Basic Psychosocial Needs

60 Questions | Total Attempts: 600

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Basic Psychosocial Needs - Quiz

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. 
    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

  • 2. 
    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

  • 3. 
    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.

  • 4. 
    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

  • 5. 
    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

  • 6. 
    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?

  • 7. 
    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

  • 8. 
    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

  • 9. 
    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

  • 10. 
    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?

  • 11. 
    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?

  • 12. 
    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?

  • 13. 
    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.

  • 14. 
    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

  • 15. 
    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.

  • 16. 
    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.

  • 17. 
    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.

  • 18. 
    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.

  • 19. 
    A client's friend is visibly distressed by the client's condition and lack of improvement. He says he feels powerless and unable to help his friend. How should the nurse respond?
    • A. 

      Agree with the client's friend.

    • B. 

      Tell the client's friend that there's nothing he can do.

    • C. 

      State that she understands how he must feel.

    • D. 

      Ask the client's friend if he'd like to help with comfort measures.

  • 20. 
    In her first postpartum month, a client has developed mastitis secondary to breast-feeding. Her nurse, a mother who developed and recovered from mastitis after the birth of her third child, says, "I remember the discomfort I had and how quickly it resolved when I began getting treatment." The therapeutic communication the nurse is using is:
    • A. 

      Clarification.

    • B. 

      Reflection.

    • C. 

      Restating.

    • D. 

      Self-disclosure.

  • 21. 
    A nurse is caring for a client who has had an above-the-knee amputation. The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells her that he doesn't wish to discuss it. The client refuses to allow his family to visit. The nursing diagnosis that best describes the client's problem is:
    • A. 

      A nurse is caring for a client who has had an above-the-knee amputation. The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells her that he doesn't wish to discuss it. The client refuses to allow his family to visit. The nursing diagnosis that best describes the client's problem is:

    • B. 

      Powerlessness.

    • C. 

      Disturbed body image.

    • D. 

      Fear.

  • 22. 
    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

  • 23. 
    A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply.
    • A. 

      Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures.

    • B. 

      Respect the client's cultural beliefs.

    • C. 

      Ask the client if he has cultural or religious requirements that should be considered in his care.

    • D. 

      Explain the nurse's beliefs so that the client will understand the differences.

    • E. 

      Understand that all cultures experience pain in the same way.

  • 24. 
    Six months after undergoing a radical modified mastectomy to treat breast cancer, a client is admitted for chemotherapy. When the nurse enters the client's room, the client is sobbing and states, "I thought the chemotherapy would help, but now I feel worse." Which response by the nurse is most therapeutic?
    • A. 

      I'll bring you a sedative to calm you down.

    • B. 

      I'll sit here with you for a while. Would it help you to talk about it?

    • C. 

      Don't worry. I'm sure everything will be OK if you just give it time.

    • D. 

      You probably should have had surgery sooner so the tumor could have been caught earlier.

  • 25. 
    A 74-year-old client has three grown children who have families of their own. The client is retired and looks back on his life with satisfaction. According to Erikson, the nurse assesses that the client is in a stage of:
    • A. 

      Generativity.

    • B. 

      Ego integrity.

    • C. 

      Ego identity.

    • D. 

      Industry.

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