RN Psychosocial Integrity 2

Question 1

A patient with anorexia nervosa is admitted with a BMI of 14. Which nursing action takes priority?

Accepted Answer

Monitor electrolytes and cardiac rhythm

Answer

Encourage the patient to eat three large meals per day

Answer

Arrange family counseling

Answer

Provide education about healthy body image

Question 2

A nurse notices a colleague appears intoxicated at work and smells of alcohol. The most appropriate action is:

Accepted Answer

Report observations to the charge nurse or supervisor immediately

Answer

Cover the colleague's patients for the shift

Answer

Confront the colleague privately and ask them to go home

Answer

Document the observation and report at the end of the shift

Question 3

Which intervention is most appropriate for a patient experiencing alcohol withdrawal on day 2 of hospitalization?

Accepted Answer

Administer scheduled benzodiazepines per protocol and monitor for seizures

Answer

Encourage ambulation and socialization

Answer

Provide high-stimulation activities to distract the patient

Answer

Restrict IV fluids to prevent fluid overload

Question 4

A nurse is caring for a patient with borderline personality disorder who says, 'You are the best nurse here — all the others are terrible.' The nurse recognizes this as:

Accepted Answer

Splitting

Answer

Transference

Answer

Projection

Answer

Reaction formation

Question 5

A patient with post-traumatic stress disorder (PTSD) is startled by a loud noise and begins hyperventilating. The nurse's priority intervention is:

Accepted Answer

Use a calm voice to ground the patient using sensory-based techniques

Answer

Leave the patient alone to self-regulate

Answer

Administer a PRN anxiolytic immediately

Answer

Restrain the patient for safety

Question 6

A patient with bipolar disorder in a manic episode is intrusive, demanding, and has not slept in 3 days. The nurse's priority intervention is:

Accepted Answer

Provide a structured, low-stimulation environment and ensure rest and safety

Answer

Encourage group therapy participation

Answer

Allow the patient to make all care decisions to promote autonomy

Answer

Encourage physical exercise to channel excess energy