PN Domain 7: Psychosocial Integrity (Quiz 1)

You are discussing health issues with a client whose body mass index (BMI) is 31. Which statement by the client indicates the coping mechanism of rationalization?

As you prep a patient for spinal surgery, he says, "I'm worried that this operation will only make my back pain worse." What is the nurse's most appropriate response?

When a healthcare provider is planning care for a patient diagnosed with Alzheimer's disease (AD), which of these interventions is most therapeutic?

A 42-year-old male with AIDS is admitted to the unit with Pneumocystis carinii pneumonia (PCP), an opportunistic infection. The patient tells the nurse that he feels hopeless. What is the most therapeutic action?

Before touching a crying client to offer comfort, the nurse should consider

Two weeks after giving birth, a new mother calls the clinic and reports pronounced fatigue, sadness, and tearfulness. She states, "I feel so overwhelmed, I don't know what to do!" Which of the following questions is most appropriate for the nurse to ask?

You are taking the history of a 14-year-old girl who has a body mass index (BMI) of 18. The girl reports inability to eat, induced vomiting, and severe constipation. Which of the following would you most likely suspect?

When a 32-year-old mother is informed that she has Stage III breast cancer, what is likely to be her initial reaction?

Following extensive bloodwork, a client is informed that she has cancer. She tells the nurse, "I think these results are wrong. I ate lunch before the blood was drawn, so we should test again." The nurse knows the client is using which defense mechanism?

An elderly client with Stage IV lung cancer has a DNR order. When the client's death appears imminent, what is the nurse's most appropriate action?

Which of the following activities can help residents in a nursing home to reminisce?

Shortly after his 5-year-old daughter was hospitalized, a father tells the nurse he's concerned because his daughter has started to suck her thumb again. She had not sucked her thumb in over a year. What is the nurse's most appropriate response?

If a client is experiencing a panic attack, what mental health concept is most appropriate for the nurse to convey to the client?

Which nursing action can help reduce a patient's postoperative pain and anxiety?

While helping a new mother with breastfeeding, the nurse observes something unusual in the neonate. Then the nurse reviews the mother's history and notes "occasional use of alcohol" during pregnancy. Which observation would indicate that the alcohol use was more frequent?

The nurse is caring for a client diagnosed with mild cognitive impairment. Which of the following would be the most effective intervention for this client?

A 78-year-old client with a diagnosis of moderate Alzheimer's disease lives with her 50-year-old daughter and 22-year-old grandson. When the home health nurse visits, which statement by the grandson to the nurse indicates a need for more education about Alzheimer's?

Alcohol, caffeine, and smoking are risk factors for which category?

A 45-year-old man with a traumatic brain injury (TBI) is a resident at a long-term care facility. When his injury causes periods of agitation, what is the most appropriate action?

During an admission intake to the Mental Health Unit, a client tells the nurse that she is Oprah Winfrey. The nurse knows that the client is experiencing

During the admission process of a male to the unit, he tells the nurse he is Jewish. How can the nurse determine if he follows Jewish Orthodox practices?

A 7-year-old girl with a diagnosis of leukemia is admitted for treatment. She asks the nurse, "Am I going to die?" What is the nurse's best response?

The health care team refers a client who has been a victim of domestic violence to a local support group for domestic abuse victims. What is the reason for this referral?

A nurse is working with parents whose newborn daughter has a congenital birth defect. Which psychosocial need for their child is most important for the parents to understand now?

A client was admitted to the Mental Health Unit with a diagnosis of depression. After three days, the client is smiling and happy, telling the nurse, "I feel great! I'm ready to go home now." Based on the client's sudden change in behavior, what should the treatment plan include?