Psychosocial Integrity Test - Questions and Answers

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Psychosocial Integrity Test - Questions and Answers A client changes topics quickly while relating past psychiatric history. This client's pattern of thinking is called: flight of ideas. A parent of ... a toilet-trained 3-year-old expresses concern over her child's bed-wetting while hospitalized. What should the nurse should tell the parent? "It is very common for children to regress when they are in the hospital." When interviewing the parents of an injured child, which sign is the strongest indicator that child abuse may be a problem? The injury isn't consistent with the child's history or age. A preschool-age child with a history of being abused has blood drawn. The child lies very still and makes no sound during the procedure. Which comment by the nurse would be mostappropriate? "It's okay to cry when something hurts." The mother of an infant with hemophilia tells the nurse that she is planning to do home teaching when the child reaches school age. She does not want her child in school because the teacher will not watch the child as well as she would. The mother's comments represent what common parental reaction to a child's chronic illness? Overprotection A client suddenly behaves in an impulsive, hyperactive, unpredictable manner. Which approach would be best for the nurse to use first if the client becomes violent? Get help to handle the situation safely. Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which is a culturally linked behavior to autopsy? the cause of death can be discovered Which intervention is essential when caring for a client who is experiencing delirium? identifying the underlying causative condition or illness The most critical aspect of caring for the client with delirium is to institute measures to correct the underlying causative condition or illness. Controlling behavioral symptoms with low-dose psychotropics, manipulating the environment, and decreasing or discontinuing all medications may be dangerous to the client's health. A client is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening others, angry outbursts, and two episodes of hitting a coworker at the client's place of employment. The client is very anxious and tells the nurse, "I didn't mean to hit him. He made me so mad that I just couldn't help it. I hope I don't hit anyone here." To ensure a safe environment, what should the nurse do first? Tell the client that hitting others is unacceptable behavior, and ask the client to tell a staff member when feeling angry. Which nursing action is appropriate to include in the plan of care for a dying child to meet the child's emotional needs during the last days of life? Answer the child's questions about illness and death honestly. The mother of an infant being admitted to the hospital is crying and very upset. Which statement by the nurse would be most therapeutic? "What's making you cry right now?" The nurse's best response is an open-ended question that gives the mother an opportunity to verbalize fears, share concerns, and ask for information.In this situation, the mother is right to be worried. Telling her to not do so would be inappropriate.Telling the mother that that everyone will take excellent care of her infant may be appropriate to say but only after determining the mother's feelings at the present time.Telling the mother that she did the right thing to bring her infant to the hospital does not address her concerns or needs at this time. A nurse manager observes bruises in the shape of finger marks around the elbows of an elderly, immobile client. The nurse should next: Report this finding to the Adult Protective Services (APS). A toddler is diagnosed with a dislocated right shoulder and a simple fracture of the right humerus. Which behavior suggests that the client's injuries stem from abuse? not crying when moved A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client? reality orientation A nursing student and a charge nurse of a psychiatric unit are discussing the outcomes of clients with depression. Which if stated by the student, indicates that the student understands depression outcomes? "There are patterns with this illness. If a person has one depressive episode, they have a 60% chance of experiencing another." If a person has a depressive episode, there is a 60% chance of a second episode. Factors related to depression include gender, age, socioeconomic status, race, and marital status, but are not necessarily situational. A major depressive disorder can be recurrent and could be chronic, but does not have to be a lifelong issue. Depression can occur in up to 25% of women and up to 12% of men. A nurse is caring for a client with hypothyroidism. The client is extremely upset about altered physical appearance. The client doesn't want to take the medication because "it isn't doing any good." What should the nurse do? Tell the client that as the medication corrects the hormone deficiency improvement in looks can be expected soon. Stating that the client will soon experience improvement is supportive and encouraging and offers direction in a way that motivates [Show More]

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