Question 1

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

Accepted Answer

A) Preoccupation with loss, self-blame, and ambivalence 
B) Anger, helplessness, guilt, and sadness 
C) Anorexia, insomnia, headache, and constipation 
D) Tearfulness, withdrawal, and present substance abuse

Question 2

The nurse is providing care for a client newly diagnosed with anxiety. Which outcome is most realistic and appropriate in planning care for this client?

Accepted Answer

A) Describes coping strategies for anxious situations 
B) Discusses the reasons for episodes with significant others 
C) Establishes two new social relationships 
D) Verbalizes the client has been episode free

Question 3

The nurse is updating the plan of care for a patient scheduled to undergo a mastectomy for breast cancer. Which nursing diagnosis does the nurse anticipate in expectation of the body changes associated with the upcoming surgery?

Accepted Answer

A) Deficient Knowledge 
B) Impaired Adjustment 
C) Hopelessness 
D) Grieving

Question 4

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

Accepted Answer

A) Eats a well-balanced diet 
B) Depressed mood resolves by discharge 
C) Bathes, washes, and maintains grooming and hygiene 
D) Develops a spiritual belief system or engages in a religious affiliation 
E) Is able to discuss lifestyle and living arrangements by the time of discharge

Question 5

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

Accepted Answer

A) Teaching the importance of adequate nutrition and hydration 
B) Giving clear facts pertaining to the patient's circumstances 
C) Promoting small-group activities to improve self-esteem 
D) Monitoring the patient for the risk of suicide

Question 6

The nurse is developing a plan of care for a patient who has been admitted with a serious acute illness, which is likely to continue long term. The patient is the parent of three small children. 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." Which purpose does this intervention address?

Accepted Answer

A) Promotes self-esteem 
B) Increases positive body image 
C) Facilitates role enhancement 
D) Prevents depersonalization

Question 7

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." Which conclusion does the nurse draw from the client's statements?

Accepted Answer

A) The client has an overinflated sense of self-esteem. 
B) The client possesses a well-developed self-concept. 
C) The client is dealing with an overactive imagination. 
D) The client is experiencing a state of low self-concept.

Question 8

The nurse is providing care for a group of patients in an acute care setting. Which comment by one of the patients demonstrates an internal locus of control?

Accepted Answer

A) "My blood sugar wouldn't be out of control if my wife prepared better foods." 
B) "I knew I shouldn't have come to this hospital; I'd be better if I hadn't." 
C) "God must be getting even with me for some of my past behavior." 
D) "I'm just glad to be alive; my accident could've been a lot worse."

Question 9

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

Accepted Answer

A) Infrequent eye contact 
B) Straight posture 
C) Being overly critical of others 
D) Careful grooming 
E) Clear personal identity

Question 10

The nurse is seeing a home-care client with a history of mental illness. The client is home after undergoing a mastectomy for breast cancer, which requires regular dressing changes. 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." Which is the best response by the nurse?

Accepted Answer

A) "I don't know how other nurses do your dressing change, but I will do it correctly." 
B) "I have done this type of dressing many times, so you don't need to worry." 
C) "How would you like this dressing change done? Tell me how you think it should be done." 
D) "It seems you have some concerns about our agency. You may need to talk to the supervisor."

Question 11

A patient who lost their job last month has now been told that the patient's spouse wants a divorce. The patient states, "I know I don't have much to offer a spouse who wants more from life, and now I'm not even bringing home any money." Which nursing diagnosis is most appropriate for the patient?

Accepted Answer

A) Chronic Low Self-Esteem 
B) Situational Low Self-Esteem 
C) Disturbed Personal Identity 
D) Disturbed Body Image

Question 12

The nurse understands that which is the best description of personal identity?

Accepted Answer

A) It is a continually evolving sense of individuality and uniqueness. 
B) It involves the same information as the demographic data. 
C) It is a part of the person's genetic and cultural heritage. 
D) It includes individual information guarded to avoid identity theft.

Question 13

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

Accepted Answer

A) Treat children with respect. 
B) Be firm and consistent in applying rules. 
C) Do not allow children to make decisions independently. 
D) Provide frequent positive and negative criticism. 
E) Insist children to exhibit maturity of privileges.

Question 14

The nurse is providing care for a patient diagnosed with clinical depression. Which statement by the nurse is best when communicating with this patient?

Accepted Answer

A) "It's a beautiful day today; you'll feel better if you look out the window." 
B) "You're having a bad day; I'm sure you'll feel better soon." 
C) "Life seems overwhelming at times; would you like to discuss how you're feeling?" 
D) "You are very lucky to have such a supportive family."

Question 15

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

Accepted Answer

A) Psychotherapy 
B) Antidepressant medications 
C) Education 
D) Social support networks

Question 16

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?

Accepted Answer

A) Body image 
B) Self-esteem 
C) Personal identity 
D) Role performance

Question 17

The nurse is providing care for a patient admitted with severe depression and identifies a nursing diagnosis of Hopelessness on the patient's plan of care. Which outcome is appropriate for this diagnosis?

Accepted Answer

A) Displays stabilization and control of mood 
B) Sleeps 6 to 8 hours per night with report of feeling rested 
C) Does not engage in risky, self-injurious behavior 
D) Eats a well-balanced diet to prevent weight change

Question 18

A client is at 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." Which is the most appropriate nursing diagnosis for this client?

Accepted Answer

A) Anxiety 
B) Risk for Hopelessness 
C) Ineffective health maintenance 
D) Depression

Exam 13: Psychosocial Health Illness