Erudiway

RN Nursing School · Fundamentals · 199 questions

Psychosocial Integrity practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Psychosocial Integrity, practise in the app.

Practise Psychosocial Integrity in the appAbout the RN Nursing School program →
  1. 1A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?Answer →
  2. 2The nurse reviews the chart data. Click to highlight the findings that are a part of normal grief responses.Answer →
  3. 3A nurse is preparing to conduct a cultural assessment for a new client. What should the nurse identify as a primary component of a cultural assessment?Answer →
  4. 4A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?Answer →
  5. 5A nurse is caring for a patient with aphasia after a stroke. Which communication technique is most appropriate?Answer →
  6. 6A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?Answer →
  7. 7The nurse knows that patients usually experience acute pain following spinal surgery. The patient refuses to get up and walk and is not moving around in the bed. However, the patient is stoic and denies experiencing pain at this time. What most likely explains this patient's behavior?Answer →
  8. 8A nurse is caring for four clients. Which of the following clients should the nurse expect to experience anticipatory grief?Answer →
  9. 9A nurse sits quietly with a client who has just received a terminal diagnosis. The client is not speaking. What action should the nurse take first?Answer →
  10. 10A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?Answer →
  11. 11A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?Answer →
  12. 12One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are "cold foods." Which intervention should the nurse implement first?Answer →
  13. 13A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?Answer →
  14. 14A nurse is supervising a newly licensed nurse who is female while she performs postmortem care on a male client who is Muslim. Which of the following actions by the newly licensed nurse should prompt the nurse to intervene?Answer →
  15. 15A nurse is providing education about receiving hospice care to a client who is terminal. Which of the following statements should the nurse include in the teaching?Answer →
  16. 16A nurse is performing a depression screening on a client who is displaying clinical signs of depression. The client states, "My family does not believe in the diagnosis of depression." How should the nurse respond?Answer →
  17. 17A client is admitted to the emergency department (ED) with slurred speech and severe lethargy after being found semiconscious by the roommate. The roommate voices concern about the client's involvement in using drugs. Which approach is best for the nurse to take when the client is alert to answer questions about substance use?Answer →
  18. 18A nurse is caring for a client who is a devout Muslim and has just died. Which of the following requests by the client's family should the nurse anticipate?Answer →
  19. 19A nurse is teaching a group of students about nonverbal communication in patient care. Which example best demonstrates the use of nonverbal communication?Answer →
  20. 20In which way can nurses develop cultural self-awareness?Answer →
  21. 21A nurse tells a client, "Are you going to get out of bed, or are you just going to sleep all day and night?" This is an example of which barrier to communication?Answer →
  22. 22The nurse is caring for a client that does not share a common language and requires a medical interpreter. Which action(s) should the nurse perform when partnering with an interpreter to help teach a client self-care instructions? Select all that apply.Answer →
  23. 23The mother of a child born with Tetralogy of Fallot asks the nurse, "Why did this happen to my baby? What did I do wrong?" Which response by the nurse is most helpful?Answer →
  24. 24A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?Answer →
  25. 25A nurse is assisting with teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?Answer →
  26. 26A nurse is observing an assistive personnel (AP) who is preparing to deliver a meal tray to a client who practices Orthodox Judaism. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take?Answer →
  27. 27A nurse is caring for a client who is dying. Which of the following statements by the client indicates they are in denial with their impending death?Answer →
  28. 28A nurse is caring for an adolescent client who reports they are beginning to rebel against their caregivers and spend more time with their friends. The nurse should identify that the client is experiencing which of the following stages of Erikson's theory of psychosocial development?Answer →
  29. 29A client diagnosed with dependent personality disorder is most likely to exhibit which behavior?Answer →
  30. 30A nurse is caring for a client who speaks a different language than the nurse. Which of the following actions should the nurse take to minimize communication barriers for the client?Answer →
  31. 31The nurse on the hospice unit cares for a client with brain cancer. The nurse assesses the client and determines that death is imminent. One of the family members in the room says tearfully, "We hate to see her suffer so much. Just give her an extra dose of that morphine and let her go now." How should the nurse respond?Answer →
  32. 32Which response by the nurse is an example of non-therapeutic communication?Answer →
  33. 33A nurse using active listening techniques would:Answer →
  34. 34A nurse in a long-term care facility is planning care for a client who has delirium. Which of the following interventions should the nurse include in the plan of care?Answer →
  35. 35A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief?Answer →
  36. 36A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?Answer →
  37. 37When providing culturally competent care to a client, which aspect of care is most important for the nurse to keep in mind?Answer →
  38. 38The hospital's quality department reports a low client satisfaction rate because clients claim nurses do not allow them to speak freely about their health conditions while being admitted. Knowing this, what is appropriate for the nurse to say to a client admitted with renal failure who just had a new peritoneal dialysis catheter placed?Answer →
  39. 39A family member of a frail older adult asks the nurse about eligibility requirements for hospice care. Which information should the nurse provide? Select all that apply.Answer →
  40. 40One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are "cold foods." Which intervention should the nurse implement first?Answer →
  41. 41A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?Answer →
  42. 42A nurse is helping the client explore their feelings and problem-solve. Which phase of the therapeutic relationship does this represent?Answer →
  43. 43A nurse is preparing a client for surgery, when the client begins crying and asks, 'What if something goes wrong?' What is the therapeutic response by the nurse?Answer →
  44. 44A nurse is caring for a terminally ill patient receiving hospice care who expresses feelings of loneliness and fear about dying. Which nursing action best demonstrates the caregiver role while preserving the patient's dignity?Answer →
  45. 45The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity. Which approach is best for the nurse to use?Answer →
  46. 46The nurse is caring for a client diagnosed with human immunodeficiency virus (HIV) when the client says, "I haven't told anyone because I am scared that they'll judge me." Which nurse response is least appropriate?Answer →
  47. 47A client new to a rehabilitation unit is having a difficult time adjusting to the scheduled activities on the unit, as well as being dependent on others for meals and medications. Which word best describes what the client is experiencing?Answer →
  48. 48What must the nurse do when engaging in limit-setting?Answer →
  49. 49A nurse is caring for a client who is hard of hearing. Which action by the nurse demonstrates effective non-verbal communication?Answer →
  50. 50A Hispanic patient stands very close and touches the nurse, who is of Asian descent, while talking. The nurse smiles, nods, and gently steps back to keep about 18 inches. What is the best explanation for this interaction?Answer →
  51. 51A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients' situation?Answer →
  52. 52A nurse is caring for a client who states, "l smoke because I have a lot of anxiety." The nurse should recognize the client's statement as which of the following defense mechanisms?Answer →
  53. 53Which scenario illustrates small-group communication?Answer →
  54. 54The nurse who is caring for a child admitted after an automobile accident recognizes the importance of including the child's family in the plan of care. Inclusion of the family meets which of Maslow's basic human needs?Answer →
  55. 55A patient with a recent diagnosis of depression is admitted to the psychiatric unit. Based on Maslow's hierarchy of needs, what should be the nurse's first action to address the patient's needs?Answer →
  56. 56A nurse is working with a client who has difficulty forming positive relationships with others. Which intervention supports the client's personal growth within the therapeutic relationship?Answer →
  57. 57A nurse is communicating with a client who is upset about his upcoming surgery. Which of the following statements by the nurse demonstrates a non-therapeutic communication technique? (Select All that Apply.)Answer →
  58. 58A nurse is caring for a client who is expressing concerns about their recent diagnosis. Which response by the nurse demonstrates non-therapeutic communication?Answer →
  59. 59When the patient says, "I don't want to go home," the nurse's best therapeutic verbal response would be:Answer →
  60. 60A nurse is caring for a client who is unresponsive following a traumatic brain injury. The client does not respond to verbal commands but has stable vital signs. Which of the following nursing actions is most appropriate to maintain the client's dignity and promote therapeutic communication?Answer →
  61. 61The nurse is planning care for a client with obsessive-compulsive personality disorder. The nurse recognizes that the client's defenses are most likely maintained by which of the following?Answer →
  62. 62A nurse is caring for a client who is discussing his post-traumatic stress disorder and states, "Everyone thinks you should be able to put it out of your mind. It happened so long ago — just get over it!" The nurse responds, "It must be very frustrating to encounter this kind of attitude." This response by the nurse is an example of which of the following therapeutic communication techniques?Answer →
  63. 63A nurse is speaking with a client who reports having difficulty adjusting to retirement. Which of the following statements should the nurse make?Answer →
  64. 64Which nurse communication demonstrates non-therapeutic communication?Answer →
  65. 65A nurse screens a client using the CAGE tool. What assessment question should the nurse ask?Answer →
  66. 66A nurse is caring for a 20-year-old college student who has a 2-year history of bulimia nervosa. She tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot do anything about them." Which of the following is a therapeutic response by the nurse?Answer →
  67. 67A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?Answer →
  68. 68A nurse is caring for a patient with vision impairment. Which action by the nurse best supports safe and respectful communication?Answer →
  69. 69A nurse is caring for a client who has a terminal diagnosis and states, "l am ready to update my will." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?Answer →
  70. 70A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?Answer →
  71. 71A nurse is caring for an adult client with a visual impairment who is expressing anxiety about their hospital stay. Which therapeutic communication technique is most appropriate to help the client feel understood and supported?Answer →
  72. 72A nurse is caring for a client who has a terminal illness. The client states, "I am not giving up. I want as much treatment as possible." Which of the following responses should the nurse make?Answer →
  73. 73A nurse is caring for a client with limited-English proficiency who requires an interpreter. Which nursing action is appropriate when communicating through an interpreter?Answer →
  74. 74A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?Answer →
  75. 75Which is the best approach for the nurse to use when interviewing a client about mental illness?Answer →
  76. 76A nurse is establishing a therapeutic relationship with a new client. What is the desirable outcome for the orientation phase of the nurse-client relationship?Answer →
  77. 77What is the goal of the termination phase in the nurse-client relationship?Answer →
  78. 78A nurse is caring for a client recently diagnosed with a terminal illness. The client states, "Why me? I have always been good to everyone." Based on Kubler-Ross, the nurse knows the client's response represents what stage of grief?Answer →
  79. 79The nurse is completing an admission assessment with a client. The client looked down and became tearful when asked about feeling safe at home. How would the nurse respond to the nonverbal communication displayed by the client?Answer →
  80. 80During the report the nurse receives information on an adult client receiving hospice care. The client has been unresponsive with a diminished blink reflex. Which intervention should the nurse perform?Answer →
  81. 81The nurse is conducting an admission assessment on a client who does not speak English. Which statement by the nurse reflects a non-therapeutic response?Answer →
  82. 82A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care. Which of the following statements should the nurse give?Answer →
  83. 83A nurse is caring for a 45-year-old Hispanic client who has been diagnosed with diabetes. The client expresses a preference for using traditional herbal remedies alongside prescribed medications. Which action should the nurse take first?Answer →
  84. 84Which statement(s) should nurse include when communicating? Select all that apply.Answer →
  85. 85A client with psychosis states, "Every other strand of hair on my head is Italian spaghetti." How would you classify this assessment finding?Answer →
  86. 86A nurse is caring for a client who has a prescription for a psychiatric assessment. Which of the following actions should the nurse take?Answer →
  87. 87A client assigned to a mental health unit visits with the significant other during the evening. After the significant other leaves, the nurse notices that the client is more isolative and refuses to attend the evening group. Which response by the nurse is most therapeutic?Answer →
  88. 88A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?Answer →
  89. 89During the orientation phase of the nurse-client therapeutic relationship, which action should the nurse take?Answer →
  90. 90A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?Answer →
  91. 91A client diagnosed with borderline personality disorder says to the medication nurse, "you are the best nurse here, you understand me. All the other nurses are mean and nasty." The nurse recognizes this as which defense mechanism?Answer →
  92. 92A client wants their friend present during a painful procedure, but hospital policy permits only one immediate family member. The client turns to the nurse and asks, "What does 'family' mean to you?" How should the nurse respond?Answer →
  93. 93Which action by the nurse would facilitate the nurse-client relationship during the orientation phase?Answer →
  94. 94A client expresses worry about upcoming surgery. Which response by the nurse is an example of ineffective communication?Answer →
  95. 95A nurse is assisting with teaching a class about spiritual influences on grief. Which of the following information should the nurse include?Answer →
  96. 96A nurse is evaluating how well the family of a dying child understands the concept of hospice care in the home. Which statement by the family indicates the need for further instruction?Answer →
  97. 97A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, "I want to die now that my partner is gone." Which of the following responses should the nurse make?Answer →
  98. 98A nurse is evaluating an older adult client who is receiving end-of-life care and has Cheyne-Stokes respirations. Which of the following observations should the nurse identify as confirmation of this respiratory pattern?Answer →
  99. 99Which of the following open-ended questions/statements would be most effective for obtaining complete information from the client? (Select all that apply)Answer →
  100. 100A client tells the nurse they are afraid to take their blood pressure medication. How should the nurse respond?Answer →
  101. 101A nurse is caring for a client who has a terminal illness. The client states, "I am not giving up. I want as much treatment as possible." Which of the following responses should the nurse make?Answer →
  102. 102A nurse is caring for a client with hypertension who is afraid to take blood pressure medication. When the nurse acknowledges the client's fear, which method of therapeutic communication is being used?Answer →
  103. 103A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?Answer →
  104. 104A nurse is assisting with teaching a newly licensed nurse about hospice care. Which of the following information should the nurse include?Answer →
  105. 105A nurse is providing teaching to the family of a client who is dying. Which of the following information should the nurse include?Answer →
  106. 106A nurse is contributing to the plan of care for a client who practices the Muslim faith. Which of the following actions should the nurse include in the plan?Answer →
  107. 107A nurse is caring for a client who has just died following unsuccessful CPR. The family wishes to view the body. Which of the following actions should the nurse take before inviting the family into the room?Answer →
  108. 108A nurse administers pain medication to a client. Which action should the nurse take to facilitate trust?Answer →
  109. 109The nurse completes a cultural assessment of a client. Which action should the nurse take when documenting the client's cultural assessment?Answer →
  110. 110A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?Answer →
  111. 111A nurse is implementing a care plan for a young adult client who has disclosed experiencing interpersonal violence with their partner. Which approach should the nurse take?Answer →
  112. 112A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?Answer →
  113. 113A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I don't want any more treatment; just make me comfortable." The nurse should document that the client is in which of the following stages of grief?Answer →
  114. 114Which is an example of a closed question or statement?Answer →
  115. 115A public health nurse refers a client for a Pap smear. After the exam, the client is diagnosed with cervical cancer. The client refuses follow-up care and states they would have never gotten cancer if the nurse had not referred them for the test. Which action should the nurse take?Answer →
  116. 116An older adult client is brought to the emergency department via ambulance due to a fall. The client does not speak the area's dominant language. Shortly after the client arrives, several family members and a neighbor who called the ambulance arrive, all of whom speak the area's dominant language. When attempting to gather information about what happened, which action by the nurse is appropriate?Answer →
  117. 117A nurse is caring for a client in an outpatient clinic who does not speak the same language as the nurse. Which of the following individuals should the nurse use as an interpreter?Answer →
  118. 118A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?Answer →
  119. 119A nurse is assisting with the readmission of a client to the medical unit after a transfer to ICU following a suicide attempt using an overdose of medication. The client looks down at the floor and mumbles, "Hello." Which of the following responses should the nurse make?Answer →
  120. 120A nurse is caring for a client who has a terminal diagnosis and a 3-month life expectancy. The client appears cheerful and states they are looking forward to a vacation next year. The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?Answer →
  121. 121A nurse is admitting a transgender client for a routine health check. Which action should the nurse take?Answer →
  122. 122A nurse consulted pastoral care for a client who has cancer and is in a state of depression after the death of their partner. Which of the following client statements indicates their spiritual needs are being met?Answer →
  123. 123Which of the following is an important Cluster B interventional strategy?Answer →
  124. 124A nurse is caring for a client who reports that they are experiencing grief following the recent loss of a partner. The client states that the grief is decreasing in severity over time, and they are looking forward to spending time with their grandchildren. The nurse should identify that the client has manifestations of which of the following types of grief?Answer →
  125. 125A nurse is discussing effective communication techniques with a newly licensed nurse for a client who has a visual impairment. Which of the following statements by the newly licensed nurse indicates an understanding?Answer →
  126. 126The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.Answer →
  127. 127A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?Answer →
  128. 128A nurse travels to different parts of the country and changes nursing assignments every 4 months. Which should the nurse do to ensure that culturally competent nursing care is delivered? Select all that apply.Answer →
  129. 129A nurse is establishing a therapeutic relationship with a newly admitted client. Which nurse action(s) support the goals of a therapeutic relationship? Select all that apply.Answer →
  130. 130A nurse is planning care for a toddler who has experienced physical abuse at home. Which nursing action is most appropriate to support the toddler's emotional well-being?Answer →
  131. 131A hospice nurse is caring for a client experiencing severe dyspnea and pain. The provider has prescribed escalating doses of morphine for comfort. The client's family is concerned that morphine will make the client stop breathing. What is the nurse's best response?Answer →
  132. 132An older Native American client with hypertension presents to an outpatient clinic for follow up evaluation after initiation of treatment with oral antihypertensive medications. Report of which client behavior requires additional assessment by the nurse?Answer →
  133. 133A nurse is caring for a patient who is intubated and unable to speak. Which nursing action is most appropriate to support communication with this patient?Answer →
  134. 134The focal point of nursing is the nurse-client interaction. What must nurses consider about themselves when assessing clients from other cultures?Answer →
  135. 135Which scenario illustrates small-group communication?Answer →
  136. 136Complete the following sentence by choosing from the list of options. A nurse tells a client, "You'll be just fine, don't worry." This is an example of?Answer →
  137. 137A client tells the nurse how they hate the way their boss orders them around and never listens to their suggestions. Which response is best for the nurse to provide?Answer →
  138. 138A nurse is caring for a client who has terminal cancer. The client tells the nurse, "l don't want any more treatment; just make me comfortable." The nurse should document that the client is in which of the following stages of grief?Answer →
  139. 139Which response is commonly linked to prolonged stress in the body?Answer →
  140. 140A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?Answer →
  141. 141A nurse is providing postmortem care for an adult client. Which of the following actions should the nurse take? (Select all that apply.)Answer →
  142. 142A nurse is conducting a cultural assessment and asks the client, "What do you think caused the problem?" What is the purpose of asking this question?Answer →
  143. 143The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity. Which approach is best for the nurse to use?Answer →
  144. 144A nurse is preparing to perform a physical assessment. Which question by the nurse demonstrates cultural competency?Answer →
  145. 145A nurse in an urgent care center is caring for a young adult client who requires suturing of a laceration. The client tells the nurse, "My family should have been here by now. I can't go through this without them." Which of the following responses should the nurse make?Answer →
  146. 146A nurse is assisting with teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor?Answer →
  147. 147A nurse in an urgent care center is caring for a young adult client who requires suturing of a laceration. The client tells the nurse, "My family should have been here by now. I can't go through this without them." Which of the following responses should the nurse make?Answer →
  148. 148When forming a therapeutic relationship, which nurse behavior(s) are essential? Select all that apply.Answer →
  149. 149A nurse enters a client's room to ask them questions about their medical history. Which level of communication is the nurse using?Answer →
  150. 150A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, "I want to die now that my partner is gone." Which of the following responses should the nurse make?Answer →
  151. 151A nurse assesses a hospice client. The assessment reveals BP 74/40, urine output 30 cc over 3 hours, poor skin turgor and skin cool to the touch, respirations 8 and irregular, and dysphagia. The nurse recognizes these assessment findingsAnswer →
  152. 152Which traits are mostly associated with Cluster C personality disorder?Answer →
  153. 153One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are "cold foods." Which intervention should the nurse implement first?Answer →
  154. 154A nurse is assisting with teaching a newly licensed nurse about end-of-life care. The nurse should include that which of the following services provides support for a client's caregiver?Answer →
  155. 155A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, "I want to die now that my partner is gone." Which of the following responses should the nurse make?Answer →
  156. 156Which communication technique conveys genuine interest in what the patient has to say?Answer →
  157. 157A nurse is working with a 22-year-old client who reports anxiety about forming close relationships and fears rejection. The client states, "I want to be close to someone, but I am afraid I'll get hurt." For each potential nursing action, click to specify whether the action supports intimacy or supports isolation.Answer →
  158. 158A nurse tells a patient, "I'm going to take your BP, then I'll check if you have any PRN medications for pain." Which statement best explains what the nurse has done in terms of communication?Answer →
  159. 159Click to highlight the findings that are a part of normal grief responses.Answer →
  160. 160A nurse caring for a client who is unconscious knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring?Answer →
  161. 161A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?Answer →
  162. 162A nurse is caring for an older adult. How does the nurse demonstrate awareness of culturally competent care?Answer →
  163. 163A spouse brings the children in to visit their mother in the hospital. The nurse asks how the family is doing. The husband states, "None of her jobs are getting done, and I don't do those jobs, so the house and the kids are falling apart." How will the nurse interpret this finding?Answer →
  164. 164A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?Answer →
  165. 165A nurse is caring for a client who has a terminal illness. The client states, "I am not giving up. I want as much treatment as possible." Which of the following responses should the nurse make?Answer →
  166. 166A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?Answer →
  167. 167A nurse is caring for a client who has a new prescription for warfarin. The client states, "I don't want to take that medication because I don't want to have to undergo any kind of monitoring." Which of the following responses should the nurse make?Answer →
  168. 168A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?Answer →
  169. 169Match the following cultural term to the corresponding definition.Answer →
  170. 170A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?Answer →
  171. 171A nurse is caring for a client who states. "I smoke because I have a lot of anxiety." The nurse should recognize the client's statement as which of the following defense mechanisms?Answer →
  172. 172An assistive personnel (AP) says to the nurse, "This client is incontinent of stool three or four times a day. I get angry because I think that the client might be doing it just to get attention." Which of the following responses by the nurse is therapeutic?Answer →
  173. 173What action should the charge nurse take?Answer →
  174. 174A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?Answer →
  175. 175The nurse cares for a pediatric client who is paralyzed after a motor vehicle accident. The client's parents and extended family have been involved in the client's care while hospitalized. The client is nearing discharge and education is being provided daily. The client's parent states. "The whole family needs to learn how to care for our child. In our culture, it is important that the whole family is involved, and they will be helping us provide care at home." Which action by the nurse is most appropriate?Answer →
  176. 176A nurse is caring for a client newly admitted to hospice care with a prognosis of less than 6 months. Which nursing action best reflects the primary goal of hospice care?Answer →
  177. 177What is the priority nursing diagnosis for a client diagnosed with borderline personality disorder?Answer →
  178. 178A nurse is caring for a client who expresses anxiety about his impending surgery. Which of the following actions should the nurse take?Answer →
  179. 179A nurse forms a personal bond with a client undergoing cancer treatment. For each potential nursing action, click to specify whether the action is appropriate or not appropriate.Answer →
  180. 180A nurse is caring for a client who is a devout Muslim and has just died. Which of the following requests by the client's family should the nurse anticipate?Answer →
  181. 181A nurse is caring for a client who reports that they are experiencing grief following the loss of a pet and feel like they are grieving alone. The nurse should identify that the client has manifestations of which of the following types of grief?Answer →
  182. 182A nurse is performing an assessment on a client, and the client states, "I am having a very bad day." What is the best response by the nurse?Answer →
  183. 183The nurse provides prescribed treatments to a client with coronary artery disease who presented to the emergency department with angina. What finding indicates the client's condition is improving?Answer →
  184. 184According to Sigmund Freud's psychoanalytic theory, which of the following components of personality is responsible for instant gratification and primitive drives?Answer →
  185. 185When communicating with a hearing-impaired patient, the nurse appropriately:Answer →
  186. 186To begin talking with a newly admitted patient about pain management, the nurse would most appropriately state:Answer →
  187. 187Which of the following would be the most appropriate work for a client with schizoid personality disorder?Answer →
  188. 188A nurse is assisting with teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias?Answer →
  189. 189A nurse is caring for a client who has a new prescription for warfarin. The client states, "I don't want to take that medication because I don't want to have to undergo any kind of monitoring." Which of the following responses should the nurse make?Answer →
  190. 190A nurse is caring for a client who has a terminal diagnosis and states, "If I get better, I promise to go to church every day." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?Answer →
  191. 191Which of the following 3 actions should the nurse plan to take?Answer →
  192. 192The nurse is speaking with the 48-year-old client about financial concerns related to her health condition. For each nurse's statement, indicate whether it is Therapeutic or Non-therapeutic.Answer →
  193. 193A nurse is caring for a client who has just died following unsuccessful CPR. The family wishes to view the body. Which of the following actions should the nurse take before inviting the family into the room?Answer →
  194. 194The nurse assesses a client with malnutrition and asks about their dietary habits. The client states, "I started a new diet where I eat no meat or animal products." Which response from the nurse is therapeutic?Answer →
  195. 195A nurse is caring for a client recently diagnosed with a sexually transmitted infection (STI) who appears withdrawn and avoids eye contact. Which response by the nurse demonstrates therapeutic communication?Answer →
  196. 196A nurse is caring for a client who says, "I feel hopeless." For each potential nurse response, click to specify whether the response is therapeutic or non-therapeutic.Answer →
  197. 197A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?Answer →
  198. 198A nurse provides education to a client. Which client statement demonstrates assertive communication?Answer →
  199. 199A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?Answer →