PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS Flashcards
- Sherlene, a 16 year old patient has a record of being absent in the class without permission, and borrowing other people’s things without asking permission. Jasper denies stealing; rationalizing instead that as long aa no one was using the items, there is no problem to use it by other people. It is important for the nurse to understand that psychodynamically, the behavior of the client may be largely attributed to a development defect related to the:
A. Oedipal Complex
B. Super ego
C. Id
D. Ego
B. Super ego
- A patient tells the nurse, “Yesterday I was planning to kill myself”. What would be the best nursing response to this client?
A. “What are you going to do this time?”
B. “Say nothing. Wait for the client’s next comment.”
C. You seem upset. I am going to be here with you; perhaps you want to talk about it.
D. “Have you felt this way before?”
C. You seem upset. I am going to be here with you; perhaps you want to talk about it.
- In doing a crises intervention therapy, which of this principle that the nurse will use the plan her/his goals?
A. Crises are related to deepen, underlying problems
B. Crises seldom occur in normal people’s lives
C. Crises may go on indefinitely
D. Crises usually resolved in 4-6 weeks
D. Crises usually resolved in 4-6 weeks
- Nurse Rogelyn enters the room of the male client and found out that the client urinates on the floor. The client hides when the nurse is about to talk to him. Which of the following is the best intervention?
A. Place restrictions on the client’s activities when his behavior occurs.
B. Ask the client to clean the soiled floor
C. Take the client to the bathroom at regular intervals
D. Limit fluid intake
C. Take the client to the bathroom at regular intervals
- A female patient with a diagnosis of schizophrenic reaction has been admitted to the psychiatric unit. In the past three months, the nurse noticed that she has poor appetite, had experienced difficulty sleeping, was mute for long periods of time, just stayed in her room, grinning and pointing at things. What would be the initial nursing action upon admitting the client to the unit?
A. Assure the client that you will be well cared for.
B. Introduce the client to some of the other clients.
C. Do you know where you are?
D. Take the client to the assigned room.
D. Take the client to the assigned room.
- Ivana a 17 year old girl was diagnosed with anorexia. As the duty nurse what would be your first assessment?
A. what food she likes
B.her desired weight
C.her body image
D. what causes her behavior
A.what food she likes
- On an adolescent unit, a nurse caring to a client was informed that her client’s closest roommate dies at night. What would be the most appropriate nursing action?
A. Do not bring it up unless the client asks.
B. Tell the client that her roommate went home.
C. Tell the client, if asked, “You should ask the doctor.”
D. Tell the client that her closest roommate died.
A. Do not bring it up unless the client asks.
- A woman gave birth to an unhealthy infant, and with some body defects. The nurse should expect the woman’s initial reactions to include:
A. Depression
B. Withdrawal
C. Apathy
D. Anger
D. Anger
- Raffy is a client admitted in the psychiatric unit and is shouting out loud and tells the nurse, “ please, help me. They are coming to get me.” What would be the appropriate nursing response?
A. I won’t let anyone get you.
B. Who are they
C. I don’t see anyone coming
D. You look frightened
C. I DONT SEE ANYONE COMING
- Michael is a client who is severely obese tells the nurse, “My heart therapist told me that I eat a lot because I didn’t get any attention and love from my mother. What does the therapist mean? What is the best nursing response?
A. What do you think is the connection between you’re not getting enough love and overeating?
B. Tell me what you think the therapist means.
C. You need to ask your therapist.
D. We are here to deal with your diet, not with your psychological problems.
B. Tell me what you think the therapist means.
- Sheila has been diagnosed with Breast Cancer and is having a mastectomy. After the discussion about the procedure with the physician.Sheila tells the nurse,”If my breasts will be removed, I’m afraid my husband will not love me anymore and maybe he will never touch me.” What should the nurse’s response be?
A. “I doubt that he feels that way.”
B. “What makes you feel that way?”
C. “Have you discussed your feelings with your husband?”
D. Ask the husband, in front of the wife, how he feels about this.
C. “Have you discussed your feelings with your husband?”
- Baby Nolan was brought to the hospital by his parents. During assessment of the nurse, what parental behavior toward a child should alert the nurse to suspect child abuse?
A. Ignoring the child.
B. Flat effect.
C. Expression of Guilt
D. Acting overly solicitous toward the child
D. Acting overly solicitous toward the child
- Nurse Echo is caring a client with a manic disorder in the psychiatric ward. On the morning shift, Nurse echo is talking with the client who is now exhibiting a manic episode with flight of ideas. The nurse primarily needs to:
A. Focus on the feelings conveyed rather than the thoughts expressed.
B. Speak loudly and rapidly to keep the client’s attention, because the client is easily distracted.
C. Allow the client to talk freely.
D. Encourage the client to complete one thought at a time.
A. Focus on the feelings conveyed rather than the thoughts expressed.
- Nurse Jerome is caring for an autistic child. Which of the following play behaviors would the nurse expect to see in a child?
A. competitive play
C. cooperative play
B. nonverbal play
D. solitary play
D. solitary play
- The client is telling the nurse in the psychiatric ward “I hate them”. Which of the following is the most appropriate nursing response to the client
A. Tell me about your hate
B. “I will stay with you as long as you feel this way”
C. “For whom do you have these feelings”
D. “I understand how you can feel this way”
A. Tell me about your hate
- Nanay Michelle visits her son with major depression in the psychiatric unit. After the conversation between Michelle and her son, the nurse asks her on how it is talking to her son. She told the nurse that it was a stressful time. During an interview with the client, the client says, “we had a marvelous visit.” Which of the following coping mechanism can be described to the statement of the client?
A. Identification.
B. Rationalization
C. Denial
D. Compensation
C. Denial
- Nurse she is caring to a female client with five young children. The family member told the client that her ex-husband has died 2 days ago. The reaction of the client is stunned silence, followed by anger that the ex-husband left no insurance money for their young children. The nurse should understand that:
A. The children and the injustice done to them by their father’s death are thr woman’s main concern.
B. To explain the woman’s reaction, the nurse needs more information
C. The woman is not reacting normally to the news
D. The woman is experiencing a normal bereavement reaction
D. The woman is experiencing a normal bereavement reaction
- Roger, a client, who is manic comes to the outpatient department. The nurse is assigning an activity for the client. What activity is best for the nurse to encourage for a client in a manic phase?
A. Solitary activity, such as walking with the nurse, to decrease stimulation.
B. Competitive activity, such as bingo, to increase the client’s selfesteem.
C. Group activity, such as basketball, to decrease isolation.
D. Intellectual activity, such as scrabble, to increase concentration
A. Solitary activity, such as walking with the nurse, to decrease stimulation.
- Nurse Rhumfel is about to administer Imipramine HCI (Tofranil) to the client says, “Why should I take this?” The doctor started me on this 10 days ago; it didn’t help me at all.” Which of the following is the best nursing response?
A. “What were you expecting to happen?”
B. “ It’s usually takes 2-3 weeks to effective.”
C. “Do you want to refuse this medication? You have the right.”
D. “That’s a long time wait when you feel so depressed.”
B. “It’s usually takes 2-3 weeks to effective.”
- Which of the following drugs the new nurse should choose to administer to a client to prevent pseudopakinsonism?
A. Isocarboxazid (Marplan)
B. Chlorpromazine HCI
C.Trihexyphenidyl HCI (Artane)
D. Trifluoperazine HCI (Stelazine)
C. Trihexyphenidyl HCI (Artane)
- Nurse Leicester is caring To an 80 year old client with dementia what is the most important Psychosocial need for this client?
A. Focus on the there and then rather than hear and now
B. Limit in the number of visitors to minimize confusion
C. Variety in their daily life to decrease depression
D. A structured environment to minimize aggressive behaviors
D. A structured environment to minimize aggressive behaviors
- Desiree a patient in Psychiatric patient tells the nurse I don’t want to eat any meals offering this Hospital because the food is poisoned the nurse is aware that the client is expressing an example of:
A. Delusion
B. Hallucination
C. Negativism
D. Illusion
A. Delusion
- Brian John is admitted in the hospital. On assessment, the nurse found the most important nursing action? out that the client had several suicidal attempts. Which of the following is
A. Ignore the client as long as he or she is talking about suicide, because suicide attempt is unlikely.
B. Administer medication.
C. Relax vigilance when the client seems to be recovering from depression
D. Maintain constant awareness of the client’s whereabouts.
D. Maintain constant awareness of the client’s whereabouts.
- The nurse suspects that the client is suffering from depression. During assessment, what are the most characteristic signs and symptoms of depression the nurse would note?
A. Constipation, increased appetite.
B. Anorexia, insomnia.
C. Diarrhea, anger.
D. Verbosity, increased social interaction.
B. Anorexia, insomnia.
