Psychosocial Integrity Questions And Answers 2022/2023

A nurse is assessing the health status of an older adult client. Although the client denies a problem, the caregiver explains that the client is alert and oriented but consistently has an unkempt appearance, body odor, and soiled clothing. The nurse understands that the client's behavior is likely related to which of the following? Select one: a. Manifesting typical early symptoms of delirium. b. Experiencing side effects from a medication. c. Restricting activities in response to disease symptoms. d. Exhibiting evidence of asymptomatic pathology. - Answer - c. Restricting activities in response to disease symptoms. During an assessment, an adolescent client whispers to the nurse, "I have to tell you something, but you have to promise you won't tell anyone else." Which of the following is the most appropriate response for the nurse to make? Select one: a. "I cannot make that promise if it affects your or someone else's safety." b. "What is said in this room stays in this room." c. "I am bound by the nurse-client relationship to keep your comments private." d. "I feel that you should share this with your parents first." - Answer - a. "I cannot make that promise if it affects your or someone else's safety." Nurses should not promise what they cannot do. If a client admits to behaviors that are dangerous to self or others, the nurse is obligated to report these behaviors. A nurse is caring for a terminally ill client of the Muslim faith and observes the client to be unconscious and having Cheyne-Stokes respirations. The family has repositioned the bed so that the client is on the right side facing toward the wall. The nurse does not question this action because of which of the following? Select one: a. The religious practice of concealing the face of the dying client should be supported. b. This positioning is preferred for a client with respiratory distress. c. This positioning has religious significance for the client and family. d. The nurse should support the family in their efforts to make the client comfortable. - Answer - c. This positioning has religious significance for the client and family. According to Muslim teachings, it may be comforting to the dying client and family to turn the client on the right side to face Mecca. When death occurs, the body must be kept covered at all times,