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

Severe malnutrition in anorexia nervosa causes electrolyte imbalances (especially hypokalemia and hypophosphatemia) and refeeding syndrome risk, making cardiac monitoring the physiological priority.

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

Patient safety is the priority; suspected impairment must be reported to a supervisor immediately to remove the impaired nurse from patient care.

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

Benzodiazepines are the pharmacological standard for alcohol withdrawal to prevent progression to seizures and delirium tremens; close monitoring is essential during peak risk (24–72 hours).

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

Splitting is a defense mechanism characteristic of borderline personality disorder in which people are seen as all good or all bad, with no middle ground.

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

Grounding techniques (e.g., 5-4-3-2-1 sensory method) delivered calmly help anchor a patient experiencing a PTSD flashback or hyperarousal response to the present moment.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Psychosocial Integrity 2