Psychosocial Integrity Quiz - Questions, Answers and Explanations

Psychosocial Integrity Quiz - Questions, Answers and Explanations A nurse is admitting a client diagnosed with schizophrenia. In order to establish a therapeutic nurse-client relationship with the client, the nurse's initial actions should include which of the following? Select one: a. Provide confidentiality b. Establish trust c. Maintain consistency d. Develop a contract A priority goal during the first few encounters with a client diagnosed with schizophrenia is to provide an atmosphere in which trust can grow. The nurse is attempting to comfort parents who just experienced the death of their premature infant. The parents are angry and blaming the nurses and doctors for the death of their child. Which of the following is the most appropriate nursing intervention? Select one: a. Provide a more detailed explanation for why their infant passed away. b. Remind the parents that the nurses and doctors did all they could for their infant. c. Refer the parents to grief support group to deal with the loss of their infant. d. Grant time for the parents and family to hold and be with their infant. A client has recently been diagnosed with inoperable lung cancer and has been referred to hospice. The nurse recognizes that the client has successfully dealt with the anticipated outcome of the disease when the client states which of the following? Select one: a. "If I can live, I will never smoke a cigarette again." b. "I plan on planting a vegetable garden next year." c. "I just don't want to talk with anyone right now." d. "I have reviewed my will and advance directives." This statement indicates the client is in the acceptance or coping phase of grieving. An adult is seen in the healthcare provider's office with multiple bruises and lacerations consistent with physical abuse. During the nursing assessment, the client reports that the injuries were intentionally inflicted by the spouse and verbalizes fear that it will happen again. Which of the following statements would indicate that the nurse's initial counseling has been effective? Select one: a. "I will take some money, clothes, and important papers to my parents' home and go there if things start to get bad again." b. "I'll tell my spouse that I have spoken with you and that I have decided we need to start counseling soon as a couple." c. "I'll go home and pack my bag, putting it out in the open so my spouse understands that I'm serious about leaving." d. "The next time the hitting starts, I will tell my spouse to stop immediately or I'll be forced to call the police." All persons experiencing violence should be counseled to develop a safety plan that provides for escape when violence recurs. After the initial counseling session, verbalization of this initial plan is a positive outcome. Necessary items should be pre-positioned at the destination, or packed and put where the perpetrator will not find them. A nurse is preparing to discharge an older adult client to the home of a family member while recovering from hip surgery. Which of the following may negatively affect the client's adjustment to living with family members? Select one: a. The family is actively involved in the discharge plans. b. The family is insisting on maintaining financial control for the client. c. Older clients often recover more quickly when encouraged to interact with family. d. The client is unable to complete all ADLs. While it might be appropriate for family members to assist with financial matters, unless client is declared incompetent there is no need for them to maintain complete control. This may be perceived as very threatening