PN Domain 7: Psychosocial Integrity (Quiz 2)

A child who has been diagnosed with attention deficit disorder (ADHD) will likely display which of the following behaviors?

A hospice nurse is caring for a male client with cancer. He has acute bone pain related to metastases. The best way to assess the client's level of pain is to

After receiving the shift report, the nurse enters the room of a 92-year-old male diagnosed with a cognitive impairment disorder. The nurse asks him what day it is and where he is now. The purpose of this action is to assess for

A client with Stage 3 hypertension has been placed on a low-sodium and low-fat diet. He tells the nurse, "I hate this diet, and I won't stay on it. It's too hard." What is the nurse's BEST response?

A nulliparous woman has a precipitous delivery. The nurse observes that she hesitates to touch her baby and seems unattached to the birth. What is the nurse's most appropriate action?

A client with Stage IV pancreatic cancer is being discharged from the hospital to her home. She tells the nurse that she doesn't want hospice care because her family will take care of her. What is the nurse's best response?

Some clients may exhibit false beliefs not supported by facts or reality. This is known as

A client with Stage IV bone cancer tells the hospice nurse that he is worried about becoming addicted to the amount of opioids needed to control his pain. What is the best way to address the client's concern?

Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint, and respirations are depressed. Intoxication with which of the following drugs could contribute to these clinical signs?

The parents of a 16-year-old girl with celiac disease bring their daughter to the clinic because she is having constant, watery diarrhea. The girl tells the nurse that she ate pizza and a hamburger on a bun at a party the night before. She says, "I want to be like my friends. They can eat anything!" When responding to the teenager, which problem should the nurse prioritize?

A resident with dementia has wandered into another unit. What should the nurse say after finding the resident?

The home health nurse visits a 63-year-old client with a diagnosis of emphysema and finds that the client is smoking. What is the nurse's most appropriate statement?

A mother brings her 5-year-old daughter to the pediatric clinic because the girl has recently started to wet her bed. On questioning the mother, the nurse learns that the mother recently gave birth to a second daughter. The nurse explains to the mother that her older daughter is using which defense mechanism to cope?

A male patient tells his nurse that the CIA is monitoring and recording every movement, and microphones have been planted in the walls of the unit. Which response by the nurse would be the most therapeutic?

While reviewing the medical record of a client diagnosed with Alzheimer's disease, the nurse notes that the client is aphasic. Which behavior supports this finding?

The nurse suggests to a newly diagnosed diabetic that his family attend the clinic's diabetes education classes with the client. The client asks why they should be included. What is the nurse's best response?

A 54-year-old woman scheduled for a mastectomy tells the nurse, "I'm so scared that I won't wake up from the anesthesia." What is the nurse's BEST response?

During a prenatal checkup, a client learns that her baby has died in utero (intrauterine fetal demise). Which response to the situation will require prompt intervention?

A 16-year-old confides in the school nurse that her father is an alcoholic. The nurse knows that growing up in an alcoholic family can affect this teenager in which way?

After an elderly home health client moved in with a family member, the nurse makes a routine visit and notes that the client has large, fresh bruises on the legs and arms. Which observation BEST indicates that the client is a victim of elder abuse?

If a depressed client tells the nurse, "No one cares if I live or die," what is the nurse's most therapeutic response?

A client at a mental health clinic comes to his appointment in tears and tells the nurse that his wife wants a divorce. What is the nurse's BEST response?

For nurses working with elderly clients, which of the following activities is MOST helpful in reminisce therapy?

After a patient in the mental health unit has a verbal dispute with her spouse on the phone, she displays anger at the nurse. Which coping mechanism is the patient likely using?

The home health nurse observes that the client's spouse is suffering from the strain of caregiving. How should the nurse assess the spouse to determine if there is a need for further assistance?