RN Psychosocial Integrity 3

Question 1

A nurse is using therapeutic communication with a grieving patient. Which response demonstrates active listening?

Accepted Answer

'Tell me more about what you're experiencing right now.'

Answer

'Everything happens for a reason.'

Answer

'I understand exactly how you feel.'

Answer

'You will feel better in time.'

Question 2

A patient refuses a blood transfusion based on religious beliefs. The nurse should:

Accepted Answer

Document the refusal and honor the patient's decision after confirming informed consent

Answer

Override the refusal because the transfusion is life-saving

Answer

Ask the family to convince the patient to accept the transfusion

Answer

Administer the transfusion while the patient is sleeping

Question 3

Which nursing action best demonstrates cultural humility when caring for a patient from a different cultural background?

Accepted Answer

Asking the patient about their cultural health beliefs and preferences

Answer

Applying standard Western medical protocols without modification

Answer

Assuming the patient's needs based on their ethnic background

Answer

Providing information only in English to ensure accuracy

Question 4

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:

Accepted Answer

Move the patient close to the nurses' station and use bed alarms

Answer

Apply physical wrist restraints

Answer

Administer a sedative medication

Answer

Raise all four side rails

Question 5

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:

Accepted Answer

Provide treatment; minors may consent to STI treatment in most US states

Answer

Refuse to treat the patient without parental consent

Answer

Inform the parents, as the patient is a minor

Answer

Ask the patient to bring a parent before discussing treatment

Question 6

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:

Accepted Answer

Potential relapse or medication non-adherence

Answer

Improvement in symptoms

Answer

A preference for solitary activities

Answer

Side effects of antipsychotic medication causing fatigue