Psychosocial Integrity- Ch. 32-Ch. 36
1. A nurse is caring for a client who states, “I have to check with my partner and see if they think I am ready to
go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the
nurse using to enhance communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating
2. Which of the following actions should the nurse take when demonstrating an empathic presence to a client?
(Select all that apply.)
A. Use an open posture.
B. Write down what the client says to avoid forgetting details.
C. Establish and maintain eye contact.
D. Nod in agreement with the client throughout the conversation.
E. Sit facing the client.
3. A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because
of being an avid swimmer. Which of the following statements should the nurse make? (Select all that apply.)
A. “You will do great! You just have to get used it.”
B. “Why are you worried about going home?”
C. “Your daily routines will be different when you get home.”
D. “Tell me about the support system you’ll have after you leave the hospital.”
E. “It sounds like you are not sure how having a colostomy will affect swimming.”
4. Which of the following strategies should a nurse use to establish a helping relationship with a client?
A. Make sure the communication is equally distributed between the nurse’s and client’s desires.
B. Encourage the client to communicate their thoughts and feelings.
C. Give the nurse-client communication no time limits.
D. Allow communication to occur spontaneously throughout the nurse-client relationship.
, 5. A nurse is caring for a school-age child who is sitting in a chair. To facilitate effective communication, which
of the following actions should the nurse take?
A. Touch the child’s arm.
B. Sit at eye level with the child.
C. Stand facing the child.
D. Stand with a relaxed posture
1. A nurse is caring for a client whose partner passed away 4 months ago. The client has a recent diagnosis of
diabetes mellitus. The client is tearful and states, “How could you possibly understand what I am going
through?” Which of the following responses should the nurse make?
A. “It takes time to get over the loss of a loved one.”
B. “You are right. I cannot really understand. Perhaps you’d like to tell me more about what you’re
feeling.”
C. “Why don’t you try something to take your mind off your troubles, like watching a funny movie.”
D. “I might not share your exact situation, but I do know what people go through when they deal with a
loss.”
2. A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as
the transport team arrives, the nurse takes the client’s vital signs and notes an elevation in blood pressure and
heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm stage
D. Recovery stage
3. A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The
client works as a carpenter and is now experiencing a situational role change based on physical limitations. The
client is the primary wage earner in the family. Which of the following describes the client’s role problem?
A. Role conflict
B. Role overload
C. Role ambiguity
D. Role strain
1. A nurse is caring for a client who states, “I have to check with my partner and see if they think I am ready to
go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the
nurse using to enhance communication with the client?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating
2. Which of the following actions should the nurse take when demonstrating an empathic presence to a client?
(Select all that apply.)
A. Use an open posture.
B. Write down what the client says to avoid forgetting details.
C. Establish and maintain eye contact.
D. Nod in agreement with the client throughout the conversation.
E. Sit facing the client.
3. A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because
of being an avid swimmer. Which of the following statements should the nurse make? (Select all that apply.)
A. “You will do great! You just have to get used it.”
B. “Why are you worried about going home?”
C. “Your daily routines will be different when you get home.”
D. “Tell me about the support system you’ll have after you leave the hospital.”
E. “It sounds like you are not sure how having a colostomy will affect swimming.”
4. Which of the following strategies should a nurse use to establish a helping relationship with a client?
A. Make sure the communication is equally distributed between the nurse’s and client’s desires.
B. Encourage the client to communicate their thoughts and feelings.
C. Give the nurse-client communication no time limits.
D. Allow communication to occur spontaneously throughout the nurse-client relationship.
, 5. A nurse is caring for a school-age child who is sitting in a chair. To facilitate effective communication, which
of the following actions should the nurse take?
A. Touch the child’s arm.
B. Sit at eye level with the child.
C. Stand facing the child.
D. Stand with a relaxed posture
1. A nurse is caring for a client whose partner passed away 4 months ago. The client has a recent diagnosis of
diabetes mellitus. The client is tearful and states, “How could you possibly understand what I am going
through?” Which of the following responses should the nurse make?
A. “It takes time to get over the loss of a loved one.”
B. “You are right. I cannot really understand. Perhaps you’d like to tell me more about what you’re
feeling.”
C. “Why don’t you try something to take your mind off your troubles, like watching a funny movie.”
D. “I might not share your exact situation, but I do know what people go through when they deal with a
loss.”
2. A nurse is caring for a client awaiting transport to the surgical suite for a coronary artery bypass graft. Just as
the transport team arrives, the nurse takes the client’s vital signs and notes an elevation in blood pressure and
heart rate. The nurse should recognize this response as which part of the general adaptation syndrome (GAS)?
A. Exhaustion stage
B. Resistance stage
C. Alarm stage
D. Recovery stage
3. A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The
client works as a carpenter and is now experiencing a situational role change based on physical limitations. The
client is the primary wage earner in the family. Which of the following describes the client’s role problem?
A. Role conflict
B. Role overload
C. Role ambiguity
D. Role strain
