Psychosocial Integrity

A nurse enters a client's room and observes the client cowering in the corner, covering their head, and shouting about a traumatic event from their past. The client is experiencing an active flashback with severe sensory and perceptual dissociation. Arrange the following nursing interventions in the correct order of priority from first to last.

While receiving evening care, a client with early-stage Alzheimer's disease points to a shadow cast by an intravenous fluid pole and frantically states, "There is a tall man standing in the corner waiting to hurt me!" Which action should the nurse take first?

A client with a long-standing history of heavy, daily alcohol consumption is admitted to the hospital. To accurately anticipate client care needs and safety risks, the nurse must understand the clinical progression of alcohol withdrawal syndrome. Arrange the following manifestations of alcohol withdrawal in the chronological order they are most likely to appear following the client's last drink.

A home health nurse is managing the care of a client with advanced metastatic melanoma who is transitioning to the final days of life. The family expresses severe distress upon hearing the client develop noisy, rattling breathing. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

An emergency department nurse is caring for a client who ingested a large quantity of a central nervous system stimulant. The client is experiencing severe psychomotor agitation, diaphoresis, and intense paranoia, shouting that the healthcare staff is trying to poison them. Which of the following is the most appropriate initial nursing intervention?

An oncology nurse enters the room of a client with advanced pancreatic cancer who recently signed a Do Not Resuscitate (DNR) directive. The client is crying quietly and states, 'By signing that document, I feel like I am abandoning my children and giving up on my faith.' Which response by the nurse is the most therapeutic?

An older adult client with profound bilateral hearing loss is admitted to a private room under strict contact precautions. On the third day of hospitalization, the client reports hearing a deceased spouse calling their name from the hallway. The client's vital signs are stable, and they remain fully oriented to person, place, and time. Which of the following is the most appropriate nursing action to address the client's sensory alteration?

A nurse in a pediatric acute care unit is caring for a 9-year-old child admitted with a vaso-occlusive sickle cell crisis. The child's divorced parents are at the bedside, loudly blaming each other for the child's recent illness. The child begins to cry and reports a sudden increase in pain. In what order should the nurse take the following actions to manage this family dynamic and care for the child? (Arrange the actions from first to last.)

A community health clinic nurse is working with a client who presents in a state of acute situational crisis following a sudden, unexpected job loss. The client appears highly distressed and overwhelmed. Arrange the following nursing interventions in the correct chronological order according to standard crisis intervention principles.

A clinic nurse is assessing a 45-year-old client who brings in their 78-year-old parent with moderate Alzheimer's disease for a routine check-up. The client, who also has two teenagers at home, appears exhausted and tearful. The client states, 'I feel like I am failing everyone. I snap at my kids, and I lose my patience with my parent constantly.' Which of the following is the most appropriate initial action by the nurse?

The registered nurse (RN) receives the morning shift report for a group of clients on a medical-surgical unit. Which client should the nurse assess first?

An occupational health nurse is evaluating an employee who reports chronic headaches, recent-onset insomnia, and frequent irritability. The employee states, 'My workload has doubled over the last three months, and I feel like I am completely failing at my job and my life.' Which action should the nurse take first?

During a care conference, the parents of a 22-year-old client with newly diagnosed advanced lymphoma request that the healthcare team withhold the full prognosis to protect the client from emotional distress. The client is cognitively intact and has explicitly asked the nurse for complete transparency regarding the illness. Which nursing actions appropriately address this family conflict? Select all that apply.

A clinic nurse is developing a plan of care for a young adult client who was recently diagnosed with multiple sclerosis. The client reports feeling overwhelmed, experiencing difficulty sleeping, and states, 'I feel like I have absolutely no control over my life or my future anymore.' Which of the following nursing interventions are appropriate to promote effective stress management? Select all that apply.

A nurse is admitting a new client to an inpatient addiction treatment unit for the management of severe opioid use disorder. Arrange the following nursing actions in the correct sequence from first to last.

A pediatric nurse is caring for a 7-year-old client admitted with a severe asthma exacerbation. The client's parents, who are undergoing a contentious divorce, begin arguing loudly at the bedside about custody arrangements. The client starts crying, and the nurse observes increased work of breathing and audible wheezing. Which nursing action is the priority?

A nurse on a dual-diagnosis unit is evaluating several clients who were recently admitted. Which client presentation requires the most immediate priority action by the nurse?

A public health nurse is conducting a home visit for a newly relocated client who reports severe insomnia, daily fatigue, and overwhelming stress related to adapting to the new cultural environment. The client tearfully states, "Everything here is too difficult, and I feel like I will never belong." Which of the following is the priority nursing action?

While working at a community homeless shelter, a nurse evaluates a resident who abruptly stopped drinking heavy amounts of liquor two days ago. The resident is currently experiencing profuse sweating, coarse hand tremors, and agitated visual hallucinations. Which of the following actions should the nurse take? (Select all that apply)

A mental health nurse is guiding a client through cognitive restructuring to manage chronic stress related to a major life transition. Arrange the nursing actions in the appropriate sequential order for this intervention. (Place the first action at the top and the final action at the bottom.)