman has died as a result of a motor vehicle accident. She is listed as an organ donor and her family is considering whether to comply with her wishes. Which of the following is true?

Who should be members of a patient care conference?

An 18 year old female is admitted to the emergency room complaining of abdominal pain, nausea, and vomiting. Lab results indicated an elevation in alkaline phosphatase, bilirubin and a positive HCG. The patient's parents are at the bedside. Which of the following actions, if taken by a nurse, would signify that the nurse is acting as a patient advocate?

A group of nurses who work on the quality assurance council of a unit have gathered to discuss ideas about how to educate their coworkers about Joint Commission requirements. Each of the nurses gives ideas, which are listed together without initially criticizing any of the suggestions. Eventually, all ideas on the list will be discussed as to their validity. This activity is known as:

An assisted living facility is an example of which type of healthcare provider?

Choose the BEST answer. To ensure adequate protection for legal issues, offices should maintain patients' charts for:

Who of the following wrote a medical code of ethics?

The discharge planning team is discussing plans for the dismissal of a 16-year old admitted for complications associated with asthma. The client's mother has not participated in any of the discharge planning process, but has stated that she wants to be involved. Which of the following reasons might prohibit this mother from participating in discharge planning?

Examples of preservation of self-integrity include all of the following except:

The case manager is determining the discharge needs of a patient on a medical-surgical floor in an acute care hospital. The patient is a 55 year old male that was admitted to the hospital following a fall at work in which he suffered a left femur fracture. His past medical history includes: CHF, COPD, DMII, and HTN. Which discipline's assessment would be a priority in determining the level of care needs for this patient?

Which of the following is an example of effective time management?

A nurse is caring for a client in the post-anesthesia care unit (PACU). Upon admission, the client is shivering despite having several layers of blankets. What is the next action of the nurse?

After a lengthy explanation of a medical procedure, the patient asks many questions. The physician answers all of the questions to the best of her ability. The patient then gives consent for treatment. The costly equipment and supplies are put into place and the patient is prepared. Two minutes before the procedure is to start, the patient begins panicking and changes her mind. Which of the following situations would be the best way to avoid litigation?

Victor is a 43-year-old patient who is HIV positive with a diagnosis of pneumocystis carinii pneumonia (PCP) who has been admitted to the hospital. His prognosis is very poor, and his partner, Roger, would like to have a ceremony performed in his room to honor their union in case something happens to Victor, who is in agreement. What is the most appropriate response to their request?

You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have _________________.

Another term for "health care proxy" is _______________.

A client is being admitted to the stroke care unit of a rehabilitation center. Which of the following best describes the action of the nurse at admission?

Which of the following is an example of a living will?

Which of the following choices would best answer the question, "Who owns a patient's x-rays?"?

A patient is being discharged from an acute care rehabilitation facility to home following a CVA with left sided hemi-paresis and dysphagia. Which of the following disciplines would the case manager include in the patient's discharge planning meeting?

Which technological advance is MOST likely to place you at risk for HIPPA violations?

A nurse with five years of experience working in a hospital unit is promoted as a mentor and preceptor to a new nursing staff. This is an example of:

If a nurse prevents intentional harm from occurring to a patient, which ethical principle is she supporting?

Richard is a 72-year-old with stage 4 lung cancer who has been admitted to the hospital for pneumonia. He is alert and oriented, and states he would like to sign a do not resuscitate (DNR) order. His wife enters the room after he has signed it and is very upset that he has made this decision without discussing it with her. She wants to know what she can do to get the DNR reversed. What should your first response be?

Teresa is an 84-year-old with stage 4 ovarian cancer who has been admitted for a bowel obstruction. She recently stated that she has decided that she doesn't want any further aggressive care and is requesting to be placed under hospice care. Her husband and daughter are supportive of her decision. She spoke with her oncologist about it, and he stated that he did not agree, and wrote orders on her chart for chemotherapy. What would be the best first response to this situation?

Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?

Which of the following is an example of the intervention phase of the individualized nursing care plan for a client who receives a colostomy after a bowel resection?

You see a sign over Mary Jones' bed when you arrive at 7 am to begin your day shift. The sign says, "NPO". Ms. Jones is on a regular diet. The patient asks for milk and some crackers. You _____________.

The supervising RN asks you to bring the unit's collected lab specimens to the lab "stat". You should ______________.

Which example best describes a nurse who exhibits moral courage?

A 22 year old patient has been declared to have experienced an irreversible cessation of brain activity following a motor vehicle accident. The nurse has the legal obligation to address organ donation with the family. The nurse's priority action at this time would be to:

A "Living Will" is another term for ________________.

Verbal bullying, among school aged children, threatens which of Maslow's needs?

Your patient is concerned about their health insurance and the costs associated with their hospital care. Which of Maslow's needs is your patient expressing?

A physician is explaining a procedure to a patient that may cure her recurring Staph infection. The doctor explains how the procedure is done, what to expect, the odds of the procedure curing the infection, and possible side effects and risks. The physician is:

You are on the unit and overhear another nurse talking on the phone to a patient's friend who wants to see her patient who is comatose and on a ventilator. Since you cared for that patient yesterday, you know that the patient's significant other, who is also the designated health care surrogate (HCS) and has power of attorney (POA), has expressly stated that he wants this person on the list for restricted visitors. The nurse whispers that she'll call him to visit as soon as the significant other has gone home. What should your first response be?

The nurse is gathering necessary materials to change the patient's abdominal dressing at the end of her shift. The nurse is concerned she will not have time to document the dressing change thoroughly and accurately. When should the nurse document the care?

You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The supervising RN identifies 5 patients who get a medication at "HS". When will you give this medication?

Which method is most appropriate for managing moral distress in the workplace?

Physical bullying, among school aged children, threatens which of Maslow's needs?

A staff nurse working on a medical-surgical unit witnesses another nurse reviewing a patient's EMR that she is not assigned. What should the staff nurse do next?

Nursing care plans are