PSYCHOSOCIAL EXAM REVISION
QUESTIONS AND CORRECT ANSWERS!!
The son of an older adult client who has cognitive impairments approaches the nurse and
says, "I'm so upset. The health care provider says I have 4 days to decide on where my dad
is going to live." The nurse responds to the son's concerns, gives him a list of types of living
arrangements, and discusses the needs, abilities, and limitations of the client. The nurse
should intervene further if the son makes which comment?
"I want the social worker to make this decision so Dad won't blame me."
An older adult has few health problems, performs self-care, plays cards, and talks about
"the good old days." The client wants to make "final" arrangements, such as completing
an advance directive and planning and paying for a funeral and burial. What
interpretation does the nurse make about the client?
The request is age-appropriate and should be honored
When providing care to Aboriginal clients, it may be important for the nurse to elicit help
from the
Spiritual Healer
A woman employed full-time wants to request a leave of absence to care for her father who
is being treated for colon cancer 300 miles (480 km) away. What should the nurse advise
the client to do first?
Contact her employee resources department about policies guiding leaves of absence.
,The hospice nurse is caring for a client who has been diagnosed with terminal cancer. The
client breaks down in tears and shares with the nurse "I should just end it now so my kids
can start moving on with their lives. They will be better off without me. When they come to
visit tomorrow, just tell them I'm not up for visitors." The nurse understands the client is
in which stage of the grief process?
Depression
The nurse enters the non-diabetic client's room shortly after a group of health care
providers has made rounds. The client asks, "Why did the doctor tell the others that I am
not compliant with my diabetes regimen?" The nurse is aware that which ethical principle
has been violated?
Confidentiality
Family members of a dying client have asked for the hospital chaplain's help in having a
member of the clergy come to the patient's bedside to perform Anointing of the Sick. The
nurse who is providing care for the client should recognize that the family is likely
Roman Catholic
A client, age 22, is admitted in a psychotic episode. The client's frequent requests to speak
with the hospital chaplain are interspersed with profanities regarding God and the devil.
The most therapeutic nursing intervention would be to
continue providing safe, effective care and give anti-psychotic medications as ordered to reduce
symptoms of psychosis.
, A nurse has migrated to a different country and started working there. Which factor is
important for effective functioning?
cultural habituation
An older adult client has received a terminal lung cancer diagnosis. The client's adult
children are tearful and afraid to leave their parent's bedside. What type of grieving is this
family most likely experiencing?
Anticipatory
A client is having trouble adjusting to a colostomy surgically created 4 days ago. The nurse
prioritizes which nursing diagnosis?
altered body image
A client reports for a preoperative appointment in preparation for surgery that will change
the client's body from female to male. The client, who was born biologically female, has
expressed to the nurse and physician the wish to have been born with the body of a man.
What identity is the client demonstrating?
transsexual
A client is admitted with glomerulonephritis. Which psychosocial problems could likely
affect this client?
anxiety related to poorly functioning kidneys and body image disturbance
A client is 36 weeks' gestation and has been admitted to the antenatal unit for gestational
hypertension. The client states that she is alone because she has recently moved from
another country, and she begins to cry. What is the best response by the nurse?
QUESTIONS AND CORRECT ANSWERS!!
The son of an older adult client who has cognitive impairments approaches the nurse and
says, "I'm so upset. The health care provider says I have 4 days to decide on where my dad
is going to live." The nurse responds to the son's concerns, gives him a list of types of living
arrangements, and discusses the needs, abilities, and limitations of the client. The nurse
should intervene further if the son makes which comment?
"I want the social worker to make this decision so Dad won't blame me."
An older adult has few health problems, performs self-care, plays cards, and talks about
"the good old days." The client wants to make "final" arrangements, such as completing
an advance directive and planning and paying for a funeral and burial. What
interpretation does the nurse make about the client?
The request is age-appropriate and should be honored
When providing care to Aboriginal clients, it may be important for the nurse to elicit help
from the
Spiritual Healer
A woman employed full-time wants to request a leave of absence to care for her father who
is being treated for colon cancer 300 miles (480 km) away. What should the nurse advise
the client to do first?
Contact her employee resources department about policies guiding leaves of absence.
,The hospice nurse is caring for a client who has been diagnosed with terminal cancer. The
client breaks down in tears and shares with the nurse "I should just end it now so my kids
can start moving on with their lives. They will be better off without me. When they come to
visit tomorrow, just tell them I'm not up for visitors." The nurse understands the client is
in which stage of the grief process?
Depression
The nurse enters the non-diabetic client's room shortly after a group of health care
providers has made rounds. The client asks, "Why did the doctor tell the others that I am
not compliant with my diabetes regimen?" The nurse is aware that which ethical principle
has been violated?
Confidentiality
Family members of a dying client have asked for the hospital chaplain's help in having a
member of the clergy come to the patient's bedside to perform Anointing of the Sick. The
nurse who is providing care for the client should recognize that the family is likely
Roman Catholic
A client, age 22, is admitted in a psychotic episode. The client's frequent requests to speak
with the hospital chaplain are interspersed with profanities regarding God and the devil.
The most therapeutic nursing intervention would be to
continue providing safe, effective care and give anti-psychotic medications as ordered to reduce
symptoms of psychosis.
, A nurse has migrated to a different country and started working there. Which factor is
important for effective functioning?
cultural habituation
An older adult client has received a terminal lung cancer diagnosis. The client's adult
children are tearful and afraid to leave their parent's bedside. What type of grieving is this
family most likely experiencing?
Anticipatory
A client is having trouble adjusting to a colostomy surgically created 4 days ago. The nurse
prioritizes which nursing diagnosis?
altered body image
A client reports for a preoperative appointment in preparation for surgery that will change
the client's body from female to male. The client, who was born biologically female, has
expressed to the nurse and physician the wish to have been born with the body of a man.
What identity is the client demonstrating?
transsexual
A client is admitted with glomerulonephritis. Which psychosocial problems could likely
affect this client?
anxiety related to poorly functioning kidneys and body image disturbance
A client is 36 weeks' gestation and has been admitted to the antenatal unit for gestational
hypertension. The client states that she is alone because she has recently moved from
another country, and she begins to cry. What is the best response by the nurse?
