Maintaining Psychosocial Integrity
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NCLEX-PN › Maintaining Psychosocial Integrity
A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
This is a normal reaction
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
The child has not seen a person die before
Explanation
This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.
The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Wide-open spaces
Areas with lots of needles
Areas with lots of people
Enclosed areas
Explanation
A patient with agoraphobia has a fear of wide-open spaces.
When reviewing a client's chart, the nurse sees that the doctor identified that the client is experiencing a situational crisis. An event that could cause this is:
Abortion
Child abuse
Retirement
Rape
Explanation
Abortion is a common cause of a situational crisis. Retirement may cause a maturation crisis, and child abuse and rape may cause an adventitious crisis.
The nurse is caring for a patient with severe acrophobia. What area of the hospital should the nurse avoid with the patient?
Areas with exposed levels, such as balconies
Areas with lots of needles
Wide-open spaces
Enclosed areas
Explanation
A patient with acrophobia has a fear of heights, thus exposure to exposed levels or other significant drop-offs will scare the patient.