Exam (elaborations) NURS 2539 Basic Psychosocial Needs (NURS 2539 Basic Psychosocial Needs)

Basic Psychosocial Needs Question 1 See full question 4s In working with a rape victim, which intervention is most important? You Selected:  telling the client that the rapist will eventually be caught, put on trial, and jailed Correct response:  periodically reminding the client that she did not deserve and did not cause the rape Explanation: Remediation: Add a Note Question 2 See full question 2s When preparing discharge instructions for a client after an abdominal hysterectomy, the nurse should first: You Selected:  assess the client's available social supports. Correct response:  assess the client's available social supports. Explanation: Remediation: Add a Note Question 3 See full question 2s A client is having trouble adjusting to a colostomy surgically created 4 days ago. The nurse prioritizes which nursing diagnosis? You Selected:  Anxiety Correct response:  Altered body image Explanation: Remediation: Add a Note Question 4 See full question 5s A 16-year-old primiparous client has decided to place her baby for adoption. The adoptive parents are on their way to the hospital when the mother says, “I want to see the baby one last time.” The nurse should: You Selected:  allow the client to see and hold the baby for as long as she desires. Correct response:  allow the client to see and hold the baby for as long as she desires. Explanation: Add a Note Question 5 See full question 9s An 86-year-old has few health problems, performs self-care, plays cards, and talks about “the good old days.” The client wants to make “final” arrangements, such as completing an advance directive and planning and paying for a funeral and burial. The nurse determines that the client: You Selected:  has a premonition of dying soon. Correct response:  is responding in an age-appropriate manner. Explanation: Remediation: Add a Note Question 6 See full question 2s When the nurse enters a client’s room to begin the initial assessment, the client is passionately kissing and embracing his/her partner. What action should the nurse take? You Selected:  Quietly leave the room, come back later, and state that this behavior is unacceptable in the hospital. Correct response:  Do not disturb the couple, leave the room, and allow them privacy. Explanation: Add a Note Question 7 See full question 1s The nurse is caring for an elderly nursing home client who is anxious and fearful after being admitted to the hospital. Which of the following interventions is the nursing priority? You Selected:  Have the client contact the family to come down to visit. Correct response:  Explain procedures and unit routines to the client, as well as checking orientation.