{"id":1518,"date":"2016-09-08T13:50:04","date_gmt":"2016-09-08T18:50:04","guid":{"rendered":"http:\/\/www.kaptest.com\/blog\/prep\/?p=1518"},"modified":"2023-01-13T22:05:28","modified_gmt":"2023-01-13T22:05:28","slug":"whats-tested-on-the-nclex-psychosocial-integrity","status":"publish","type":"post","link":"https:\/\/wpapp.kaptest.com\/study\/nclex\/whats-tested-on-the-nclex-psychosocial-integrity\/","title":{"rendered":"What&#039;s Tested on the NCLEX: Psychosocial Integrity"},"content":{"rendered":"<p>Psychosocial integrity, along with physiological integrity, is a basic health need for all clients. It is the state of dynamic psychological and sociological homeostasis, which may be affected during periods of stress, illness, or crisis. Any threats to a person\u2019s emotional, mental, and social well-being can disrupt this homeostasis. Any change in adaptive and coping responses may result in counterproductive ways of thinking, communicating, feeling, and acting. When assisting clients with psychosocial needs, you must be able to anticipate, recognize, and analyze these types of responses.<br \/>\nOn the NCLEX-RN\u00ae exam, you can expect approximately 9 percent of the questions to relate to Psychosocial Integrity. This category focuses on promoting and supporting the emotional, mental, and social well-being of clients experiencing stressful events, as well as clients with acute or chronic mental illness.<br \/>\nNursing actions that are covered in this category include:<br \/>\n\u2022Abuse\/neglect<br \/>\n\u2022Behavioral interventions<br \/>\n\u2022Chemical and other dependencies<br \/>\n\u2022Coping mechanisms<br \/>\n\u2022Crisis intervention<br \/>\n\u2022Cultural diversity\/cultural inf luences on health<br \/>\n\u2022End of life care<br \/>\n\u2022Family dynamics<br \/>\n\u2022Grief and loss<br \/>\n\u2022Mental health concepts<br \/>\n\u2022Religious and spiritual influences on health<br \/>\n\u2022Sensory\/perceptual alterations<br \/>\n\u2022Stress management<br \/>\n\u2022Support systems<br \/>\n\u2022Therapeutic communication<br \/>\n\u2022Therapeutic environment<\/p>\n<p><div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-0  el_before_av_iconlist  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >4 Key Principles Tested on the Psychosocial Integrity Section<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<div  class='avia-icon-list-container   avia-builder-el-1  el_after_av_heading  el_before_av_heading '><ul class='avia-icon-list avia-icon-list-left av-iconlist-big avia_animate_when_almost_visible avia-iconlist-animate'>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Psychosocial Support Systems<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>A patient who is emotionally balanced, mentally prepared to cope with illness, and has a support system\u2014whether spiritual or family\/friends\u2014is often better equipped to take on the challenge of illness.<br \/>\nFirst, many patients find peace in having a spiritual affiliation. Believing in and placing hope in a higher power is comforting. In fact, this is so important most hospitals have chaplaincy services that are\u00a0offered to patients in need of support.<br \/>\nSecond, social workers help a patient communicate with their family about life at home and being sick. This becomes especially important when talking about family dynamics, because not all patients want their families involved in their care or even knowing about their illness. They fear they will be a burden to their family, yet they still need someone to talk too. A social consult can help you find a balance you\u2019re comfortable with.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Coping Mechanisms<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Patients can demonstrate feelings of frustration through various coping mechanisms. A patient in denial may refuse to accept a terminal diagnosis and continue to request treatment. Many patients displace their anger, either acting out and behaving rudely to family members or the nurse. Others may compensate or make up for their illness by improving their health in other ways, such as taking additional vitamins or supplements. While others may suppress feelings and choose not to talk about them at all. As a patient ultimately has agency over his\/her own bodies, these methods must be addressed, but respected.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >Grief and Loss<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Denial, anger, bargaining, depression, and acceptance are the five emotions recognized throughout the process of grief and loss. Initially, the person may deny the situation and refuse to believe the unfavorable news. After accepting the news, they will likely experience anger about contracting their illness. They can\u00a0then move into bargaining or trying to make a deal. For example, if I am a better person or take better care of myself this will go away. This can\u00a0be followed by depression or sadness as the reality of their situation sets in. Lastly, the person will accept the diagnosis\/situation as it has been presented to them, deciding to make the most of their circumstances moving forward.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<li><div  class='iconlist_icon  avia-font-entypo-fontello'><span class='iconlist-char ' aria-hidden='true' data-av_icon='\ue816' data-av_iconfont='entypo-fontello'><\/span><\/div><article class=\"article-icon-entry \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='iconlist_content_wrap'><header class=\"entry-content-header\"><h4 class='av_iconlist_title iconlist_title   '  itemprop=\"headline\"  >End of Life Care<\/h4><\/header><div class='iconlist_content  '  itemprop=\"text\"  ><p>Nurses help make terminally ill die as comfortably as possible with respect to the wishes predetermined by the dying patient. Completion of advanced directives and health care proxy documentation in advance will ease the end of life process. It is important to ask patients if they have considered filling out such documentation with hospital admission. In addition to this documentation, management of disease throughout palliative care services can be arranged. Palliative care refers to the management of pain during the dying process ensuring as comfortable of an end of life process as possible. Comfort during this process can include pain management, making breathing easier, and relieving feelings of nausea, to name a few.<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><div class='iconlist-timeline'><\/div><\/li>\n<\/ul><\/div><br \/>\n<div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3    avia-builder-el-2  el_after_av_iconlist  el_before_av_promobox  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Psychosocial Integrity Practice Question<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n\t<div   class='av_promobox  avia-button-no   avia-builder-el-3  el_after_av_heading  el_before_av_toggle_container '>\t\t<div class='avia-promocontent'><p>\nA 50-year-old male client comes to the nurses\u2019 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 client becomes verbally abusive. Which of the following approaches by the nurse would be MOST effective?<br \/>\n1.Tell the client to lower his voice, because he is disturbing the other clients.<br \/>\n2.Ask the client what he wants from the cafeteria and have it delivered to his room.<br \/>\n3.Calmly but firmly escort the client back to his room.<br \/>\n4.Assign the nursingassistive personnel (NAP) to accompany the client to the cafeteria.<\/p>\n<\/div><\/div><br \/>\n<div  class=\"togglecontainer   toggle_close_all  avia-builder-el-4  el_after_av_promobox  avia-builder-el-last \" >\n<section class=\"av_toggle_section\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\"  >    <div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  >        <p data-fake-id=\"#toggle-id-1\" class=\"toggler \"  itemprop=\"headline\"    role=\"tab\" tabindex=\"0\" aria-controls=\"toggle-id-1\">Answer<span class=\"toggle_icon\" >        <span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p>        <div id=\"toggle-id-1\" class=\"toggle_wrap \"  >            <div class=\"toggle_content invers-color \"  itemprop=\"text\"   ><p>The correct answer is (3). The nurse should not reinforce abusive behavior. Clients need consistent and clearly defined expectations and limits.<\/p>\n            <\/div>        <\/div>    <\/div><\/section>\n<\/div><\/p>\n<p>You utilize the nursing process (assess, diagnose, plan, implement, and evaluate) to promote a client\u2019s psychosocial integrity by conveying understanding, sensitivity, and compassion to a client who is experiencing stress, illness, or crisis. Promoting a client\u2019s psychosocial integrity is not just for the mental health client, but for all clients. The nursing process respects the client\u2019s autonomy, freedom to make decisions, and involvement in nursing care.<br \/>\nAlthough you need to identify emotional disorders and behaviors that indicate mental illness, a client does not need to be mentally ill for you to include psychosocial integrity in the care plan. You must possess sound knowledge and focused clinical experiences to be prepared to recognize and effectively intervene with any client whose state of dynamic psychological and sociological homeostasis is being threatened\u2014whether or not the client has a mental illness.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Psychosocial integrity, along with physiological integrity, is a basic health need for all clients. It is the state of dynamic psychological and sociological homeostasis, which may be affected during periods of stress, illness, or crisis. Any threats to a person\u2019s emotional, mental, and social well-being can disrupt this homeostasis. Any change in adaptive and coping [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":26993,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[97],"tags":[],"_links":{"self":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1518"}],"collection":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/comments?post=1518"}],"version-history":[{"count":5,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1518\/revisions"}],"predecessor-version":[{"id":42265,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/posts\/1518\/revisions\/42265"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media\/26993"}],"wp:attachment":[{"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/media?parent=1518"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/categories?post=1518"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpapp.kaptest.com\/study\/wp-json\/wp\/v2\/tags?post=1518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}