Exam 5: Psychosocial Assessment

The nurse admits a client to a psychiatric facility and plans to conduct a psychosocial assessment. Which assessment tools are appropriate for the nurse to use to collect this data?

The client admitted to the hospital for an arm fracture requiring surgery appears disheveled and has a body odor. The nurse expresses surprise at the client's appearance and reports that this is not the normal appearance of the client, who is usually clean and meticulously groomed. Based on this information, which assessments are priority to plan this client's care?

During an assessment the assessment of a client admitted with new onset schizophrenia, the nurse observes the client repeating the last word of each question asked. Because of this, the client unable to completely answer any of the assessment questions. Which speech pattern in this client exhibiting?

The nurse conducts a physical assessment for a client. Which client statement during the assessment indicates the client is at risk for developing a major illness?

The nurse is caring for a client admitted for severe weight loss and depression. The client recently experienced the loss of three close family members and has withdrawn from all social activities. In developing the plan of care, the nurse would correctly choose which nursing diagnosis?

A client, whose mother has a history of schizophrenia, voices concerns about becoming pregnant and is fearful of having a child with the same disorder. Which response by the nurse is the most appropriate?

The nurse educator is reviewing the component 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?

The nurse is interviewing a client prior to a physical examination. The client reports aches, pains, and abdominal discomfort. Which factor does the nurse suspect is impacting the client's physical health?

The nurse is completing the psychosocial history on a newly admitted adult client. The client reports trouble concentrating, rapid heartbeats, irritability, and inability to make decisions. Based on these assessment findings, which does the nurse suspect?

A client is admitted to the psychiatric unit with complaints consistent with an anxiety disorder. During the assessment the nurse learns a client has a history of asthma and arthritis. Based on this information, which action is the priority for the nurse?

An older adult client who is hard-of-hearing is observed not participating in conversation and sits quietly in the corner of the room. This client's physical ailment is impacting which psychosocial dimension?

A client is admitted to the psychiatric care unit. While the nurse is explaining the use of the call light, the client smiles and says, "Apples, corn, dogs, my foot." The nurse correctly documents the client is demonstrating which speech pattern?

A client is seen at the ambulatory care clinic for a routine physical examination. During the examination, the client discusses having gained more than 25 pounds in the past year despite not changing the level of activity or dietary intake. What response by the nurse is the most appropriate?

While being interviewed, a client admits to the nurse that she has been hearing voices and sounds for the past three days. Which response by the nurse is the most appropriate?

The nurse is caring for a client in the emergency department (ED) who complains of chest pain and reports that people were following her. She states, "I can't see them but they are talking about grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. Which is the priority when continuing the assessment for this client?

The adult caregiver of an older adult client states, "When my mother takes ill, you can predict I'll be sick in about 6 weeks." What does this statement from the adult caregiver indicate?

The nurse is conducting a class on health promotion and uses the following definition: "The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands." Which area is the nurse stressing?

A school-age client is admitted to the hospital following an appointment in the pediatric oncology clinic. The 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?" What do these statements indicate?

The nurse is caring for a confused client. The nurse informs the client of the date, day of the week, time, and location each time the room is entered. Which step of the nursing process is the nurse using to orient this client?

The nurse is reviewing the plan of care for a client and notes that the following goal has not been met: "Client will verbalize three positive things about himself." Which action by the nurse is the most appropriate?