BASIC PSYCHOSOCIAL NEEDS 1) The nurse is caring for a client who has had an above-the-knee amputation.

The client refuses to look at the stump. When the nurse attempts to speak with the client about his surgery, he tells her that he doesnt wish to discuss it. The client also refuses to have his family visit. The nursing diagnosis that best describes the clients problem is: a) Hopelessness b) Powerlessness c) Body image disturbance d) Fear 2) Before preparing the client for surgery, the nurse assists in developing a teaching plan.What is the primary purpose of preoperative teaching? a) To determine whether the client is psychologically ready for surgery b) To express concerns to the client about the surgery c) To reduce the risk of postoperative complications d) To explain risks and obtain informed consent 3) A client in the intensive care unit has a nursing diagnosis of Social Isolation. Which action should the nurse include in the plan of care? a) Prohibiting personal belongings at the bedside b) Involving patient and family in nursing care c) Providing detailed explanations of conditions and treatment d) Allowing the family to visit only when the client asks to see them 4) An obese client is admitted to the facility for abusing amphetamines in an attempt to lose weight.Which nursing intervention is appropriate for this client? a) Helping the client suppress her feeling regarding obesity b) Reinforcing the clients concern over physical appearance c) Teaching alternative methods of weight reduction d) Mention the detrimental effects of amphetamines to the body 5) A client exhibits signs of heightened anxiety. Which response by the nurse is most likely to reduce the clients anxiety? a) everything will turn out for the best b) Read this manual and ask me any questions you may have c) You can listen to the radio if you like d) Lets talk about whats bothering you. 6) A 74yearold client has three srown children who each have families of their own.The client is retired and looks back on his life with satisfaction.According to Erickson,the nurse assesses that the client is in a stage of: a) Generativity c) Ego identity b) Ego integrity d) Industry

7) A client with an infected abdominal wound must be placed in strict isolation for 10 days. To help meet the clients emotional needs,what should the nurse do? a) Tell the client that family members and significant others cant visit but may telephone anytime. b) Gently explain that the clients movements must be limited while in the isolation room c) Describe the reasons for isolation and how it is carried out,and provide reassurance d) Tell the client to bring whatever personal items are desired into the isolation unit 8) A female clientwho has undergone biopsy asks the nurse,do you think I have cancer?what would be the most therapeutic response by the nurse? a) We dont know for sure until you have your tests done b) Most women your age have some kind of breast problem c) Your physician can tell you more about it d) You sound concerned of what the doctor might find? 9) a 49 year old client in acute respiratory distress watches everything the staff does and demandsnfull explanations of procedures and medications. Which of the following actions would best indicate that the client has achieved an increased level of psychological comfort? a) Making decreased eye contact b) Asking to see family members c) Joking about present condition d) Sleeping undisturbed for 3 hours 10) A client is admitted with fatigue,anorexia,weight loss , and inability to sleep,which started 1 month after the death of the clients spouse.Which nursing diagnosis is most appropriate for this client? a) Activity intolerance b) Dysfunctional grieving c) Altered role performance d) Impaired physical mobility 11) Which of the following factors would have the most influence on the outcome of a crisis situation? a) Age c) Self-esteem b) Previous coping skills d) Perception of the problem 12) A female client who recently had colostomy expresses concerns about her sexual relationship with her husband. Which of the following interventions should the nurse implement? a) Discuss the clients concern with the husband b) Refer the client to a psychiatrist c) Invite a client with a similar experience to speak with the client

d) Refer the client to a sex therapist 13) A client scheduled for cardiac catheterization tells the nurse she is nervous because she has heard of people dying during this procedure.Which response by the nurse would be best? a) I dont blame you for being nervous, We all worry sometimes b) Dont worry. Youre in excellent hands c) Why do you fewel this way? Do you know someone who had a problem? d) You sound relly upset.Would you like to talk about it? 14) During the initial admission process, a geriatric client seems focused.What is the most probable cause of this clients confusion? a) Depression b) Altered long term memory c) Decreased level of consciousness d) Stress of an unfamiliar situation 15) The nurse is assessing the client for lifestyle factors that might affect normal coping.Which factor would the nurse most likely consider? a) Inadequate diet b) Divorce c) Job promotion d) Adopting a child