RN Psychosocial Integrity

Question 1

A patient newly diagnosed with breast cancer states, 'I can't believe this is happening to me.' The nurse's best therapeutic response is:

Accepted Answer

'This must be very frightening. Would you like to talk about how you're feeling?'

Answer

'Many people survive breast cancer with treatment.'

Answer

'You should stay positive; attitude affects outcomes.'

Answer

'Let me get you some pamphlets about breast cancer.'

Question 2

Which behavior indicates a patient is in the bargaining stage of Kübler-Ross's stages of grief?

Accepted Answer

'If I follow every treatment, maybe I'll see my grandchild born.'

Answer

Refusing to discuss the terminal diagnosis

Answer

Crying and expressing feelings of hopelessness

Answer

Asking questions about hospice care

Question 3

A patient with schizophrenia tells the nurse, 'The CIA has implanted a chip in my brain to control my thoughts.' The nurse's best response is:

Accepted Answer

'That sounds frightening. I don't share that belief, but I'm here to help you stay safe.'

Answer

'That is impossible; there are no chips in your brain.'

Answer

'Tell me more about the CIA and why they would do that.'

Answer

'You need to take your medication so these thoughts will stop.'

Question 4

A patient with major depressive disorder says, 'I've been giving my belongings away and I feel at peace now.' The nurse's priority action is:

Accepted Answer

Conduct an immediate suicide risk assessment

Answer

Praise the patient for achieving inner peace

Answer

Notify social work for discharge planning

Answer

Document the finding and continue monitoring

Question 5

When using motivational interviewing to help a patient with alcohol use disorder, which statement best reflects the technique?

Accepted Answer

'What would your life look like if you reduced your alcohol use?'

Answer

'You need to stop drinking before it kills you.'

Answer

'I'll schedule you for an AA meeting tomorrow.'

Answer

'Your family is very worried about your drinking.'

Question 6

A nurse is caring for a patient who experienced sexual assault. Which statement by the nurse is most therapeutic?

Accepted Answer

'I believe you. What happened was not your fault, and you are safe here.'

Answer

'You should report this to the police right away.'

Answer

'Can you tell me exactly what happened so I can document it accurately?'

Answer

'Were you drinking before the assault occurred?'