PSYCHOSOCIAL INTEGRITY

#7.13) The nurse is working at a psychiatric facility. A client is constantly ambulating in the hallway, and stating, "I am the president, get out of my way." Based on this finding, what would an appropriate intervention be for this client?

• 1. 1. Take the client outside for a lengthy walk.

• 2. 2. Encourage the client to play cards.

• 3. 3. Obtain a sandwich for the client.

• 4. 4. Inform the client he is not the president and take him to his room.

#8.18) An elderly man diagnosed with major depression is demonstrating decreased problem-solving ability, psychomotor retardation, and social isolation. In planning activities for the client during the early phase of hospitalization, which nursing action is appropriate?

• 1. Prepare and give client a schedule of activities to follow and monitor participation.

• 2. Encourage client to choose own activities.

• 3. Allow client some time to get acclimated to the milieu before scheduling activities.

• 4. Allow client to rest quietly to restore energy and fatigue level.

The nurse is talking with a client who recently experienced a significant loss. The client states, “I’m doing fine, everything is ok.” However, the nurse notices the client frowning while speaking.

Which of the following would be an appropriate response for the nurse to make?

• 1. 1. "I can see that you're feeling upset. Tell me more about what's bothering you."

• 2. 2. "Okay. I understand. If you want to talk more about how you are feeling, I'm here for you."

• 3. 3. "I'm glad to hear everything is okay. Is there anything specific you would like to discuss today?"

• 4. 4. "You mentioned everything is fine, but your facial expression seems to show otherwise. I'd like to hear more about that."

The nurse in the psychiatric unit is caring for an adolescent with conduct disorder. The client becomes angry and threatens to throw a chair at the nurse when told he is not allowed to watch television. Which of the following would be an appropriate response for the nurse to make? 

• 1. 1. "Please calm down. Your behavior is making me uncomfortable."

• 2. 2. "If you calm down, then you can have 30 minutes of television time."

• 3. 3. "I will not tolerate any threats or aggression. Your behavior is unacceptable."

• 4. 4. "Throwing chairs is not acceptable. Anyone who does so cannot attend the group outing.'

The nurse has been caring for the same client for 5 days. The client has been exhibiting manipulative behaviors. The nurse becomes aware of feeling reluctant to interact and care for the client. Which action should the nurse take?

• A. Report the feelings of reluctance to an objective peer or supervisor.

• B. Develop a behavior modification plan for the client.

• C. Limit contact with the client to avoid reinforcement of the behaviors.

• D. Talk with the client about the negative effects of their manipulative behaviors.