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

Open-ended statements invite the patient to elaborate and demonstrate genuine interest in their experience, which is the hallmark of active listening.

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

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.

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

Cultural humility requires asking about individual beliefs and preferences rather than making assumptions based on ethnicity or applying a one-size-fits-all approach.

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

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.

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

Most US states grant minors the right to consent to diagnosis and treatment of STIs without parental notification to encourage treatment-seeking behavior.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Psychosocial Integrity 3