RN Psychosocial Integrity

Question 1

A patient newly diagnosed with breast cancer states, 'I can't believe this is happening to me.' The nurse's best therapeutic response is:

Accepted Answer

'This must be very frightening. Would you like to talk about how you're feeling?'

Answer

Acknowledging the patient's fear and inviting open dialogue is the most therapeutic response, demonstrating empathy and patient-centered communication.

Question 2

Which behavior indicates a patient is in the bargaining stage of Kübler-Ross's stages of grief?

Accepted Answer

'If I follow every treatment, maybe I'll see my grandchild born.'

Answer

Bargaining involves making deals or promises in exchange for more time or a change in outcome, as seen in the statement about surviving to witness a grandchild's birth.

Question 3

A patient with schizophrenia tells the nurse, 'The CIA has implanted a chip in my brain to control my thoughts.' The nurse's best response is:

Accepted Answer

'That sounds frightening. I don't share that belief, but I'm here to help you stay safe.'

Answer

The nurse should neither argue with the delusion nor reinforce it, but acknowledge the patient's distress and provide reality orientation while maintaining therapeutic rapport.

Question 4

A patient with major depressive disorder says, 'I've been giving my belongings away and I feel at peace now.' The nurse's priority action is:

Accepted Answer

Conduct an immediate suicide risk assessment

Answer

Giving away possessions and sudden calmness in a depressed patient are high-risk warning signs of suicidal intent requiring immediate safety assessment.

Question 5

When using motivational interviewing to help a patient with alcohol use disorder, which statement best reflects the technique?

Accepted Answer

'What would your life look like if you reduced your alcohol use?'

Answer

Motivational interviewing uses open-ended questions to help patients explore their own motivation for change, evoking internal ambivalence rather than imposing external pressure.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Psychosocial Integrity