Chapter 13- Psychosocial Assessment A+ Guides Latest .

Origin: Chapter 13- Psychosocial Assessment, 1 1.A nurse performs a psychosocial assessment of an older adult living in the community. Which of the following statements best captures the nature of psychosocial assessment? A) It is a formalized psychological test of the individual's condition and needs. B) It aids in identifying and analyzing personality traits of the individual. C) It helps to identify the individual's need for psychiatric care. D) It is a component of holistic nursing care of older adults. Ans: D Feedback: A psychosocial assessment is one component of the mind–body–spirit nature of holistic nursing care of older adults. It is not a formal psychological examination, nor does it exist to identify specific personality traits or the need for psychiatric intervention. Origin: Chapter 13- Psychosocial Assessment, 2 2.While a nurse is performing a recently admitted hospital client's morning care, the client states, "I'm pretty sure I'll never see my own apartment again." Which of the following responses by the nurse best demonstrates effective communication? A) "What is it that makes you feel that way?" B) "“I'm sure that's not going to be the case." C) "All in all, you're doing quite fine." D) "There's a lot that we can do, dear, to make sure that you do." Ans: A Feedback: The nurse demonstrates empathy and respect, while also facilitating further assessment findings around the client's beliefs for recovery through the use of an open-ended question. The nurse should not demonstrate a false reassurance of recovery, nor downplay the client's concerns. The nurse does not use patronizing terms of address (dear, honey, sweetie). Origin: Chapter 13- Psychosocial Assessment, 3 3.A nurse assesses an older adult's abstract thinking ability. Which of the following questions is most appropriate? A) "Do you know why you are in hospital right now?" B) "What do a dog and a cat have in common?" C) "What goals do you have for your treatment and recovery?" D) "What would you do if you found a stamped, addressed letter on the ground?" Ans: B Feedback: Asking what traits two similar, but not identical, objects share is a way of gaining insight into a client's ability to think abstractly. Option A addresses insight, not abstract thinking, while Option C is a useful assessment question, but not one that addresses abstract thinking. Option D could be used to assess the client's judgment.