NUR 240 EAQ - Psychosocial Integrity
For a client with an obsessive-compulsive disorder, which rationale explains the function of obsessions
and compulsions? ANS Unconscious control of unacceptable feelings.
A client verbalizes anger toward the staff after being denied an unaccompanied day pass to leave the
psychiatric facility. Which feeling is most likely to be the source of the client's anger? ANS Powerlessness
Which key factor would the nurse consider when assessing how a client will cope with body image
changes? ANS Perception of the change.
Which type of group is Alcoholics Anonymous (AA)? ANS Self-help group
Which method would the nurse expect to be used successfully with a client who has a phobia about
closed spaces? ANS Desensitization
Which response would the nurse make to a depressed client who asks, "Do you think they'll ever let me
out of here"? ANS "How do you feel about leaving here?"
Which response would the nurse make to a client who says, "I feel so guilty. None of this makes any
sense. Everyone must really think I'm crazy after performing a complex ritual?" ANS "You're concerned
about what other people are thinking about you?""
According to Erikson's theory, at which stage does a child start to have fantasies and an active
imagination? ANS Initiative versus guilt
The nurse on the medical-surgical unit tells other staff members, "That client can just wait for the
lorazepam; I get so annoyed when people drink too much." Which does this nurse's comment reflect?
ANS Demonstration of a personal bias.
, Which essential action would the nurse take for a client whose behavior is characterized by suspicious
delusions? ANS Try to establish trust through consistency of care.
Which action related to gender is often expected in regards to socialization for school-age girls within
the community setting? ANS Expressing feelings openly.
Which type of sexual disorder describes a client who has a sexual obsession with shoes? Select all that
apply. One, some, or all responses may be correct. ANS Fetishistic
Which is an appropriate response to a client who is 8 weeks pregnant and is concerned because she
doesn't "feel like making love to her husband since becoming pregnant" and she doesn't "think he
understands"? ANS "A decrease in libido is common during the first trimester of pregnancy."
Which therapy would have the highest success rate for people with phobias? ANS Desensitization
involving relaxation techniques.
Which discharge criterion would be appropriate for a client with obsessive-compulsive disorder who is
using ritualistic behaviors? ANS Is able to intervene when increasing levels of anxiety occur.
Which finding would the nurse observe in a client with vascular neurocognitive disorder? ANS Difficulty
recalling recent events related to cerebral hypoxia.
A client is experiencing a prolonged labor and is frustrated and very concerned about the situation. The
nurse acknowledges the client's feelings and then makes which response? ANS "May I rub your back? Let
me know if the pressure makes you feel better or worse."
Which of these is a one-on-one communication between the nurse and another person? ANS
Interpersonal communication
For a client with an obsessive-compulsive disorder, which rationale explains the function of obsessions
and compulsions? ANS Unconscious control of unacceptable feelings.
A client verbalizes anger toward the staff after being denied an unaccompanied day pass to leave the
psychiatric facility. Which feeling is most likely to be the source of the client's anger? ANS Powerlessness
Which key factor would the nurse consider when assessing how a client will cope with body image
changes? ANS Perception of the change.
Which type of group is Alcoholics Anonymous (AA)? ANS Self-help group
Which method would the nurse expect to be used successfully with a client who has a phobia about
closed spaces? ANS Desensitization
Which response would the nurse make to a depressed client who asks, "Do you think they'll ever let me
out of here"? ANS "How do you feel about leaving here?"
Which response would the nurse make to a client who says, "I feel so guilty. None of this makes any
sense. Everyone must really think I'm crazy after performing a complex ritual?" ANS "You're concerned
about what other people are thinking about you?""
According to Erikson's theory, at which stage does a child start to have fantasies and an active
imagination? ANS Initiative versus guilt
The nurse on the medical-surgical unit tells other staff members, "That client can just wait for the
lorazepam; I get so annoyed when people drink too much." Which does this nurse's comment reflect?
ANS Demonstration of a personal bias.
, Which essential action would the nurse take for a client whose behavior is characterized by suspicious
delusions? ANS Try to establish trust through consistency of care.
Which action related to gender is often expected in regards to socialization for school-age girls within
the community setting? ANS Expressing feelings openly.
Which type of sexual disorder describes a client who has a sexual obsession with shoes? Select all that
apply. One, some, or all responses may be correct. ANS Fetishistic
Which is an appropriate response to a client who is 8 weeks pregnant and is concerned because she
doesn't "feel like making love to her husband since becoming pregnant" and she doesn't "think he
understands"? ANS "A decrease in libido is common during the first trimester of pregnancy."
Which therapy would have the highest success rate for people with phobias? ANS Desensitization
involving relaxation techniques.
Which discharge criterion would be appropriate for a client with obsessive-compulsive disorder who is
using ritualistic behaviors? ANS Is able to intervene when increasing levels of anxiety occur.
Which finding would the nurse observe in a client with vascular neurocognitive disorder? ANS Difficulty
recalling recent events related to cerebral hypoxia.
A client is experiencing a prolonged labor and is frustrated and very concerned about the situation. The
nurse acknowledges the client's feelings and then makes which response? ANS "May I rub your back? Let
me know if the pressure makes you feel better or worse."
Which of these is a one-on-one communication between the nurse and another person? ANS
Interpersonal communication
