Basic Psychosocial Needs

60 Questions | Total Attempts: 184

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Basic Psychosocial Needs

Human behavior changes with the situation they are faced with and one-person actions have a very huge impact on how those around them react in the same situation. How well do you understand the psychosocial needs of those around you and how to advice others dealing with the issues? Take the quiz below to find out.


Questions and Answers
  • 1. 
    A client has just been diagnosed with terminal cancer and is being transferred to home hospice care. The client's daughter tells the nurse, "I don't know what to say to my mother if she asks me if she's going to die." Which responses by the nurse are appropriate? Select all that apply.
    • A. 

      Don't worry, your mother still has some time left.

    • B. 

      Let's talk about your mother's illness and how it will progress.

    • C. 

      You sound like you have some questions about your mother dying. Let's talk about that.

    • D. 

      Don't worry, hospice will take care of your mother.

    • E. 

      Tell me how you're feeling about your mother dying.

  • 2. 
    A client with acute respiratory distress watches everything the staff does and demands full explanations for all procedures and medications. Which action best indicates that the client has achieved an increased level of psychological comfort?
    • A. 

      Making decreased eye contact

    • B. 

      Asking to see family members

    • C. 

      Joking about his present condition

    • D. 

      Sleeping undisturbed for 3 hours

  • 3. 
    A female client who recently had a colostomy expresses concerns about her sexual relationship with her husband. Which intervention should the nurse implement?
    • A. 

      Discussing the client's concern with her husband

    • B. 

      Referring the client to a psychiatrist

    • C. 

      Inviting a client who has had a similar experience to speak with this client

    • D. 

      Referring the client to a sex therapist

  • 4. 
    A client admitted for treatment of a colon tumor, asks, "Do I have cancer?" Which response by the nurse would be best?
    • A. 

      Most people your age develop some type of colon problem.

    • B. 

      Your physician can discuss this in more detail.

    • C. 

      You sound concerned about what's happening.

    • D. 

      You'll have to have some tests before the physician can rule out cancer.

  • 5. 
    • A. 

      Clarification.

    • B. 

      Reflection.

    • C. 

      Restating.

    • D. 

      Self-disclosure.

  • 6. 
    A nurse is working with the family of a client who has Alzheimer's disease. The nurse notes that the client's spouse is too exhausted to continue providing care alone. The adult children live too far away to provide relief on a weekly basis. Which nursing interventions would be most helpful? Select all that apply.
    • A. 

      Calling a family meeting to tell the absent children that they must participate in helping the client

    • B. 

      Suggesting the spouse seek psychological counseling to help her cope with exhaustion

    • C. 

      Recommending community resources for adult day care and respite care

    • D. 

      Encouraging the spouse to talk about the difficulties involved in caring for a loved one with Alzheimer's disease

    • E. 

      Asking whether friends or church members can help with errands or provide short periods of relief

    • F. 

      Recommending that the client be placed in a long-term care facility

  • 7. 
    After his spouse has visited, a client begins crying and saying that his spouse is a mean person. When the client starts pounding on the overbed table and using incomprehensible language, the nurse feels she can't handle the situation. What should the nurse do at this time?
    • A. 

      Tell the client that his spouse is probably under a lot of stress.

    • B. 

      Instruct the client to stop pounding on the overbed table.

    • C. 

      Call facility security to control the situation.

    • D. 

      Use the call system to request assistance.

  • 8. 
    Which factor should a nurse anticipate having the most influence on the outcome of a crisis situation?
    • A. 

      Age

    • B. 

      Previous coping skills

    • C. 

      Self-esteem

    • D. 

      Perception of the problem

  • 9. 
    A client is admitted with fatigue, anorexia, weight loss, and inability to sleep, which started 1 month after the death of his spouse. Which nursing diagnosis is most appropriate for this client?
    • A. 

      Activity intolerance

    • B. 

      Complicated grieving

    • C. 

      Ineffective role performance

    • D. 

      Impaired physical mobility

  • 10. 
    A registered nurse (RN) is supervising the work of a licensed practical nurse (LPN) who's caring for a client diagnosed with a terminal illness. Which statement by the LPN should be corrected by the RN?
    • A. 

      Some clients write living wills indicating their end-of-life preferences.

    • B. 

      The law says you must write a new living will each time you're admitted to the hospital.

    • C. 

      You could designate someone to make end-of-life decisions when you can't make them yourself.

    • D. 

      Some people tell their physicians they don't want to have cardiopulmonary resuscitation.

  • 11. 
    Family members report exhaustion and difficulty taking care of a dependent client. The client's interests are best served by:
    • A. 

      Asking the client what he wants.

    • B. 

      Encouraging family members to discuss the situation among themselves.

    • C. 

      Telling the family the client should be transferred to a nursing care facility.

    • D. 

      Calling a family conference and asking Social Services for assistance.

  • 12. 
    Elisabeth Kübler-Ross identifies five stages of death and dying. Loss, grief, and intense sadness are symptoms of which stage?
    • A. 

      Denial and isolation

    • B. 

      Depression

    • C. 

      Anger

    • D. 

      Bargaining

  • 13. 
    For a client with a nursing diagnosis of Insomnia, the nurse should use which measure to promote sleep?
    • A. 

      Playing soft or soothing music

    • B. 

      Encouraging the client to be less active during the day

    • C. 

      Serving the client a cup of coffee and a snack in the evening

    • D. 

      Increasing the client's activity 2 hours before bedtime

  • 14. 
    Before preparing a client for surgery, the nurse assists in developing a teaching plan. What is the primary purpose of preoperative teaching?
    • A. 

      To determine whether the client is psychologically ready for surgery

    • B. 

      To express concerns to the client about the surgery

    • C. 

      To reduce the risk of postoperative complications

    • D. 

      To explain the risks associated with the surgery and obtain informed consent

  • 15. 
    An elderly client fractured his hip as a result of a fall at home. Because of his extensive cardiac history and chronic obstructive pulmonary disease, surgery isn't an option. The client tells the nurse he doesn't know how he's going to get better. Which response is best?
    • A. 

      You're doing fine.

    • B. 

      What is your biggest concern right now?

    • C. 

      Give it some time and you'll be OK.

    • D. 

      You don't believe you're doing well?

  • 16. 
    Which change does a nurse demonstrate when she helps a young mother adjust to the birth of her child?
    • A. 

      Unplanned

    • B. 

      Situational

    • C. 

      Maturational

    • D. 

      Physiologic

  • 17. 
    A client in the intensive care unit has a nursing diagnosis of Social isolation. Which action should the nurse include in the care plan?
    • A. 

      Banning personal belongings from the bedside

    • B. 

      Involving the family and the client in planning care

    • C. 

      Providing detailed explanations of the client's conditions and treatment

    • D. 

      Allowing the family to visit only when the client asks to see them

  • 18. 
    During an admission assessment, a nurse asks why a client is being admitted to the facility. The client responds, "The physician found a lump in my prostate gland. I guess I have cancer." Which response by the nurse would be most therapeutic?
    • A. 

      There is no way to know whether you have cancer until the surgeon performs a biopsy.

    • B. 

      It isn't unusual for a man your age to have an enlarged prostate. Try not to worry.

    • C. 

      It's important to keep a positive attitude. There is a good chance you don't have cancer.

    • D. 

      You think you have cancer?

  • 19. 
    When a nurse enters a client's room, the client frowns and states, "I've had my damn light on for 20 minutes. It's about time you got here. I'm sick of this place and the staff." The nurse's best response would be:
    • A. 

      My name is Mary and I'm your nurse for today.

    • B. 

      I'm sorry. I was busy with another client.

    • C. 

      You seem upset this morning.

    • D. 

      You've had your light on for 20 minutes?

  • 20. 
    A client with newly diagnosed breast cancer asks a nurse, "Why me? I've always been a good person. What have I done to deserve this?" Which response by the nurse would be most therapeutic?
    • A. 

      Don't worry. You'll probably live longer than I will.

    • B. 

      I'm sure a cure will be found soon.

    • C. 

      You seem upset. Let's talk about something happy.

    • D. 

      Would you like to talk about this?

  • 21. 
    The Client Self-Determination Act of 1990 requires all hospitals to discuss advance directives with all clients. Which statement by the client demonstrates understanding of advance directives, living wills, and health care power of attorney?
    • A. 

      They guide the client's treatment in certain health care situations.

    • B. 

      They can't provide do-not-resuscitate (DNR) orders for clients with terminal illnesses.

    • C. 

      They allow physicians to make decisions about treatment.

    • D. 

      They permit physicians to give verbal DNR orders.

  • 22. 
    An obese client is admitted to the facility for abusing amphetamines in an attempt to lose weight. Which nursing intervention is appropriate for this client?
    • A. 

      Encouraging the client to suppress his feelings regarding obesity

    • B. 

      Reinforcing the client's concerns about his physical appearance

    • C. 

      Communicating with the client in an abrupt, forceful manner

    • D. 

      Teaching the client alternative ways to lose weight

  • 23. 
    A nurse is caring for a client on a four-medication regimen to treat tuberculosis. The nurse discovers that the client isn't taking all of his medications. What is appropriate for the nurse to say to the client?
    • A. 

      Don't you realize that resistance can develop if you don't take your medications properly?

    • B. 

      You must take your medication as instructed. Do you need supervision?

    • C. 

      Why aren't you taking your medications? Don't you want to get better?

    • D. 

      Taking several medications can be difficult. Tell me about the difficulties you're having.

  • 24. 
    A nurse is caring for a client with advanced cancer. Based on the nursing progress notes below, what should be the nurse's next intervention?
    • A. 

      Reread the Patient's Bill of Rights to the client.

    • B. 

      Call the client's spouse to discuss the client's statements.

    • C. 

      Tell the client that he can receive adequate pain relief only in the hospital.

    • D. 

      Explain that an advance directive can express the client's wishes.

  • 25. 
    During the admission process, an elderly client seems confused. The nurse understands that the client's confusion is most likely related to:
    • A. 

      Depression.

    • B. 

      Altered long-term memory.

    • C. 

      Decreased level of consciousness (LOC).

    • D. 

      Stress of an unfamiliar situation.