Chapter 13. Psychosocial Health & Illness – Flashcards

Which of the following is considered a strength of the nursing profession? 1)Biomedical focus 2)Psychosocial focus 3)Biopsychosocial focus 4)Physical focus

A homeless patient is admitted with an infected leg wound. According to Maslow's hierarchy of needs, which nursing intervention meets one of his basic physiological needs? 1)Providing the patient with a dinner tray 2)Administering antibiotics as prescribed 3)Irrigating a wound with normal saline solution 4)Encouraging the patient to express his feelings

Which of the following can the nurse assess using Erik Erikson's theory? 1)Moral development 2)Developmental tasks 3)Social identity 4)Self-esteem

Which statement best describes self-concept? An individual's 1)Understanding of how others perceive him 2)Evaluation of himself 3)Overall view of himself 4)Perspective of his role in society

A 13-year-old patient is admitted to the hospital. There is no medical restriction on visitation. To help maintain the patient's social identity while hospitalized, it is most important for the nurse to encourage visits by 1)Peers 2)Grandparents 3)Siblings 4)Parents

Which response by the patient demonstrates an internal locus of control? 1)"My blood sugar wouldn't be out of control if my wife prepared better foods." 2)"I knew I shouldn't have come to this hospital; I'd be better if I hadn't." 3)"God must be getting even with me for my past behavior." 4)"I'm just glad to be alive; the accident could've been a lot worse."

The nurse is caring for a group of patients on the medical-surgical unit. Which patient is most likely to experience the most difficulty in adapting to a change in body image? The patient 1)Who suffered a traumatic amputation of the left leg in an industrial accident 2)With hypothyroidism who has coarse, dry, thinning hair and weight gain 3)Who is obese and who underwent gastric bypass surgery 4)With peripheral vascular disease who required a wound graft

Which individual is most likely to have a positive body image? 1)Child who has been deaf since birth 2)Child who was born with cystic fibrosis 3)Adolescent of average appearance who had an appendectomy 4)Adult born with a spinal defect and associated paralysis of the lower body

A 35-year-old patient diagnosed with testicular cancer is undergoing chemotherapy, which leaves him unable to help care for his young children. As a result, his wife misses work whenever the children are ill. She has become increasingly distressed over her situation. Her experience best demonstrates which of the following? 1)Role strain 2)Interpersonal role conflict 3)Role performance 4)Inter-role conflict

Which statement best describes self-esteem? 1)View of oneself as a unique human being 2)One's mental image of one's physical self 3)One's overall view of oneself 4)How well one likes oneself

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? 1)Body image 2)Self-esteem 3)Personal identity 4)Role performance

A 17-year-old patient sustained facial fractures and a 6-inch laceration on the left side of her face in a motor vehicle accident. The patient tells the nurse that she does not want anyone to see her "looking this way." Which statement by the nurse is most appropriate? 1)"Tell me what you mean by 'looking this way.'" 2)"OK, I'll restrict your visitors until your face heals." 3)"Your friends and family love you no matter what." 4)"You're young; your face will heal quickly."

A patient has recently had a change in a family relationship that is greatly affecting his health. Which nursing diagnosis could you probably make for this patient? 1)Parental Role Conflict 2)Interrupted Family Processes 3)Compromised Family Coping 4)Ineffective Individual Coping

The nurse is updating a care plan for a patient who has a nursing diagnosis of Anxiety. Which patient behavior might suggest that the problem is resolving? 1)Pacing in the hallway at intervals 2)Using relaxation techniques 3)Speaking rapidly when spoken to 4)Avoiding eye contact

Which nursing diagnosis is categorized as a psychosocial, rather than a self-concept, diagnosis? 1)Ineffective Individual Coping 2)Situational Low Self-Esteem 3)Disturbed Personal Identity 4)Disturbed Body Image

Which statement by the nurse is best when communicating with a patient with clinical depression? 1)"It's a beautiful day today; you'll feel better if you look out the window." 2)"You're having a bad day; I'm sure you'll feel better soon." 3)"Life seems overwhelming at times; would you like to discuss how you're feeling?" 4)"You are very lucky to have such a supportive family."

A patient who lost his job last month has now been told that his wife wants a divorce. He says, "I know I don't have much to offer a woman. She wants more than what I am, and now I'm not even bringing home any money." Which nursing diagnosis is most appropriate? 1)Chronic Low Self-Esteem 2)Situational Low Self-Esteem 3)Disturbed Personal Identity 4)Disturbed Body Image

The nurse is updating the care plan of a patient who must undergo a right mastectomy for breast cancer. Which nursing diagnosis should the nurse anticipate in expectation of the body changes associated with the upcoming surgery? 1)Deficient Knowledge 2)Impaired Adjustment 3)Hopelessness 4)Grieving

A patient admitted with depression has a nursing diagnosis of Chronic Low Self-Esteem. Which NOC outcome is essential for this nursing diagnosis? 1)Decision Making 2)Distorted Thought Content 3)Role Performance 4)Depression Level

The nursing diagnosis Disturbed Personal Identity is identified for a newly admitted patient. Which of the following is an example of an individualized goal for that patient? 1)Distorted Thought Control 2)Anxiety Level 3)Self-Mutilation Restraint 4)No Self-Injury, Consistently Demonstrated

A 73-year-old patient was admitted with a perforated bowel. Following surgical repair, he developed complications and required an extensive stay in the hospital. How can the medical-surgical nurse best promote self-esteem in this patient? 1)Assist the patient to ambulate in the hallway once daily. 2)Encourage the patient to participate in self-care. 3)Introduce herself to the patient if he does not know her. 4)Listen attentively when the patient speaks.

The nurse is developing a plan of care for a mother of three small children who has been admitted with a serious acute illness, which is likely to continue long term. 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." The purpose of this intervention is to help 1)Promote self-esteem 2)Promote positive body image 3)Facilitate role enhancement 4)Prevent depersonalization

A patient comes to the emergency department complaining of headache, palpitations, nausea, and dizziness. After determining that the patient is anxious, the nurse notes tachycardia and trembling. Which level of anxiety is this patient exhibiting? 1)Mild anxiety 2)Moderate anxiety 3)Severe anxiety 4)Panic anxiety

The nurse is assessing a patient admitted with a newly diagnosed bleeding duodenal ulcer. He is exhibiting physiological signs of anxiety and seems to have difficulty concentrating. During the interview, the patient tells the nurse that he is often "short of breath" and says, "I lie awake nights worrying about everything." He has been unable to work or care for his family for the past 6 months. What is the nurse's priority after documenting this information in the nurses' notes? 1)Provide emotional support for the patient using reflective listening technique. 2)Do nothing; people with duodenal ulcers typically cannot work. 3)Question the patient's family about the information received from the patient. 4)Notify the primary care provider and ask for a referral to a mental health professional.

An adult patient is diagnosed with lung cancer, and surgery to remove the right lung is recommended. The patient is uncertain about whether he should consent to the surgery because of the risks involved. Which nursing diagnosis is most appropriate for this patient? 1)Decisional Conflict 2)Death Anxiety 3)Powerlessness 4)Ineffective Denial

Which nursing intervention specifically helps reduce a patient's anxiety? 1)Teaching the importance of adequate nutrition and hydration 2)Giving clear fact pertaining to the patient's circumstances 3)Promoting small-group activities to improve self-esteem 4)Monitoring the patient for the risk of suicide

The nurse caring for a patient admitted with severe depression identifies a nursing diagnosis of Hopelessness on the care plan. Which outcome is appropriate for this diagnosis? 1)Displays stabilization and control of mood 2)Sleeps 6 to 8 hours per night with report of feeling rested 3)Does not engage in risky, self-injurious behavior 4)Eats a well-balanced diet to prevent weight change

The nurse is assessing a patient for depression. Which of the following sets of behavioral symptoms may indicate depression? 1)Preoccupation with loss, self-blame, and ambivalence 2)Anger, helplessness, guilt, and sadness 3)Anorexia, insomnia, headache, and constipation 4)Tearfulness, withdrawal, and present substance abuse

A frail, elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. What is most important for the nurse do? 1)Recognize these symptoms as signs of normal, physiologic aging. 2)Obtain a urine specimen before notifying the primary care provider. 3)Be sure she is placed in a room occupied with another patient. 4)Interview the patient to screen for clinical depression.

An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. She has a medical diagnosis of dehydration. Which of the following should lead the nurse to suspect that dementia, rather than depression or dehydration, is the source of the symptoms? The history and nursing observations indicate that the patient 1)Rambles, speaks incoherently, and answers questions inappropriately 2)Speaks slowly with delayed response to questions but responds appropriately 3)Awakens early in the day yet sleeps almost constantly during the day 4)Sometimes has difficulty concentrating on details of the present situation

Which assessment finding(s) might suggest that the patient has low self-esteem and requires more in-depth assessment? Choose all that apply. 1)Infrequent eye contact 2)Straight posture 3)Overly critical of others 4)Careful grooming

Which intervention(s) by the nurse might help the patient maintain a sense of personhood during hospitalization? Assume that all are culturally appropriate. Choose all that apply. 1)Addressing the patient by his first name 2)Making eye contact if it is comfortable for the patient 3)Always offering an explanation before beginning a procedure 4)Speaking to others about the patient so that the patient can hear you