RN Domain 7: Psychosocial Integrity (Quiz 1)

The nurse in a mental health unit is caring for a 15-year-old who was admitted after a suicide attempt. Which of the following factors is MOST likely to contribute to an adolescent's risk of suicide?

A parent brings a 3-year-old to the Emergency Department for a dislocated shoulder. The parent reports that the child fell down the stairs. Which of the following behaviors should raise suspicions that the child may have been abused?

When a healthcare provider is caring for a patient who is having an acute panic attack, which of the following actions by the healthcare provider is most appropriate?

A hospice nurse is caring for a client who is actively dying. The client has been receiving high doses of opioids for pain management. When the client becomes unresponsive to verbal stimuli, what is the nurse's BEST action?

An 82-year-old patient diagnosed with delirium approaches the nurse, worried that she is late for her dental appointment. "I never miss a check-up," she says. Which of the following is the nurse's most appropriate response?

Parents take their 16-year-old daughter to the mental health clinic for treatment of self-harm from cutting. Which of the following statements about Nonsuicidal Self-Injury Disorder (NSSID) is FALSE?

The nurse is educating parents of a 7year-old girl who is about to start chemotherapy. The nurse tells them that their daughter will likely experience alopecia (loss of hair) from the treatment. The best approach for the nurse is to

A client with bipolar disorder, manic phase, says to the nurse, "Hey, beautiful! You're sure looking pretty today." Which is the nurse's best response?

A client with chronic migraine headaches tells the nurse that they are considering acupuncture therapy. The nurse responds, "Acupuncture is weird. No normal person would let someone poke needles into them like that." What behavior or belief is the nurse displaying?

After a client has completed an inpatient treatment program for alcohol addiction, which statement by the client would indicate an understanding of the disease process?

While reviewing the medical record of a patient diagnosed with Alzheimer's disease (AD), the healthcare provider notes that the patient is aphasic. Which behavior supports this finding?

When a new client is admitted to the mental health unit, who should provide the client's history?

A 17-year-old girl has been transported to the Emergency Department by EMS after she was in a motor vehicle accident. She starts to sob inconsolably, telling the nurse, "I just got my license, and I wrecked the car. My parents are going to kill me!" Which should be the nurse's first action?

A client who has experienced chronic neck and back pain is diagnosed with pain disorder and depression. During a clinic appointment, she tells the nurse, "Nothing anyone has done here has helped me." Which of the following statements by the client requires IMMEDIATE intervention?

When a 5-year-old child is hospitalized, the nurse encourages the parents to bring in some of the child's favorite toys. The purpose of this is to

A 4-year-old is admitted for a tonsillectomy and adenoidectomy. The pediatric nurse observes that the parents are reluctant to participate in their child's care. Which of the following might be a reason for their behavior?

When a female presents to the Emergency Department, stating she has been raped, what is the nurse's first priority?

A parent brings their 3-year-old daughter to the pediatric clinic with a fever and cough. While assessing the child, the nurse notes that the girl's genitals are swollen and bruised. The girl also tells the nurse that "it hurts to walk." Which nursing intervention is MOST important?

A patient diagnosed with generalized anxiety disorder (GAD) reports ongoing nausea and abdominal bloating. A physical examination fails to confirm a medical illness to explain these symptoms. The healthcare provider suspects these findings are a result of which of the following?

A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider should anticipate which of these clinical manifestations of opioid withdrawal?

Parents discover their 8-month-old infant in his crib, not breathing. EMS is called to resuscitate, but the baby is pronounced dead on arrival (DOA) at the hospital, with a tentative cause of sudden infant death syndrome (SIDS). What is the nurse's most appropriate action?

A client is in a memory care unit because of advanced dementia. The client's spouse is invited to participate in the team meeting to discuss the client's plan of care. The client has recently started to display agitation, confusion, and aggression in the late afternoon. The spouse and team agree that the best INITIAL action is which of the following?

A provider notifies the inpatient mental health unit that he is admitting a client with a diagnosis of severe anxiety disorder. The client arrives to the unit, crying hysterically. The most appropriate action for the nurse is to

While the nurse is giving a client a bed bath, the client begins to cry. Which of the following nursing interventions is MOST appropriate?

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