Psychosocial Integrity

A community health nurse is establishing a care plan for a family caring for a 10-year-old child with severe autism spectrum disorder and new-onset seizure disorder. The parents report profound exhaustion, social isolation, and escalating conflict with their 14-year-old neurotypical child. Which nursing interventions demonstrate a comprehensive approach to optimizing this family's support system? Select all that apply.

A nurse is caring for a client who has just delivered a stillborn infant at 39 weeks of gestation. The client and their partner are weeping and expressing overwhelming sorrow. Arrange the following nursing interventions in the order they should be implemented to best facilitate the grieving process and provide appropriate care.

A client in the intensive care unit has suffered a catastrophic neurological injury. The clinical assessment reveals an absence of brainstem reflexes, and the healthcare provider is preparing to conduct formal brain death testing. Arrange the following interdisciplinary and nursing actions in the correct chronological sequence to appropriately support the family's grieving process and adhere to organ donation protocols.

A nurse is reviewing behavioral assessments for five clients on a psychiatric and medical-surgical unit. Match each client's clinical presentation (objective cues and verbal statements) to the specific defense mechanism being utilized.

Match each therapeutic communication technique with the corresponding example of a nurse's statement.

An oncology nurse is evaluating a client newly diagnosed with advanced colon cancer. The client states, "I have not told my partner about the diagnosis yet. They struggle with severe anxiety, and hearing this news will completely overwhelm them. I plan to handle my chemotherapy appointments on my own." Which response by the nurse is most appropriate?

An adult client is admitted to the inpatient behavioral health unit following a severe depressive episode triggered by an unexpected job termination. The client is observed pacing the common area, smiling tightly, and states to the nurse, 'I really do not understand why my family brought me here. I am just on a short sabbatical. My employer is restructuring and will definitely call me back with a promotion soon.' Which response by the nurse is the most therapeutic?

A client who was recently diagnosed with type 2 diabetes mellitus tells the clinic nurse, "I will never be able to eat any of my favorite foods again. Having to follow this strict diet is going to ruin my life." Which of the following is the most therapeutic response by the nurse?

Following a fatal motor vehicle collision, a trauma nurse is attending to the family of a young adult who did not survive the injuries. Upon receiving the news of the death, the client's mother begins pacing the family counseling room, crying out loudly, and shouting, 'There must be a mistake! He was just with me this morning! This isn't real!' Which of the following is the most appropriate initial nursing action?

A client is admitted to the medical-surgical unit after experiencing a sudden loss of vision in the right eye. The client is pacing the room, crying, and states, "I cannot live like this! I will never be able to work again." The nurse recognizes the client is experiencing acute stress. Which of the following nursing interventions are appropriate to promote adaptive coping? Select all that apply.

A nurse is caring for a client with major depressive disorder. The client avoids eye contact and states, "I am nothing but a burden to my family. They would be so much better off without me." Which of the following nursing actions are appropriate? (Select all that apply.)

A nurse is assessing a 15-year-old client who is 26 weeks pregnant and recently moved into a foster home. The client states, "I don't need anyone's help. I am going to drop out of high school, get my own apartment, and raise this baby completely by myself." Which response by the nurse is the most appropriate to assess the client's support system?

A nurse is preparing for the discharge of a client who has right-sided hemiparesis and expressive aphasia following a cerebrovascular accident (CVA). The client's spouse, who is the primary caregiver, works full-time outside the home. Which of the following nursing actions are appropriate to ensure an adequate support system is in place? Select all that apply.

A 54-year-old client is admitted to the intensive care unit with acute respiratory failure and is initiated on bilevel positive airway pressure (BiPAP) therapy. The client is diaphoretic, tachycardic, and extremely agitated. The client repeatedly attempts to pull the tight-fitting mask off their face, gasping between breaths, "I can't... breathe... with this... on! I'm... suffocating!" Which of the following is the most therapeutic nursing response?

While assigned to the intensive care unit, a nurse observes the spouse of a client who recently suffered a massive myocardial infarction. The spouse is pacing rapidly in the hallway and suddenly shouts at the unlicensed assistive personnel (UAP), 'You are completely incompetent! You forgot to empty the trash, and you are purposefully neglecting my partner!' Which of the following is the priority nursing action to address the spouse's behavior?

A nurse is planning care for a client newly diagnosed with conversion disorder. The client developed sudden bilateral lower extremity paralysis shortly after witnessing a severe motor vehicle collision. Extensive diagnostic testing has ruled out any physiological etiology. Which of the following nursing interventions are appropriate to include in the plan of care? Select all that apply.

A client who has just received a diagnosis of a chronic illness is visibly agitated, pacing the room, and states, "I do not know how I am going to manage this. My life is over." Which of the following responses by the nurse demonstrate therapeutic communication? Select all that apply.

An occupational health nurse is conducting a follow-up assessment on an employee who returned to work 6 weeks ago after the sudden death of their spouse in a traumatic accident. Over the past month, the employee has reported severe insomnia, frequent crying spells, and difficulty concentrating on work tasks. During today's visit, the employee appears remarkably relaxed, hands the nurse a prized vintage watch stating, "I want you to have this; I really won't be needing it anymore," and says, "I've finally figured out how to make all this pain stop." Which of the following is the priority nursing action?

A nurse is speaking with the parents of an 8-year-old child who has recently received a terminal prognosis. The parents are visibly distressed and express feelings of profound helplessness regarding the situation. Which of the following responses by the nurse demonstrate appropriate therapeutic communication for this family? Select all that apply.

A nurse is initiating care for a client who is experiencing an acute situational crisis. Arrange the following nursing actions in the correct chronological order of priority, from first to last.