Deck 13: Psychosocial Health Illness

Question 1

Which best describes self-esteem?

A) View of oneself as a unique human being
B) One's mental image of one's physical self
C) One's overall view of oneself
D) How well one likes oneself

Answer 1

How well one likes oneself

Question 2

A patient undergoing fertility treatments for the past 9 months learns that despite in-vitro fertilization she still is not pregnant.Which component of self-concept is this patient at risk for experiencing a crisis?

A) Body image
B) Self-esteem
C) Personal identity
D) Role performance

Answer 2

Self-esteem

Question 3

What can the nurse assess using Erik Erikson's theory?

A) Moral development
B) Developmental tasks
C) Social identity
D) Self-esteem

Answer 3

Developmental tasks

Question 4

The nursing diagnosis Disturbed Personal Identity is identified for a newly admitted patient.Which is an example of an individualized goal for this patient?

A) Distorted Thought Control
B) Anxiety Level
C) Self-Mutilation Restraint
D) No Self-Injury,Consistently Demonstrated

Question 5

Which statement best describes self-concept?

A) Understanding of other's perception
B) Evaluation of self
C) Overall view of self
D) Perspective of role in society

Question 6

The nurse is updating a care plan for a patient who has a nursing diagnosis of Anxiety.Which patient behavior might suggest that the problem is resolving?

A) Pacing in the hallway at intervals
B) Using relaxation techniques
C) Speaking rapidly when spoken to
D) Avoiding eye contact

Question 7

Which is considered a strength of the nursing profession?

A) Biomedical focus
B) Psychosocial focus
C) Biopsychosocial focus
D) Physical focus

Question 8

Which individual is most likely to have a positive body image?

A) Child who has been deaf since birth
B) Child who was born with cystic fibrosis
C) Adolescent of average appearance who had an appendectomy
D) Adult born with a spinal defect and associated paralysis of the lower body

Question 9

A patient has recently had a change in a family relationship that is greatly affecting his health.Which nursing diagnosis would be most appropriate for this patient?

A) Parental Role Conflict
B) Interrupted Family Processes
C) Compromised Family Coping
D) Ineffective Coping

Question 10

The nurse is caring for a group of patients on the medical-surgical unit.Which patient situation exemplifies difficulty in adapting to a change in body image?

A) Traumatic amputation of the left leg in an industrial accident
B) Hypothyroidism with coarse,dry,thinning hair and weight gain
C) Recovering from gastric bypass surgery for obesity
D) Recovering from a wound graft for peripheral vascular disease

Question 11

Which statement by the nurse is best when communicating with a patient with clinical depression?

A) "It's a beautiful day today; you'll feel better if you look out the window."
B) "You're having a bad day; I'm sure you'll feel better soon."
C) "Life seems overwhelming at times; would you like to discuss how you're feeling?"
D) "You are very lucky to have such a supportive family."

Question 12

A patient admitted with depression has a nursing diagnosis of Chronic Low Self-Esteem.Which NOC outcome is essential for this nursing diagnosis?

A) Decision Making
B) Distorted Thought Content
C) Role Performance
D) Depression Level

Question 13

A homeless patient is admitted with an infected leg wound.According to Maslow's hierarchy of needs,which nursing intervention meets a basic physiological need?

A) Providing the patient with a dinner tray
B) Administering antibiotics as prescribed
C) Irrigating a wound with normal saline solution
D) Encouraging the patient to express his feelings

Question 14

A 13-year-old patient is admitted to the hospital.There is no medical restriction on visitation.To help maintain the patient's social identity while hospitalized,whom should the nurse encourage to visit?

A) Peers
B) Grandparents
C) Siblings
D) Parents

Question 15

A patient who lost his job last month has now been told that his wife wants a divorce.He says,"I know I don't have much to offer a woman.She wants more than what I am,and now I'm not even bringing home any money." Which nursing diagnosis is most appropriate?

A) Chronic Low Self-Esteem
B) Situational Low Self-Esteem
C) Disturbed Personal Identity
D) Disturbed Body Image

Question 16

A 35-year-old patient with testicular cancer is undergoing chemotherapy,which leaves him unable to help care for his young children.As a result,his spouse misses work whenever the children are ill and has become increasingly distressed over the situation.What is the spouse most likely experiencing?

A) Role strain
B) Interpersonal role conflict
C) Role performance
D) Inter-role conflict

Question 17

Which response by the patient demonstrates an internal locus of control?

A) "My blood sugar wouldn't be out of control if my wife prepared better foods."
B) "I knew I shouldn't have come to this hospital; I'd be better if I hadn't."
C) "God must be getting even with me for my past behavior."
D) "I'm just glad to be alive; the accident could've been a lot worse."

Question 18

A 17-year-old patient sustained facial fractures and a 6-inch laceration on the left side of her face in a motor vehicle accident.The patient tells the nurse that she does not want anyone to see her "looking this way." Which statement by the nurse is most appropriate?

A) "Tell me what you mean by 'looking this way.'"
B) "Okay,I'll restrict your visitors until your face heals."
C) "Your friends and family love you no matter what."
D) "You're young; your face will heal quickly."

Question 19

The nurse is updating the care plan of a patient who must undergo a right mastectomy for breast cancer.Which nursing diagnosis should the nurse anticipate in expectation of the body changes associated with the upcoming surgery?

A) Deficient Knowledge
B) Impaired Comfort
C) Hopelessness
D) Grieving

Question 20

Which nursing diagnosis is categorized as a psychosocial,rather than a self-concept,diagnosis?

A) Ineffective Coping
B) Situational Low Self-Esteem
C) Disturbed Personal Identity
D) Disturbed Body Image

Question 21

An older client requires an extended hospital stay to treat a postsurgical complication.How can the medical-surgical nurse best promote self-esteem in this patient?

A) Assist the patient to ambulate in the hallway once daily.
B) Encourage the patient to participate in self-care.
C) Introduce herself to the patient if he does not know her.
D) Listen attentively when the patient speaks.

Question 22

The nurse develops a plan of care for a mother of three small children who has been admitted with a serious acute illness,which is likely to continue long term.The nurse writes the following intervention: "Facilitate communication between patient and significant other regarding the sharing of responsibilities to accommodate changes brought on by illness." What is the purpose of this intervention?

A) Promote self-esteem
B) Promote positive body image
C) Facilitate role enhancement
D) Prevent depersonalization

Question 23

Which assessment finding indicates that a client has low self-esteem and requires more in-depth assessment? Select all that apply.

A) Infrequent eye contact
B) Straight posture
C) Overly critical of others
D) Careful grooming
E) Low motivation to learn

Question 24

A patient comes to the emergency department complaining of headache,palpitations,nausea,and dizziness.After determining that the patient is anxious,the nurse notes tachycardia and trembling.Which level of anxiety is this patient exhibiting?

A) Mild anxiety
B) Moderate anxiety
C) Severe anxiety
D) Panic anxiety

Question 25

Which intervention helps a client maintain a sense of personhood during hospitalization? Select all that apply.

A) Addressing the patient by his first name
B) Making eye contact if it is comfortable for the patient
C) Always offering an explanation before beginning a procedure
D) Speaking to others about the patient so that the patient can hear you
E) Listening actively when the patient speaks

Question 26

The nurse is assessing a patient for depression.Which set of behavioral symptoms may indicate depression?

A) Preoccupation with loss,self-blame,and ambivalence
B) Anger,helplessness,guilt,and sadness
C) Anorexia,insomnia,headache,and constipation
D) Tearfulness,withdrawal,and present substance abuse

Question 27

An adult patient is diagnosed with lung cancer,and surgery to remove the right lung is recommended.The patient is uncertain about whether he should consent to the surgery because of the risks involved.Which nursing diagnosis is most appropriate for this patient?

A) Decisional Conflict
B) Death Anxiety
C) Powerlessness
D) Ineffective Denial

Question 28

An older patient with dehydration is exhibiting confusion,distractibility,memory loss,and irritability.Which behaviors should lead the nurse to suspect that dementia,rather than depression or dehydration,is the source of the symptoms?

A) Rambles,speaks incoherently,and answers questions inappropriately
B) Speaks slowly with delayed response to questions but responds appropriately
C) Awakens early in the day yet sleeps almost constantly during the day
D) Sometimes has difficulty concentrating on details of the present situation

Question 29

A frail,elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.What is most important for the nurse do?

A) Recognize these symptoms as signs of normal,physiological aging.
B) Obtain a urine specimen before notifying the primary care provider.
C) Be sure she is placed in a room occupied with another patient.
D) Interview the patient to screen for clinical depression.

Question 30

The nurse determines that a client is experiencing mild depression.What did the nurse assess to make this clinical determination? Select all that apply.

A) Low energy
B) Excessive thirst
C) Feelings of guilt
D) Increased sleeping
E) Poor concentration

Question 31

The nurse caring for a patient admitted with severe depression identifies a nursing diagnosis of Hopelessness on the care plan.Which outcome is appropriate for this diagnosis?

A) Displays stabilization and control of mood
B) Sleeps 6 to 8 hours per night with report of feeling rested
C) Does not engage in risky,self-injurious behavior
D) Eats a well-balanced diet to prevent weight change

Question 32

The nurse requests an older client be prescribed suicide precautions.What assessment finding caused the nurse to make this request? Select all that apply.

A) History of depression
B) Stated the desire to die
C) Prior attempt at suicide
D) Asked to speak to a pastor
E) Explained a plan for suicide

Question 33

A client is being treated for depression.What should the nurse recall before completing an assessment of this client? Select all that apply.

A) Depression rarely recurs.
B) Everyone likes to talk about feelings.
C) More women are depressed than men.
D) Depression is associated with spiritual distress.
E) Medication should be prescribed for depression.

Question 34

A patient with a bleeding duodenal ulcer has difficulty concentrating,complains of shortness of breath,and experiences sleeplessness because of worrying.What is the nurse's priority after documenting this information in the nurses' notes?

A) Provide emotional support for the patient using reflective listening technique.
B) Do nothing; people with duodenal ulcers typically cannot work.
C) Question the patient's family about the information received from the patient.
D) Notify the primary care provider and ask for a referral to a mental health professional.

Question 35

Which nursing intervention specifically helps reduce a patient's anxiety?

A) Teaching the importance of adequate nutrition and hydration
B) Giving clear facts pertaining to the patient's circumstances
C) Promoting small-group activities to improve self-esteem
D) Monitoring the patient for the risk of suicide