Psychosocial Integrity
1. An adolescent male being treated for depression arrives
with his family at the Adolescent Day Treatment Center for an
initial therapy meeting with the staff. The nurse explains that
one of the goals of the family meeting is to encourage the
adolescent to:
(A) trust the nurse who will solve his problem.
(B) learn to live with anxiety and tension.
(C) accept responsibility for his actions and choices.
(D) use the members of the therapeutic milieu to solve his
problems.
2. A 23-year-old-woman comes to the emergency room stating that
she had been raped. Which of the following statements BEST
describes the nurse's responsibility concerning written
consent?
(A) The nurse should explain the procedure to the patient and
ask her to sign the consent form.
(B) The nurse should verify that the consent form has been signed
by the patient and that it is attached to her chart.
(C) The nurse should tell the physician that the patient agrees
to have the examination.
(D) The nurse should verify that the patient or a family member
has signed the consent form.
3. The nurse cares for an elderly patient with moderate hearing
loss. The nurse should teach the patient's family to use which of
the following approaches when speaking to the patient?
(A) Raise your voice until the patient is able to hear
you.
(B) Face the patient and speak quickly using a high voice.
(C) Face the patient and speak slowly using a slightly lowered
voice.
(D) Use facial expressions and speak as you would normally.
4. A 52-year-old man is admitted to a hospital after sustaining a
severe head injury in an automobile accident. When the patient
dies, the nurse observes the patient's wife comforting other
family members. Which of the following interpretations of this
behavior is MOST justifiable?
(A) She has already moved through the stages of the grieving
process.
(B) She is repressing anger related to her husband's death.
(C) She is experiencing shock and disbelief related to her
husband's death.
(D) She is demonstrating resolution of her husband's death.
5. After two weeks of recieving lithium therapy, a patient in the
psychiatric unit becomes depressed. Which of the following
evaluations of the patient's behavior by the nurse would be MOST
accurate?
(A) The treatment plan is not effective; the patient requires
a larger dose of lithium.
(B) This is a normal response to lithium therapy; the patient
should continue with the current treatment plan.
(C) This is a normal response to lithium therapy; the patient
should be monitored for suicidal behavior.
(D) The treatment plan is not effective; the patient requires an
antidepressant.
