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Holistic Health Inquiry: Psychosocial assessment / Inquiry Questions With Complete Solutions
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Holistic Health Inquiry: Psychosocial assessment / Inquiry Questions With Complete Solutions
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Holistic Health Inquiry: Psychosocial assessment / InquiryQuestions With Complete Solutions
A 16 year old female who is 5 foot, 6 inches (167.6 cm.) tall and
weighs 100 lbs. (45.35 kg.) tells the nurse, "I'm so fat. I need to
exercise more!" What nursing diagnosis is best? Correct
Answer Disturbed body image.
A 65-year-old man who recently retired from 40 years of work
as an independent contractor is scheduled for a physical
examination. The nurse should be concerned about which
comment? Correct Answer "Every day when I get up, it's hard
to find a reason to get out of bed."
A client diagnosed with post-traumatic stress disorder is
admitted to an inpatient psychiatric unit for evaluation and
medication stabilization. Which therapeutic communication
technique used by the nurse is an example of a broad opening?
Correct Answer "What would you like to talk about?"
A client had an angry outburst during a group meeting. After the
group the nurse talks to the client. Which statement is
therapeutic? Correct Answer "During group you raised your
voice, yelled at a peer, left, and slammed the door."
A client has been making sexual comments when
communicating with the nurse. The nurse wants to spend some
time talking to the client while respecting the client's right to
privacy. Which setting would be the most appropriate setting for
the nurse to talk with the client? Correct Answer In a quiet
corner of the dayroom at least 4 feet away from others
,A client has just been informed of a diagnosis of terminal
cancer. The client states, "God has to have mercy on me because
my children need me. He knows I'll change if he gets me
through this." The nurse documents that the client is expressing
signs of which of Kubler-Ross's stages of grief? Correct
Answer Bargaining
A client is able to repeat the values and beliefs of his church
family and says these are the same as his. However, he is
complaining of feeling empty, depressed, and uncertain of the
direction for his own life. Which of the follow difficulties is the
person experiencing? Correct Answer Role confusion
A client is actively involved in activities with family, friends,
and the community. The benefit of involvement in meaningful
daily activities will most directly contribute to which attribute?
Correct Answer Hardiness
A client is admitted to the psychiatric unit and states, "I am
president of the largest corporation in the world. Everyone
comes to me for advice." The nurse knows the client is
exhibiting what? Correct Answer Delusional thinking.
A client is diagnosed with terminal kidney failure. The client's
spouse demonstrates loss and grief behaviors. Which term
accurately describes the spouse's experience? Correct Answer
Anticipatory grief
A client is known to express tangential thinking. The nurse
would assess for which when interacting with the client?
, Correct Answer Wandering off the topic and never answering
the question
A client is supposed to be ambulating ad lib. Instead, the client
refuses to get out of bed, asks for a bed bath, and makes many
demands of the nurses. The client also yells that the nurses are
lazy and incompetent. The client's behavior is an example of
which defense mechanism? Correct Answer Projection
A client reports feeling like the client belongs among peers with
whom the client shares a group home. The nurse incorporates
this sense of belonging when formulating discharge plans
because the nurse understands what? Correct Answer Cient
will likely feel needed by peers
A client says, "It's been so long since I've been with my family."
Which statement by the nurse is an example of restating?
Correct Answer "You say you haven't seen your family in a
while?"
A client tells the nurse the client been dating someone for three
months after finalizing divorce one year ago. According to
Rando (1984), the client is engaging in which grieving task?
Correct Answer re-investing
A client's prognosis is said to be good due to a high degree of
self-efficacy. Which of the following best characterizes self-
efficacy? Correct Answer The client is self-motivated and asks
for help when needed.
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