Exam 5: Psychosocial Assessment

The nurse is reviewing the plan of care for a client who was admitted for suicidal tendencies. The nurse documents that the client is no longer experiencing thoughts of hurting self. Which step of the nursing process is the nurse using?

A client presents to the ambulatory care clinic with complaints of back pain, nausea, and fatigue. When the nurse questions the client about recent stressors the client becomes irritated and states, "I am sick. Why are you asking me about all of this stress stuff?" Which response by the nurse is the most appropriate?

The nurse is concerned that a client is having a problem with self-concept. Which statement by the client supports the nurse's concern?

The nurse believes a client is having difficulty coping with current illness and hospitalization. Which assessment question would best help the nurse identify the client's coping ability?

The nurse is reviewing the care plan for a client with schizophrenia. Upon assessment the client admits to hearing voices that say, "Kill yourself." The nurse documents the client is at risk for injury and includes the following statement in the plan of care, "Client will not harm self during hospitalization." Which step of the nursing process is the nurse using?

A client with hypertension stops into the clinic for a weekly blood pressure and blood glucose measurement along with a full set of vital signs. The client is in a hurry because he started a new job and has to get back to work. Which finding would indicate that the client is having a healthy response to the new job?

A client tells the nurse, "I want to make sure my children have every possible opportunity to complete their education." The nurse realizes this client's philosophy on education will influence which aspect of the children's health?

The nurse is interviewing an overweight adolescent who looks downward and speaks softly when answering questions. The nurse identifies a problem with client's self-concept. Which finding supports the nurse's conclusion?

The nurse is attempting to assess an agitated client. The client believes the nurse is trying to hurt him and is not cooperating with the nurse. What actions by the nurse are appropriate?