Psychosocial
Integrity
|
Psychosocial Integrity accounts for 6-12 percent of the
questions on the NCLEX-RN® exam. The nursing actions included in
this subcategory are:
| Coping mechanisms |
Counseling techniques |
| Grief and loss |
Mental health concepts |
| Religious/spiritual influences on health |
Sensory/perceptual alterations |
| Situational role changes |
Stress management |
| Support systems |
Therapeutic interactions |
| Unexpected body image changes |
Chemical dependency |
| Behavioral interventions |
Child abuse/neglect |
| Domestic violence |
Psychopathology |
| Therapeutic milieu |
Crisis intervention |
| Elder abuse/neglect |
Sexual abuse |
Typical Questions
The following is an example of a typical psychosocial integrity
question:
A 50-year old male patient comes to the nurse's station and
asks the nurse if he can go to the cafeteria to get something to
eat. When told that his privileges do not include visiting the
cafeteria, the patient becomes verbally abusive. Which of the
following approaches by the nurse would be most effective?
(1) Tell the patient to lower his voice because he is
disturbing the other patients.
(2) Ask the patient what he wants from the cafeteria and have it
delivered to his room.
(3) Calmly but firmly escort the patient back to his room.
(4) Assign a nursing assistant to accompany the patient to the
cafeteria.
The correct answer is (3). The nurse should not reinforce
abusive behavior. Patients need consistent and clearly defined
expectations and limits.
The following is another example of a typical psychosocial
integrity question:
The nurse in a well-child clinic assesses a 4-year old girl
and observes multiple bruises on her back and buttocks. The
parents state they don't know how the girl sustained the injury.
It is most important for the nurse to:
(1) confront the parents about the suspected abuse.
(2) report the suspected abuse to the appropriate
authority.
(3) refer the family to social services for counseling to prevent
abuse.
(4) document suspicions about the abuse in the medical
record.
The correct answer is (2). According to law, all suspected
cases of child abuse must be reported to the appropriate agency
or authority. It is not sufficient to just document the suspected
abuse in the medical record.
Other Client Needs:
