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Psychosocial Integrity Flashcards

Strengthen your preparation for the NCLEX RN®/PN® with flashcards focused on mental health, coping mechanisms, stress management, and therapeutic communication. Review psychiatric disorders, crisis intervention, substance use, grief, abuse, and end-of-life care. These cards help you recognize patient needs, support safe environments, and apply psychosocial principles to clinical judgment.

Part 1

[{"q":"Biggest problem in abuse?","a":"Denial (applies to all abuse)."},{"q":"Treat denial by?","a":"Confrontation."},{"q":"How to confront?","a":"Point out the difference between words and actions."},{"q":"Only time to support denial?","a":"Loss & Grief."},{"q":"Dependency is?","a":"Abuser gets significant other to make decisions\/do things."},{"q":"Codependency is?","a":"Significant other gains self-esteem from helping the abuser."},{"q":"Treat dependency\/codependency?","a":"Set limits, enforce, and build the significant other’s self-esteem."},{"q":"Manipulation is?","a":"Abuser gets significant other to do harmful things for them."},{"q":"Treat manipulation?","a":"Set limits, enforce."},{"q":"Why is manipulation easier to treat?","a":"People hate being manipulated."},{"q":"Are AWS patients dangerous?","a":"No."},{"q":"Are DT patients dangerous?","a":"Yes."},{"q":"Delusion is?","a":"False fixed belief (no sensory)."},{"q":"Types of delusions?","a":"Paranoid \/ Grandiose \/ Somatic."},{"q":"Paranoid delusion?","a":"Others are out to harm you."},{"q":"Grandiose delusion?","a":"Superior identity (God, Pope)."},{"q":"Somatic delusion?","a":"False belief about the body (e.g. X-ray vision)."},{"q":"Types of hallucinations?","a":"Auditory \/ Visual \/ Tactile \/ Olfactory \/ Gustatory."},{"q":"Illusion is?","a":"Misinterpretation of reality (sensory)."},{"q":"Difference hallucination vs illusion?","a":"Illusion has a referent from reality."},{"q":"Functional psychosis types?","a":"Schizophrenia \/ Schizoaffective \/ Major depression \/ Mania."},{"q":"Manage functional psychosis delusion\/illusion?","a":"Acknowledge feelings → Present reality → Set limits → Enforce."},{"q":"Psychosis of dementia examples?","a":"Alzheimer’s \/ Dementia \/ Organic brain syndrome \/ Wernicke’s \/ Senility."},{"q":"Manage dementia psychosis?","a":"Acknowledge & redirect."},{"q":"Flight of ideas?","a":"Rapid topic change (word association)."},{"q":"Word salad?","a":"Random unrelated words."},{"q":"Neologism?","a":"New made-up words."},{"q":"Narrowed self-concept?","a":"Refusal to leave\/dress (don’t force)."},{"q":"Ideas of reference?","a":"Think everything is about them."},{"q":"Nevus\/Nevi is?","a":"Birthmark."},{"q":"Piaget stage 0–2 years?","a":"Sensorimotor."},{"q":"Piaget stage 3–6 years?","a":"Pre-operational."},{"q":"Piaget stage 7–11 years?","a":"Concrete operational."},{"q":"Piaget stage 12–15 years?","a":"Formal operational."},{"q":"Sensorimotor stage is characterized by?","a":"Present-oriented, focused on what they sense\/do now."},{"q":"Pre-operational stage is characterized by?","a":"Fantasy-oriented, illogical, no rules."},{"q":"Concrete operational stage is characterized by?","a":"Rule-oriented, cannot abstract."},{"q":"At what Piaget stage can you teach skills (e.g., insulin draw-up)?","a":"Concrete operational."},{"q":"Formal operational stage can be taught like?","a":"An adult."},{"q":"For Peds, when in doubt call it?","a":"Normal."},{"q":"For Peds, when in doubt pick?","a":"The older child."},{"q":"For Peds, when in doubt pick the?","a":"Easier task."},{"q":"Empathy questions have what?","a":"Quote in question + quote in answer."},{"q":"In Psych empathy questions, choose what?","a":"Feelings (not words)."}]

Part 2

[{"q":"Describe their level of consciousness.","a":"Disoriented."},{"q":"Why did I tell you when you are taking care of a restless patient to think hypoxia first?","a":"Because restlessness is the first sign of hypoxia."},{"q":"When someone is hysterical, why can they go into respiratory alkalosis?","a":"Because they are hyperventilating (blowing off CO2)."},{"q":"Why is the patient in pulmonary edema restless and anxious?","a":"Hypoxia"},{"q":"When jaundice gets to the skin, what is one of the major nursing diagnoses?","a":"Alteration in skin integrity"},{"q":"Why does the patient with ulcerative colitis or Crohn’s disease possibly need psychotherapy?","a":"Many believe that there might be an emotional basis to these diseases."},{"q":"Why is the client with depression irritable?","a":"due to decreased because serotonin is a mood elevator"},{"q":"Why do we want to prevent isolation when a person is depressed?","a":"the depressed person likes to be alone but interacting with others actually makes the client feel better even if they don’t want to do it"},{"q":"Why as depression lifts does the suicide risk go up?","a":"it goes up because they now have the energy to go ahead and complete the task"},{"q":"How do you respond to a client’s delusion of grandeur?","a":"you let them know that you accept they need the belief but you do not believe it"},{"q":"Why does the manic client like to dress seductively?","a":"attention getting mechanism and they have no inhibitions"},{"q":"What is the reason a manic client likes to manipulate?","a":"manipulation makes them feel secure and powerful so you have to set limits and the staff must be consistent"},{"q":"Why do you not want to argue with or try to reason with the manic client?","a":"it will increase their anxiety level"},{"q":"What is an example of inappropriate affect in the schizophrenia client?","a":"laughing and smiling while talking about their mother who died a tragic death"},{"q":"How does the nurse respond to the schizophrenia client’s neologism?","a":"always seek clarification. You say “I don’t understand”"},{"q":"What is the most important thing to remember with a suicidal client?","a":"to provide a safe environment. We need to safe proof the room"},{"q":"If you use restraints for a suicidal client what must you do?","a":"check q15min and don’t forget hydration, nutrition and elimination"},{"q":"What is most important in the treatment of paranoia?","a":"be reliable. If you say you will do something you must do it. The #1 thing you’re trying to build is trust"},{"q":"Why does the highly anxious client need step-by-step instructions?","a":"because they cannot make decisions"},{"q":"Why do we include time in the schedule for rituals with an obsessive compulsive disorder client?","a":"their anxiety levele goes up If they cant perform this ritual"},{"q":"Why does the alcoholic have trouble with losing their magnesium and potassium?","a":"alcohol makes you diurese. And the 2 electrolytes you lose when you diurese are mg and k"},{"q":"Why would you observe the bulimic client for one hour after they have eaten a meal?","a":"to make sure they don’t go and throw up"},{"q":"Explain the reason follow up is the key to successful treatment of a phobia?","a":"it takes a while to desensitize someone. The anxiety presents itself as a phobia"},{"q":"How can the client with panic attacks learn to stop their anxiety?","a":"they must first learn how their anxiety feels when it starts to come on. That’s the first thing they have to do is learn how it feels in the early stages."},{"q":"Why do you warn a hallucinating client before you touch them?","a":"if you touch them without saying something first it could scare them. When they get scared they can get violent"},{"q":"Why do you give atropine pre procedure for electro-convulsive therapy?","a":"so they wont aspirate. To dry up secretions"}]

Psychosocial Integrity – Maternal Emotions, Family Adaptation, and Postpartum Support

[{"q":"What is postpartum blues?","a":"Postpartum blues are mild mood swings, tearfulness, and irritability that appear a few days after delivery and usually resolve within two weeks without medical treatment."},{"q":"What differentiates postpartum depression from postpartum blues?","a":"Postpartum depression lasts longer than two weeks, causes withdrawal, hopelessness, and may interfere with daily functioning or bonding."},{"q":"What are signs of postpartum psychosis?","a":"Extreme agitation, hallucinations, delusions, and disorganized behavior requiring immediate emergency intervention."},{"q":"What nursing intervention supports a mother experiencing postpartum depression?","a":"Encourage verbal expression of feelings, provide reassurance, and connect her with counseling and family support."},{"q":"What is the nurse’s priority when a patient expresses suicidal thoughts postpartum?","a":"Ensure safety by continuous supervision and notifying mental health professionals immediately."},{"q":"What is an appropriate nursing response to a grieving mother after a stillbirth?","a":"Allow the mother to see and hold the baby if desired, provide privacy, and support expression of grief without rushing the process."},{"q":"Why should parents be allowed to hold their stillborn infant?","a":"It helps with emotional closure, acceptance, and facilitates healthy grieving."},{"q":"What is anticipatory grief?","a":"Emotional preparation and mourning before an expected loss, such as terminal illness."},{"q":"What communication approach should be used with a grieving family?","a":"Use active listening, empathy, silence, and avoid clichés like “It was meant to be.”"},{"q":"What is the nurse’s role in end-of-life care?","a":"Provide comfort measures, ensure dignity, and support emotional, spiritual, and physical needs of both patient and family."},{"q":"What are signs of impending death?","a":"Decreased blood pressure, irregular breathing (Cheyne–Stokes), cold extremities, and decreased consciousness."},{"q":"What is the nurse’s role after a patient’s death?","a":"Provide postmortem care, respect cultural or religious practices, and allow family time with the body."},{"q":"What does palliative care focus on?","a":"Relieving symptoms and improving quality of life for patients with life-limiting illnesses."},{"q":"What is the goal of hospice care?","a":"To provide comfort and support to terminally ill patients and their families rather than curative treatment."},{"q":"How can nurses promote therapeutic communication?","a":"Maintain eye contact, listen attentively, use open-ended questions, and avoid giving false reassurance."},{"q":"What is the best response when a patient expresses fear about death?","a":"Encourage the patient to talk openly about their fears and listen without judgment."},{"q":"What is the purpose of a therapeutic relationship?","a":"To establish trust and rapport that facilitates healing and emotional support."},{"q":"What are characteristics of effective therapeutic communication?","a":"Empathy, respect, active listening, and appropriate use of silence."},{"q":"How should a nurse respond when a patient cries during assessment?","a":"Pause the interview, offer tissues, and allow the patient time to express feelings without interruption."},{"q":"What communication technique enhances patient understanding?","a":"Restating and clarifying the patient’s statements to ensure accuracy and show active listening."},{"q":"What is the nurse’s best action when a patient refuses treatment?","a":"Respect the decision, assess understanding of consequences, and document the refusal accurately."},{"q":"What nursing approach supports family coping with chronic illness?","a":"Provide education, identify support systems, and involve family in care planning."},{"q":"What is caregiver role strain?","a":"Physical, emotional, and financial stress experienced by individuals providing long-term care to loved ones."},{"q":"How can nurses assist caregivers under stress?","a":"Encourage respite care, stress management techniques, and use of community resources."},{"q":"What is the nurse’s role when caring for an anxious patient?","a":"Remain calm, speak softly, provide reassurance, and encourage slow breathing."},{"q":"What are common physical signs of anxiety?","a":"Restlessness, rapid heartbeat, sweating, tremors, and shortness of breath."},{"q":"What is the best nursing intervention for a patient in crisis?","a":"Stay with the patient, ensure safety, and help prioritize immediate needs."},{"q":"What is the purpose of stress management in nursing care?","a":"To help patients develop coping mechanisms and reduce physiological tension."},{"q":"What is a defense mechanism in psychology?","a":"An unconscious coping method used to protect oneself from anxiety or emotional pain."},{"q":"What is denial as a defense mechanism?","a":"Refusal to accept reality or facts, acting as if a painful event or situation does not exist."}]

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Psychosocial Integrity Flashcards

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Psychosocial Integrity – Maternal Emotions, Family Adaptation, and Postpartum Support

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