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Psychosocial Integrity Flashcards

7 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Psychosocial Integrity flashcards as text

  1. A client with anorexia nervosa is on day 3 of nutritional rehabilitation. Which lab result requires the nurse's immediate action?

    Answer: Serum phosphorus 1.8 mg/dL

    Hypophosphatemia is the hallmark of refeeding syndrome and can cause cardiac failure, respiratory failure, and death.

  2. A client taking lithium has a serum level of 2.0 mEq/L and reports vomiting and a coarse hand tremor. What is the nurse's priority action?

    Answer: Hold the next dose and notify the provider

    A level of 2.0 mEq/L with GI symptoms and coarse tremor indicates moderate toxicity, so lithium must be held and the provider notified.

  3. A client prescribed phenelzine selects foods for lunch. Which choice shows a need for more teaching?

    Answer: Salami sandwich with aged cheddar

    Cured meats and aged cheeses are high in tyramine, which can trigger a hypertensive crisis with MAOIs.

  4. A client receiving haloperidol has a temperature of 104°F (40°C), lead-pipe muscle rigidity, diaphoresis, and fluctuating blood pressure. What should the nurse do first?

    Answer: Withhold the antipsychotic and notify the provider

    These findings suggest neuroleptic malignant syndrome, a medical emergency that requires stopping the antipsychotic immediately.

  5. A client with borderline personality disorder praises some staff members and calls others cruel and incompetent. Which intervention is most appropriate?

    Answer: Have all staff consistently enforce the same limits and care plan

    Splitting is best handled by a consistent team approach with clear, uniformly enforced limits.

  6. A client with terminal cancer says, "If I can just live to see my daughter's wedding, I'll be ready to go." Which stage of grief is the client in?

    Answer: Bargaining

    Trying to negotiate more time in exchange for acceptance is typical of the bargaining stage.

  7. A client whose last drink was 60 hours ago is confused, hallucinating, diaphoretic, and has a heart rate of 128. What is the nurse's priority?

    Answer: Give the prescribed benzodiazepine and start seizure precautions

    These signs point to delirium tremens, which requires benzodiazepines and seizure precautions to prevent death.

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