Exam 13: Psychosocial Health Illness

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

The school nurse at the elementary school is preparing a presentation for parents on promoting self-esteem in children.What are some self-esteem promotion strategies she will teach at the presentation? Select all that apply.

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?

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?

Which of the following explanations by the nurse would be the best description of personal identity?

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?

Which intervention(s)by the nurse might help the patient maintain a sense of personhood during hospitalization? Assume that all are culturally appropriate.Select all that apply.

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,it is most important for the nurse to encourage visits by:

The nurse on a psychiatric unit is caring for a client with severe depression.The client states,"I just cannot go on.It is hopeless for me and there is no end in sight.My family would be better off without me burdening them." The nurse recognizes that this client is most at risk for:

The nurse is assessing a patient admitted with a newly diagnosed bleeding duodenal ulcer.He is exhibiting physiological signs of anxiety and seems to have difficulty concentrating.During the interview,the patient tells the nurse that he is often "short of breath" and says,"I lie awake nights worrying about everything." He has been unable to work or care for his family for the past 6 months.What is the nurse's priority after documenting this information in the nurses' notes?

A female client tells the nurse,"I see how people look at me with my crooked back and short leg.No one has to tell me that I'm not pretty." The nurse realizes this client is exhibiting:

The nurse is caring for several patients on a medical-surgical unit.To which patient statement is the nurse most alerted for making a mental health referral?

The nurse is developing a plan of care for a client with anxiety.What are appropriate nursing interventions the nurse can use for assisting the client in reducing anxiety? Select all that apply.

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

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 to do?

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

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?

Which of the following is considered a strength of the nursing profession?

Which assessment finding(s)might suggest that the patient has low self-esteem and requires more in-depth assessment? Select all that apply.