Psychosocial Integrity Flashcards
6 cards from real RN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Psychosocial Integrity flashcards as text
A nurse is using therapeutic communication with a grieving patient. Which response demonstrates active listening?
Answer: 'Tell me more about what you're experiencing right now.'
Open-ended statements invite the patient to elaborate and demonstrate genuine interest in their experience, which is the hallmark of active listening.
A patient refuses a blood transfusion based on religious beliefs. The nurse should:
Answer: Document the refusal and honor the patient's decision after confirming informed consent
Competent adults have the legal and ethical right to refuse treatment regardless of medical consequences; the nurse must document, confirm understanding, and respect the decision.
Which nursing action best demonstrates cultural humility when caring for a patient from a different cultural background?
Answer: Asking the patient about their cultural health beliefs and preferences
Cultural humility requires asking about individual beliefs and preferences rather than making assumptions based on ethnicity or applying a one-size-fits-all approach.
A patient with dementia is repeatedly trying to get out of bed and is at high fall risk. The nurse's least restrictive initial intervention is:
Answer: Move the patient close to the nurses' station and use bed alarms
The least-restrictive approach—proximity to staff and bed alarms—allows observation and rapid response without restraints, which can increase agitation and injury in patients with dementia.
A 16-year-old patient is seeking treatment for a sexually transmitted infection and asks the nurse to keep the visit confidential from their parents. The nurse should:
Answer: Provide treatment; minors may consent to STI treatment in most US states
Most US states grant minors the right to consent to diagnosis and treatment of STIs without parental notification to encourage treatment-seeking behavior.
A nurse observes that a patient with schizophrenia has been isolating themselves in their room and stopped attending group activities. This change in behavior most likely indicates:
Answer: Potential relapse or medication non-adherence
Social withdrawal and decreased participation are early warning signs of psychiatric relapse or medication non-adherence in patients with schizophrenia and require immediate assessment.