Question 1

The nurse is assessing a client in an outpatient mental health setting.The assessment tool outlines criteria for psychosocial health.The nurse understands that this term may be defined as which of the following?

Accepted Answer

A) The state of being emotionally balanced and socially astute. 
B) Being mentally stable,physically fit,and psychologically well. 
C) Becoming spiritually and psychologically mature. 
D) The state of being mentally,emotionally,socially,and spiritually well.

Question 2

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 her children's health?

Accepted Answer

A) Attempt to meet immediate needs. 
B) Help to elevate self-esteem. 
C) Ongoing family disturbances. 
D) Can lead to mental illness.

Question 3

The nurse is assessing a client's spiritual and belief patterns and is currently asking the client about participation in organized religion.The nurse is on which step of the HOPE assessment with this client?

Accepted Answer

A) H 
B) O 
C) P 
D) E

Question 4

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

Accepted Answer

A) Who is your closest friend? 
B) What social groups do you belong to? 
C) What is your birth order in your family? 
D) Who do you call when you need help?

Question 5

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." The nurse would correctly choose to do which of the following?

Accepted Answer

A) Tell the client three things that he does well. 
B) Ask other clients to tell the client what he does well. 
C) Determine barriers to achieving the goal. 
D) Do nothing as long as the client appears better.

Question 6

The adult caregiver of an elderly client states,"When my mother takes ill,you can predict I'll be sick in about 6 weeks." This statement demonstrates:

Accepted Answer

A) The client has a communicable disease. 
B) The caregiver has uncared for health problems. 
C) The caregiver is more ill than the client. 
D) The caregiver is experiencing emotional stress.

Question 7

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.The nurse is utilizing which step of the nursing process?

Accepted Answer

A) Implementation 
B) Evaluation 
C) Planning 
D) Assessment

Question 8

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.Which of the following should the nurse do with this information?

Accepted Answer

A) Begin the respiratory assessment. 
B) Begin the musculoskeletal status assessment. 
C) Begin a review of the client's current medications. 
D) Begin the psychosocial assessment.

Question 9

The nurse is attempting to assess a client who appears agitated.The client believes the nurse is trying to hurt him and is not cooperating with the nurse.What actions by the nurse are indicated?

Accepted Answer

A) Advise the client that the healthcare provider will be contacted unless the client complies. 
B) Restrain the client using leather restraints. 
C) Speak to the client in a calm voice. 
D) Explain actions to the client as they are done. 
E) Medicate the client.

Question 10

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

Accepted Answer

A) Mental 
B) Emotional 
C) Social 
D) Spiritual

Exam 5: Psychosocial Assessment