Basic Psychosocial Needs

The nurse is helping a client with a terminal illness understand advance directives. Which statement by the client demonstrates an understanding of these documents?

"They guide the client's treatment in certain health care situations."

A client undergoing a mastectomy says, "I've been a basket case just thinking of what implications this has for my family." How should the nurse respond?

"This is a very difficult adjustment period for you and your family."

The health care provider (HCP) recommends that a client have a partial bowel resection and an ileostomy. Later, the client says to the nurse, "That doctor of mine surely likes to play big. I will bet the more he can cut, the better he likes it." Which reply by the nurse is most therapeutic?

"What do you mean by that statement?"

A client exhibits signs of increased anxiety. Which response by the nurse is most likely to reduce the client's anxiety?

"Would you like to talk about what's bothering you?"

A nurse is preparing a client for chemotherapy to treat colon cancer. The client says, "I don't know about this treatment. After everything is said and done, it may not do a bit of good. This thing may get me anyway." Which response by the nurse is most therapeutic?

"You're wondering whether you've made the right decision about your treatment."

A nurse manager is reviewing staff behaviors that are resulting in elevated operating costs on the acute inpatient unit. Which behavior(s) will the nurse manager address with the nurses on the unit as contributing to waste? Select all that apply.

- Instructing unlicensed assistive personnel to strip all linens from clients' beds each morning. - Storing dressing and other disposable supplies at the bedside of a client on contact precautions. - Sending routine culture and sensitivity testing on client's blood from central venous devices.

An older adult client has received a terminal lung cancer diagnosis. The client's adult children are tearful and afraid to leave their parent's bedside. What type of grieving is this family most likely experiencing?

Anticipatory

The nurse is in the process of assessing a non-English-speaking client, communicating through an interpreter. To facilitate communication, what should the nurse do first?

Ask client how the client wishes to be addressed.

A nurse is caring for an infant who is to be administered an enema. What spiritually oriented interventions could the nurse follow with newborns and infants?

Encourage parents to be present during the treatment.

Nurses are aware that variety and diversity occur both within and across groups. Which factor leads to cultural benefits as a result of diversity?

Equal opportunity exists for various cultural perspectives.

A client expresses a desire to discuss spiritual and religious beliefs with someone. What is the best nursing intervention at this point?

Interview the client further to gather more details.

During a physical examination, the nurse observes a copper bracelet on a client's wrist. The client states that she is wearing it to treat her arthritis. What should the nurse do?

Recognize that the client is wearing a protective object she believes prevents illness.

The nurse notes that the client seems anxious. Which strategy should the nurse use to enhance communication?

Sit down to talk with the client.

The nurse is trying to establish a trusting relationship with a client experiencing pain. When the client asks for pain medication, the nurse notes that it is not time to give the medication. What is the best action by the nurse to facilitate a trusting relationship?

Tell the client when the medication is due and return promptly at that time.

A client scheduled for a total laryngectomy and radical neck dissection begins talking rapidly, commenting, "I'm really nervous and scared about the operation." What is the most therapeutic action by the nurse?

The nurse should listen attentively and provide realistic verbal reassurance.

An older adult has few health problems, performs self-care, plays cards, and talks about "the good old days." The client wants to make "final" arrangements, such as completing an advance directive and planning and paying for a funeral and burial. What interpretation does the nurse make about the client?

The request is age-appropriate and should be honored.

A client in the intensive care unit has a nursing diagnosis of Social isolation. Which action would the nurse include in the care plan?

involving the client and family in planning care

When providing care to Aboriginal clients, it may be important for the nurse to elicit help from the

spiritual healer.

Nurses are aware that culture links a wide variety of behaviors and events uniquely. For Westerners, which is a culturally linked behavior to autopsy?

the cause of death can be discovered

Communication is very important when preparing a client for a mastectomy. What is the primary issue for the nurse to discuss?

concerns regarding the cancer and how the surgery will affect the client