BASIC PSYCHOSOCIAL NEEDS

1) The 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 also refuses to have his family visit. The nursing diagnosis that best describes the client’s problem is:a) Hopelessnessb) Powerlessnessc) Body image disturbanced) Fear

2) Before preparing the 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 surgeryb) To express concerns to the client about the surgeryc) To reduce the risk of postoperative complicationsd) To explain risks and obtain informed consent

3) A client in the intensive care unit has a nursing diagnosis of Social Isolation. Which action should the nurse include in the plan of care?a) Prohibiting personal belongings at the bedsideb) Involving patient and family in nursing carec) Providing detailed explanations of conditions and treatmentd) Allowing the family to visit only when the client asks to see them

4) 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) Helping the client suppress her feeling regarding obesityb) Reinforcing the client’s concern over physical appearance c) Teaching alternative methods of weight reductiond) Mention the detrimental effects of amphetamines to the body

5) A client exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the clients anxiety?a) “everything will turn out for the best”b) “ Read this manual and ask me any questions you may have”c) “ You can listen to the radio if you like”d) “Let’s talk about whats bothering you.”

6) A 74–year–old client has three srown children who each have families of their own.The client is retired and looks back on his life with satisfaction.According to Erickson,the nurse assesses that the client is in a stage of:a) Generativityb) Ego integrity

c) Ego identityd) Industry

7) A client with an infected abdominal wound must be placed in strict isolation for 10 days. To help meet the client’s emotional needs,what should the nurse do?a) Tell the client that family members and significant others can’t visit but may

telephone anytime.b) Gently explain that the clients movements must be limited while in the isolation

roomc) Describe the reasons for isolation and how it is carried out,and provide

reassuranced) Tell the client to bring whatever personal items are desired into the isolation unit

8) A female clientwho has undergone biopsy asks the nurse,”do you think I have cancer?”what would be the most therapeutic response by the nurse?a) “We don’t know for sure until you have your tests done”b) “Most women your age have some kind of breast problem”c) “Your physician can tell you more about it”d) “You sound concerned of what the doctor might find?”

9) a 49 year old client in acute respiratory distress watches everything the staff does and demandsnfull explanations of procedures and medications. Which of the following actions would best indicate that the client has achieved an increased level of psychological comfort?a) Making decreased eye contactb) Asking to see family membersc) Joking about present conditiond) Sleeping undisturbed for 3 hours

10) A client is admitted with fatigue,anorexia,weight loss , and inability to sleep,which started 1 month after the death of the client’s spouse.Which nursing diagnosis is most appropriate for this client?a) Activity intoleranceb) Dysfunctional grievingc) Altered role performanced) Impaired physical mobility

11) Which of the following factors would have the most influence on the outcome of a crisis situation?a) Ageb) Previous coping skills

c) Self-esteemd) Perception of the problem

12) A female client who recently had colostomy expresses concerns about her sexual relationship with her husband. Which of the following interventions should the nurse implement?a) Discuss the client’s concern with the husbandb) Refer the client to a psychiatristc) Invite a client with a similar experience to speak with the client

d) Refer the client to a sex therapist

13) A client scheduled for cardiac catheterization tells the nurse she is nervous because she has heard of people dying during this procedure.Which response by the nurse would be best?a) “I don’t blame you for being nervous, We all worry sometimes”b) “Don’t worry. You’re in excellent hands”c) “Why do you fewel this way? Do you know someone who had a problem?”d) “You sound relly upset.Would you like to talk about it?”

14) During the initial admission process, a geriatric client seems focused.What is the most probable cause of this clients confusion?a) Depressionb) Altered long term memoryc) Decreased level of consciousnessd) Stress of an unfamiliar situation

15) The nurse is assessing the client for lifestyle factors that might affect normal coping.Which factor would the nurse most likely consider?a) Inadequate dietb) Divorcec) Job promotiond) Adopting a child