Psychosocial Integrity – Part 2

1. Which of the following is an example of low health literacy skills?

2. A nurse is using active listening as a form of therapeutic communication when:

3. Which of the following is a disadvantage of using a dry heat application?

4. A nurse is assigned to care for a deaf client. During her lunch hour, she visits the hospital library and reads more about deaf culture in order to better provide appropriate care for her client. This action is an example of:

5. Which of the following clients have a barrier to accessing healthcare?

6. A nurse is asked by a physician to speak to a colleague about her unprofessional behavior in front of a client. The nurse does not want to create conflict with her colleague, so she does not confront her and stays away from the physician when he comes in to work the next day. Which type of conflict resolution is this nurse exhibiting?

7. You have accompanied the physician into the family waiting room to tell a young husband that his wife has not survived the car accident she was in. The husband is crying and distraught. What is the most appropriate approach to supporting this family member?

8. Rachel is a 48-year-old mother of three who has been admitted after a drug overdose in a failed suicide attempt. When she regains consciousness, she states that she is ashamed and embarrassed that she tried to take her own life. What is the most therapeutic response to Rachel’s statement?

9. A male nurse that is working on a labor and delivery unit has been pulled from providing care for a patient who is of the Islamic faith . The patient asks the charge nurse to remove her from the nurse’s assignment. The charge nurse understands, fulfills her request, and notifies the nurse. Which explanation by the charge nurse is correct?

10. A nurse is preparing to irrigate a client’s colostomy. Which of the following situations is a contraindication for this type of irrigation?

11. Family members of a patient ask repeated questions about the monitors and various readings in the patient’s room. What is the most supportive response to their questions?

12. The mother of a 3-year-old pediatric patient would like to remain at the patient’s bedside throughout the night. The patient seems to be calmer when she is present. What is the most caring and appropriate response?

13. You are caring for a Hispanic patient who is scheduled for surgery in the morning. A member of the surgery staff is in a hurry when she visits the patient to obtain surgical consent. You know that the patient speaks limited English, and can see that he does not really understand what’s being said. What is the most appropriate next action?

14. Brandon is a 38-year-old with a history of cocaine addiction who has just been admitted for his second myocardial infarction that was due to cocaine use. What collaborative process should begin as soon as Brandon is stable enough to interact with additional resources?

15. What consideration is important when caring for a female Muslim patient?

16. Of the following, what is an important component of Vietnamese culture to consider when teaching the Vietnamese patient who has been treated for pneumonia, who needs to complete her antibiotic regimen at home?

17. If you are caring for a patient of the Hindu culture, what may you anticipate regarding visitors?

18. You are ready to wash your patient’s face. You would start by washing what area of the face?

19. A nurse is attempting to assess a client’s pulse in his foot. She palpates the pulse on the anterior aspect of his ankle, below the lower end of the medial malleolus. Which type of pulse is this nurse taking?

20. A client has been diagnosed with a form of terminal cancer and has started receiving hospice care. The nurse notes that both the client and his family avoid talking about the diagnosis. All attempts at discussion result in changing the subject. The nurse recognizes that this family is exhibiting:

21. A nurse is preparing to talk about body changes with a client who just had a bilateral mastectomy. Which of the following actions of the nurse is most appropriate during this discussion?

22. A nurse is attempting to speak with a client about his personal feelings of self-esteem and self-concept. Which of the following questions is most appropriate for assessing a client’s personal identity?

23. A term that refers to a comprehensive set of thoughts or images of oneself is called:

24. Which of the following interventions is most appropriate when supporting the psychosocial needs of a client who is experiencing negative side effects associated with chemotherapy?

25. Which of the following clients is at the highest risk of becoming a victim of intimate partner violence?