Deck 11: Psychosocial Health, Substance Abuse, and Intimate Partner Violence

Question 1

The educator is reviewing the symptoms associated with emotional stress with the staff nurses. Which symptoms should the educator include? Select all that apply.

A) Chest pain.
B) Vomiting.
C) Difficulty breathing.
D) Back pain.
E) Diaphoresis.

Answer 1

Chest pain.
Difficulty breathing.
Back pain.

Question 2

The nurse is assessing a client that lives in a rural area for stressors. Which should the nurse assess the client for?

A) Unhealthy living conditions.
B) High crime rates.
C) Limited resources.
D) Access to healthy food.

Answer 2

Limited resources.

Question 3

The nurse is caring for a client with anorexia. Which subjective findings should the nurse anticipate? Select all that apply.

A) Constipation.
B) Abdominal pain.
C) Obsession with physical appearance.
D) Periods of excessive food consumption followed by purging.
E) Perception of being overweight.

Answer 3

Constipation.
Abdominal pain.
Perception of being overweight.

Question 4

The nurse is assessing a client that begins using a collection of conglomeration words that have no meaning. Which should the nurse document the finding as?

A) Echolalia.
B) Circumlocution.
C) Neologisms.
D) Word salad.

Question 5

The nurse is preparing to assess a client. Which should the nurse recognize is a risk factor for suicide? Select all that apply.

A) Gender.
B) Sexual orientation.
C) Occupation.
D) Limited education.
E) History of mental illness.

Question 6

A client being seen in the clinic for abdominal discomfort and a decreased energy level tells the nurse they just lost their job. Which factor should the nurse suspect could be attributed to the client's abdominal discomfort?

A) Income.
B) Stress.
C) Ethnicity.
D) Occupation.

Question 7

The nurse is assessing a client for potential warning signs of an impending suicide attempt. Which statement should the nurse be concerned with?

A) "I called my counselor three times this week."
B) "I have lost some weight over the past month."
C) "I feel like crying sometimes."
D) "I feel like such a burden to my family."

Question 8

A client tells the nurse that they have been experiencing emotional distress over the past few weeks. Which physical assessment finding should the nurse anticipate?

A) Hyperactive bowel sounds.
B) Elevated blood pressure.
C) Pinpoint pupils.
D) Elevated temperature.

Question 9

The nurse is preparing to assess a client with bulimia nervosa. Which assessment findings should the nurse anticipate?

A) Irregular or absent menses.
B) Damage to teeth enamel.
C) Refusal to consume nutritional supplements.
D) Extreme weight loss.

Question 10

The nurse is assessing a client for substance abuse using the CAGE tool. Which question should the nurse ask the client? Select all that apply.

A) "Have people asked you about your drinking or drug use in the past?"
B) "Have people annoyed you by criticizing your drinking or drug use?"
C) "Have you ever felt bad or guilty about your drinking or drug use?"
D) "Have you ever been found guilty for drinking or drug charges?"
E) "Have you ever felt you should cut down on your drinking or drug use?"

Question 11

The educator is discussing the impact of self-concept on health with the nursing staff. Which factor should the educator include in the discussion?

A) Self-concept develops in early childhood.
B) Self-concept develops over time.
C) Self-concept is a component of self-esteem.
D) Self-concept is a component of body image.

Question 12

The nurse educator is reviewing the components of a psychosocial assessment with a group of students. Which definition of psychosocial health is appropriate for the educator to include in the review session?

A) Being emotionally balanced and socially astute.
B) Being mentally stable, physically fit, and psychologically well.
C) Being spiritually and psychologically mature.
D) Being mentally, emotionally, socially, and spiritually well.

Question 13

A client's mother is distraught over her child's recent leukemic relapse and states, "What did I do wrong? Why does he deserve this? Why can't it be me?" Which should the nurse recognize the statements are associated with?

A) Ineffective coping.
B) Emotional emptiness.
C) Spiritual distress.
D) Psychologic anxiety.

Question 14

The nurse is preparing to assess a client suspected of synthetic cannabinoid (SCB)toxicity. Which assessment findings should the nurse anticipate? Select all that apply.

A) Respiratory depression.
B) Chest pain.
C) Bradycardia.
D) Tachycardia.
E) Lethargy.

Question 15

The nurse is caring for an adult client with a history of sexual abuse. Which behavioral and phycological affect should the nurse be aware of that increases the client's vulnerability to health problems?

A) Interdependence.
B) Helplessness.
C) Selflessness.
D) Powerlessness.

Question 16

The nurse is preparing to assess the physiological signs of stress in a client. Which findings does the nurse anticipate? Select all that apply.

A) Elevated blood glucose.
B) Increased red blood cells.
C) Decreased blood clotting time.
D) Decreased T lymphocytes.
E) Decreased white blood cells.

Question 17

The educator is discussing with the nursing staff the reasons why women stay in abusive relationships. Which statement made by a nurse indicates further education is required?

A) "Women may be financially dependent on their abusers."
B) "Fear of losing custody of their children keeps a woman from leaving an abusive relationship."
C) "Women are not educated on how to get out of abusive relationships."
D) "Women who stay in an abusive relationship hope that the behavior may change."

Question 18

The nurse interviewing an adolescent suspects problem with self-concept. Which should the nurse recognize is a main contributing factor to a limited self-concept?

A) Inability to form lasting relationships.
B) Decreased ability to form attachments with other people.
C) Inability to maintain stable employment.
D) Feelings of worthlessness, anxiety, and/or depression.

Question 19

The educator is reviewing the objective findings for binge eating disorder with the nurses. Which statement made by a nurse indicates further teaching is required?

A) "A client with a binge eating disorder experiences marked distress."
B) "A client with a binge eating disorder will eat faster than normal."
C) "A client with a binge eating disorder may abuse laxatives."
D) "A client with a binge eating disorder will eat alone out of embarrassment."

Question 20

The nurse is preparing to give an injection to a young child. Which technique should the nurse use?

A) Place the child in the parent's lap.
B) Request the parent to leave the room.
C) Allow the parent to remain with the child.
D) Have the parent restrain the child.

Question 21

The nurse is assessing a client self-concept. Which question should the nurse include in the assessment?

A) "Do you have trouble making decisions?"
B) "Can you describe your social life?"
C) "Do you hear voices or see objects?"
D) "Can you describe how you were raised?"

Question 22

The nurse is preparing to assess a client with an exacerbated anxiety disorder that has a history of asthma and arthritis. Which initial assessment should the nurse perform?

A) Respiratory assessment.
B) Musculoskeletal.
C) Medication history.
D) Psychosocial assessment.

Question 23

The educator is teaching the nursing staff about the potential warnings of an impending suicide. Which should the educator include? Select all that apply.

A) Sudden change in mood.
B) Altered mental status.
C) Increased incidence of alcohol abuse.
D) Purchasing a weapon.
E) Reckless behavior.

Question 24

A client with a family history of schizophrenia expresses concern about having a child with the disorder. Which response should the nurse provide the client?

A) "Schizophrenia is a genetic disorder so you are right to be very concerned."
B) "Your family history does increase the risk factors but there are other variables to be considered."
C) "Schizophrenia should not be a significant concern for you."
D) "You should consider being tested before becoming pregnant."

Question 25

The nurse is reviewing phase II of the cycle of abuse with a client. Which information should the nurse discuss?

A) The perpetrator is threatening.
B) The perpetrator becomes loving and kind.
C) The abusive incidence occurs.
D) The tension prior to the abuse is building.

Question 26

The nurse suspects a client is having difficulty coping. Which assessment question should the nurse ask when assessing the client's ability to cope?

A) Who is your closest friend?
B) What social groups do you belong to?
C) What is your birth order in your family?
D) Who do you call when you need help?

Question 27

The nurse is concerned that a client is having a problem with self-concept. Which statement should the nurse recognize support client's concern?

A) "I never have any fun."
B) "I am the oldest in the family."
C) "I think I'm pretty much outgoing."
D) "At times I like to be alone."

Question 28

The nurse is reviewing the traits of a perpetrator of violence with a community group. Which traits should the nurse include? Select all that apply.

A) Low self-esteem.
B) Social withdrawal.
C) Limited ability to cope.
D) Reckless behavior.
E) Possessive behavior.

Question 29

The nurse is using a HITS screening tool to assess the client for domestic violence. Which type of abuse should the nurse understand the client is being screened for? Select all that apply.

A) Emotional.
B) Financial.
C) Physical.
D) Psychological.
E) Sexual.

Question 30

The nurse caring for a client experiencing back pain, nausea, and fatigue inquiries about current stressors. The client states, "I am sick. Why are you asking me about all of this stress stuff?" Which information should the nurse provide the client?

A) "Stress can impact our body by producing a variety of symptoms."
B) "Your nausea and fatigue are most often related to increase of stress in life."
C) "Screening for stress is required for every client."
D) "I am assessing your ability to cope with additional stressors."