Hudson County Community College NURS MISC Psychosocial Integrity Exam Questions and Answers

Hudson County Community College NURS MISC Psychosocial Integrity Exam Questions and Answers Psychosocial Integrity The charge nurse notes problematic nurse-client interactions when the nurse is assigned a client who is a survivor of sexual abuse. The charge nurse learns that the nurse was sexually abused as a child. The charge nurse takes which action when making assignments? 1 . Organize the nurse’s assignments to include clients who have been sexually abused to promote a therapeutic environment. 2 . Create the nurse’s assignments as is normally done and request that the nurse begin outpatient counseling. 3 . Assign the nurse to clients who do not have a history of sexual abuse so that the nurse is able to interact therapeutically. 4 . Inform the nurse that clients with a psychiatric diagnosis will no longer be assigned due to the history of sexual abuse. The nurse in the psychiatric day program provides care for a client diagnosed with recurrent depression. In doing the initial assessment based on the therapist's recommendation for a cognitive approach to therapy, which aspect is important for the nurse to evaluate? 1. The client’s use of language. 2. The client’s insight into the depression. 3. The client’s socialization history and skills. 4. The client’s attitude toward medications. An older adult client diagnosed with alcoholism receives chlordiazepoxide for 2 days for symptom management. The client says to the nurse, “Get those bugs off of me! ” Which action does the nurse take? 1. Stop the chlordiazepoxide. 2. Assess the client for tachycardia and tremors. 3. Document an allergy to chlordiazepoxide in the client's health record. 4. Notify the health care provider that the client is experiencing delirium. The nurse assesses a client in the emergency department. Which symptoms cause the nurse to suspect that the client is experiencing a panic attack? 1. Decreased perceptual field, diaphoresis, fear of going crazy, and palpitations. 2. Decreased blood pressure, chest pain, choking feeling. 3. Increased blood pressure, bradycardia, shortness of breath. 4. Increased respiratory rate, increased perceptual field, increased concentration ability. The nurse interacts with a client verbalizing a cocaine craving. The nurse acknowledges the client’s discomfort. Which is the best activity for the nurse to suggest to the client?