Psychosocial Integrity

A practical nurse is caring for a client who is actively dying. The client's spouse is visibly distressed, pacing near the bedside, and states, "I cannot bear the thought of living alone without them." Arrange the following nursing actions in the most appropriate therapeutic sequence.

A practical nurse (PN) is reviewing the charts of four different clients who are experiencing significant health changes. Match each client's statement or behavior (on the left) to the specific ego defense mechanism it best demonstrates (on the right).

A practical nurse (PN) at an assisted living facility is evaluating an older adult client who recently returned from a family outing. The client's family reports that the client suddenly became highly agitated, failed to recognize them, and began picking at the air. The client has a documented history of mild Alzheimer's disease. Which of the following nursing actions should the PN implement? (Select all that apply.)

A licensed practical nurse (LPN) in a pediatric clinic is speaking with the parent of a 5-year-old child whose grandparent recently died. The parent states, "I am worried because my child keeps asking when the grandparent is coming back to visit." Which response by the LPN is most appropriate?

A practical nurse is assigned to a client who recently had a tense telephone conversation with a family member. Shortly after the call, the client throws a book onto the floor and shouts at the nurse, "You never bring me my water when I ask! Everyone in this facility is completely useless!" Which of the following is the most appropriate response by the nurse?

A home hospice practical nurse visits a client with end-stage heart failure who is receiving comfort measures. The client is semi-comatose, exhibiting audible oral secretions, and has not eaten for two days. The client's adult child is distressed and asks, "Should we force them to drink a nutritional shake? I feel like we are starving them." Which of the following actions should the nurse take? Select all that apply.

A practical nurse (PN) enters a long-term care facility's recreation room and observes an older adult client with bilateral hearing loss and mild dementia. The client is highly agitated, pacing rapidly, and shouting that 'people are plotting against me.' The room's radio is playing loudly, and the client is blindly bumping into scattered chairs. Arrange the following PN interventions in the correct order of priority.

A client recovering on a surgical unit following an emergent below-the-knee amputation turns away, refuses to look at the surgical site during a dressing change, and loudly demands that the practical nurse (PN) leave the room immediately. Which actions are appropriate for the PN to take to support the client's coping? Select all that apply.

A practical nurse (PN) is working on an inpatient behavioral health unit. A client suddenly becomes agitated, pacing rapidly near the common area, breathing heavily, and clenching their fists. Arrange the following PN actions in the correct order of priority, from first to last.

A practical nurse (PN) on a palliative care unit is caring for a client who recently passed away. The client's spouse is in the family waiting area and wishes to view the body. In what order should the PN perform the following interventions to best support the spouse? (Arrange from first action to last action).

An older adult client is on strict contact isolation in a dimly lit private room for treatment of a multidrug-resistant organism. During evening rounds, the client becomes intensely agitated, pointing toward a coat rack in the corner and yelling, "Make that person leave, they are waiting to attack me!" Which action should the practical nurse (PN) take first?

A practical nurse (PN) is caring for a young adult client who is scheduled for a complex surgical procedure the following morning. The client is crying, holding tightly to a childhood stuffed animal, and asks the PN to "please leave all the room lights on." The PN recognizes this behavior as regression in response to severe acute stress. Which response by the PN is the most therapeutic?

A client who sustained a right-sided cerebrovascular accident is receiving care on a subacute rehabilitation unit. The client has documented left homonymous hemianopsia. During the afternoon shift change, the unit environment is highly stimulating and loud. The client suddenly becomes agitated, points at an infusion pump, and states, "Who is that person standing in the shadows?" Which actions should the practical nurse take? (Select all that apply.)

A client is admitted to the behavioral health unit for treatment of severe anxiety and obsessive-compulsive behaviors. During the admission data collection, the client repeatedly organizes the items on the bedside table and avoids eye contact. The client abruptly says, "If everything isn't perfectly straight, something terrible is going to happen to my family." Which response by the practical nurse demonstrates the most appropriate therapeutic communication?

During an outpatient support group for stress management, clients describe their recent reactions to challenging life events. Match each client's statement or behavior with the specific defense mechanism being demonstrated.

An older adult client with bilateral hearing aids and a history of moderate dementia is hospitalized for pneumonia. At 0200, the client removes the hearing aids, becomes acutely agitated, and reports seeing "strangers crawling on the ceiling." The client is attempting to climb over the bed rails. Which action should the practical nurse (PN) take first?

A practical nurse (PN) at a community health clinic is speaking with a 24-year-old client whose best friend died suddenly in a motor vehicle crash three days ago. The client is pacing, visibly agitated, and states, "This cannot be happening. I just talked to them on Tuesday!" Which of the following statements by the PN are appropriate? Select all that apply.

A client recently diagnosed with end-stage renal disease states to the practical nurse (PN), "The laboratory must have mixed up my blood samples. There is no way my kidneys are failing because I feel perfectly fine." Which of the following responses by the PN is the most appropriate?

A practical nurse (PN) enters the room of a client with macular degeneration who is acutely agitated. The client is pointing at moving shapes cast by the window blinds and screaming, "Keep those snakes away from my bed!" The environment is chaotic due to multiple loud alarms sounding from the roommate's medical equipment. Arrange the following nursing actions in the priority order the PN should implement them.

A client who recently moved into an assisted living facility is found crying in their room, stating, "I just want to go back to my real house." Which actions by the practical nurse (PN) best support the client's coping process? Select all that apply.