Psychosocial Integrity Exam Practice Questions and Answers Updated Graded 100%

Psychosocial Integrity Exam Practice Questions and Answers Updated Graded 100%. 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: Psychosocial Integrity Exam Questions and Answers Latest Update Graded 100% 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. Correct 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, and it is preferred that only healthcare professionals of the same gender touch the body. In this situation, observing the position of the client would indicate that the spiritual needs of the client and family were being met. A nurse is admitting a client diagnosed with posttraumatic stress disorder (PTD) to the mental health unit. The client is confused and disoriented. When developing a plan of care, which of the following would be the priority intervention for this client? Select one: a. Accept and make the client feel safe. b. Explain unit rules to the client. c. Orient the client to the unit. d. Stabilize the client's psychiatric needs. Correct Answer: a. Accept and make the client feel safe. Clients in a mental health unit need to feel accepted and a client that is confused needs to feel safe. Safety is the client's most basic need, making this the priority intervention. The nurse is assessing the family dynamics of a widow with end stage terminal cancer. Which statement made between the adult children would best indicate the need for further teaching? Select one: a. "It does not matter what we think, the living will says 'do not resuscitate'." b. "Since you are the oldest child, you have the responsibility to decide." c. "If daddy were alive, he would be making these hard decisions, not us." d. "The doctors have told us that it is time for us to make some tough decisions." Correct Answer: a. "It does not matter what we think, the living will says 'do not resuscitate'." A client diagnosed with schizophrenia and experiencing frequent auditory hallucinations is admitted to an inpatient psychiatric unit. Which of the following would be the most effective, initial strategy for the nurse to implement? Select one: a. Agree with the client that the voices are audible. b. Explain to the client that the hallucination is not real. c. Ask the client to rest in a quiet area until the voices are gone. d. Ask the client to describe the components of the hallucination. Correct Answer: d. Ask the client to describe the components of the hallucination. Initially, the nurse should try to understand what the voices are saying or telling the client to do. Suicidal or homicidal messages necessitate initiation of safety measures for all members of the healthcare team as well as the client. Once a client describes the hallucination or delusion, do NOT dwell on it. Rather, focus conversation on more reality-based topics. A client expresses to the nurse that her husband is an alcoholic and has trouble keeping a job for longer than three months. Which of the following is the nurse's best response? Select one: a. "Have you tried to contact Al-Anon? I can help if you want." b. "This seems to worry you. May I contact the Hospital Chaplain?" c. "What have you done in the past to help deal with this problem?" d. "I'm so sorry to hear that. Why do you think he drinks?" Correct Answer: c. "What have you done in the past to help deal with this problem?" Providing a broad opening allows the client to elaborate and gives the nurse the opportunity to assess problem-solving and coping skills of the client. A nurse is caring for an adolescent client who is recovering from a traumatic below the knee amputation. The day after surgery, the client refuses to look at or touch the affected leg. Which of the following nursing interventions would be most beneficial to this client? Select one: a. Avoid discussing the amputation until the client initiates conversation. b. Remind the client that full mobility is possible once fitted for a prosthesis. c. Insist that the client participate in bathing and examining his affected leg. d. Gently examine and redress the stump without frowning or grimacing. Correct Answer: d. Gently examine and redress the stump without frowning or grimacing. Avoidance is a common reaction to a body image change resulting from a disfiguring injury. Adolescents may be especially sensitive to disruption of body image, due to their developmental stage. The most beneficial intervention for this client is for the nurse to show acceptance by caring for the stump without nonverbal behaviors that would indicate disgust at the appearance of the injury. A nurse is caring for an adolescent client admitted to the nursing unit three days ago. The client is withdrawn, unwilling to eat, and does not interact with the staff. The nurse correctly understands which of the following would provide the best support for this client? Select one: a. An opportunity to view a popular DVD. b. A visit with a parent. c. A visit with friends from school. d. A call from the client's sibling. Correct Answer: c. A visit with friends from school. Peers are the most important support and influential component of an adolescent's life. According to Erikson, the development stage for this age group is "Identity vs. role confusion" and requires peer relationships and group memberships. During a group therapy session on a psychiatric unit, the nurse leader observes that one of the clients frequently interrupts the session. Which of the following nursing actions is the most appropriate for this situation? Select one: a. Ask the client to speak privately with a nurse after the meeting. b. Discuss this observation during the post-meeting evaluation. c. Tell the client that the interrupting behavior must be discontinued. Correct Answer: a. Ask the client to speak privately with a nurse after the meeting. A client comes to a mental health clinic after experiencing a crisis in which a fire destroyed the client's home and took the life of a child. The client states, "I am unable to work or sleep and don't see how I can go on after this." Which of the following is the priority nursing intervention for this client? Select one: a. Relocate the client to a more supportive environment. b. Help the client return to a pre-crisis level of functioning. c. Assess the client for potential suicidal behavior. d. Enroll the client in a grief counseling program. Correct Answer: c. Assess the client for potential suicidal behavior