Exam 13: Psychosocial Health Illness

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

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

The nurse is developing 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." The purpose of this intervention is to help:

A client is admitted to the psychiatric unit of a local hospital.During the nursing assessment,the nurse finds the client is poorly groomed,wearing dirty clothes,tearful,and reports weight loss with poor appetite.The nurse formulates a nursing diagnosis of Depressed Mood.What are the most appropriate nursing outcomes for this client? Select all that apply.

The nurse is seeing a home-care client with a history of mental illness.The client has just been discharged from the hospital after undergoing a mastectomy for breast cancer.As the nurse begins to perform a dressing change over the left breast area,the client states,"Every time I have a nurse come here,they do this dressing differently.I can't seem to have a nurse that does it right." What is the best response by the nurse?

A client presents in the clinic and tells the nurse,"I was taking my blood pressure medications and watching my diet,but that didn't help my blood pressure.So now I have stopped the medication and will just eat whatever I want." What is the most appropriate nursing diagnosis for this client?

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?

The nurse is caring for a patient with a history of depression and hypertension.The patient states,"Sometimes I just don't believe in using all the medications the doctor orders for me,so I use a lot of over-the-counter herbal medications." What is the most appropriate response by the nurse?

Which outcome is most realistic and appropriate in planning care for any newly diagnosed client with anxiety?

A 35-year-old patient diagnosed with testicular cancer is undergoing chemotherapy,which leaves him unable to help care for his young children.As a result,his wife misses work whenever the children are ill.She has become increasingly distressed over her situation.Her experience best demonstrates which of the following?

What are the best communication strategies that a nurse can use to encourage patients to share personal and sensitive information? Select all that apply.

There are many theories and treatments for depression.Based on current research,which of the following is considered to be the most effective treatment for serious depression?

An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.She has a medical diagnosis of Dehydration.Which of the following should lead the nurse to suspect that dementia,rather than depression or dehydration,is the source of the symptoms?

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?

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

Which statement best describes self-esteem?

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

A 45-year-old man with a history of anxiety comes into the emergency department and is diagnosed with a myocardial infarction (MI).He says to the nurse,"This is the most ridiculous thing I've ever heard of.I eat well,exercise,and am too young to have a heart attack." The nurse recognizes that this man is most likely experiencing:

The nurse is caring for a patient with cancer who has been receiving chemotherapy.Based on Maslow's Hierarchy of Needs,which nursing intervention is your first priority?

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?