Psychosocial Integrity1. A 34-year-old client just learned of a multiple sclerosis diagnosis and says, "I don't know how I will live with this." Which reply is most therapeutic?A. Ask why the client did not expect a serious diagnosis after months of symptomsB. Tell the client not to worry because many people with MS live completely normal livesC. This news is a lot to take in. What worries you most right now?D. Change the subject to the physiotherapy referral so the visit stays practicalCheck
Psychosocial Integrity2. A client with a new ostomy is tearful. Which nurse actions are therapeutic? (Select all that apply.)Select all that apply.A. Sitting in silence after the client says, "I cannot look at it yet."B. Saying, "I can stay with you for a while if you would like."C. Saying, "You look overwhelmed. What is the hardest part right now?"D. Asking, "Why are you so upset about a simple ostomy?"E. Saying, "Cheer up; it is just a small surgery."Check
Psychosocial Integrity3. A 34-year-old client just learned of a multiple sclerosis diagnosis and says, "I don't know how I will live with this." Which reply is most therapeutic?A. Ask why the client did not expect a serious diagnosis after months of symptomsB. Tell the client not to worry because many people with MS live completely normal livesC. This news is a lot to take in. What worries you most right now?D. Change the subject to the physiotherapy referral so the visit stays practicalCheck
Psychosocial Integrity4. A 41-year-old client with major depression states, "I have hidden pills and I will take them all tonight." What is the practical nurse's priority action?A. Stay with the client and initiate constant 1:1 observation as orderedB. Leave the room so the client can process feelings in privateC. Ask the roommate to sit with the client while the nurse finishes chartingD. Offer a snack and reassess suicide risk after the next mealCheck
Psychosocial Integrity5. A 28-year-old client in acute mania is pacing the hallway and will not sit for meals. Which nutrition approach is best?A. Withhold trays until the client sits at the table for 20 minutesB. Offer high-calorie finger foods the client can eat while walkingC. Serve three hot courses at once to encourage a full sit-down mealD. Restrict calories to reduce the client's physical agitationCheck
Psychosocial Integrity6. A 22-year-old client with schizophrenia says, "The intelligence service planted a chip in my molar." Which response is best?A. That is impossible. I will request a dental x-ray to prove there is no chipB. You are wrong, and debating this will help you gain insight todayC. I understand you believe that. You are safe here, and I am your nurse.D. I will notify the police so they can investigate the implantCheck
Psychosocial Integrity7. A 19-year-old client in the waiting area suddenly hyperventilates, trembles, and says, "I am dying." What should the practical nurse do first?A. Leave to print an anxiety-education pamphletB. Ask the client to explain the childhood origin of the panicC. Stay with the client and give short, calm directions to slow breathingD. Turn on bright lights and start a loud group conversation as a planned distractionCheck
Psychosocial Integrity8. A 78-year-old client with moderate Alzheimer disease becomes agitated when handed a full cafeteria menu. Which meal plan is best?A. Offer one plated simple meal in a quiet area with one-step cuesB. Present the full menu and insist the client choose three courses independentlyC. Argue that the client did not already eat, because lunch was 4 hours agoD. Serve the tray in a noisy hallway to keep the client socially engagedCheck
Psychosocial Integrity9. A 29-year-old client has forearm bruises. The partner answers every question and will not leave the bedside. How should the practical nurse screen for intimate partner violence?A. Create a private moment without the partner and ask about safetyB. Ask about hitting while the partner remains so both hear the same informationC. Confront the partner in the waiting room about the bruisesD. Skip screening because the partner appears attentive and helpfulCheck
Psychosocial Integrity10. A 84-year-old dependent client arrives with urine-soaked clothing, untreated pressure injuries, and a caregiver who says, "I have been too busy." What should the practical nurse do?A. Report suspected elder neglect per agency protocol and document findingsB. Advise the caregiver to try harder and close the encounterC. Wait 2 weeks for the next scheduled home visit before actingD. Shame the caregiver in front of the client to force an immediate change in behaviorCheck