PSYCHOSOCIAL
INTEGRITY
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, NUR 240 EAQ - Psychosocial Integrity
1. For a client with an obsessive-compulsive disorder, which rationale explains the function of obsessions and
compulsions?: Unconscious control of unacceptable feelings.
2. 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?: Powerlessness
3.Which key factor would the nurse consider when assessing how a client will cope with body image changes?:
Perception of the change.
4.Which type of group is Alcoholics Anonymous (AA)?: Self-help group
5.Which method would the nurse expect to be used successfully with a client who has a phobia about closed spaces?:
Desensitization
6.Which response would the nurse make to a depressed client who asks, "Do you think they'll ever let me out of
here"?: "How do you feel about leaving here?"
7.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?": "You're concerned about what other people are thinking about you?""
8. According to Erikson's theory, at which stage does a child start to have fantasies and an active imagination?:
Initiative versus guilt
9. 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?: Demonstration of a personal
bias.
10. Which essential action would the nurse take for a client whose behavior is characterized by suspicious
delusions?: Try to establish trust through consistency of care.
11. Which action related to gender is often expected in regards to socialization for school-age girls within the
community setting?: Expressing feelings openly.
12. 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.-
: Fetishistic
13. 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"?: "A decrease in
libido is common during the first trimester of pregnancy."
14 Which therapy would have the highest success rate for people with phobias?-
: Desensitization involving relaxation techniques.
15. Which discharge criterion would be appropriate for a client with obsessive-compulsive disorder who is using
ritualistic behaviors?: Is able to intervene when increasing levels of anxiety occur.
16. Which finding would the nurse observe in a client with vascular neurocognitive disorder?: Difficulty recalling recent
events related to cerebral hypoxia.
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