Psych Week 1.2 PP

A psychiatric nurse is assessing four clients. Which client would the nurse expect to potentially have the greatest difficulty describing their emotional experience?

A 7-year-old child

A nurse is caring for a child who appears anxious about hospitalization. Which nursing intervention is most appropriate?

Use developmentally appropriate language and communication techniques.

A nurse is assessing a client who developed schizophrenia at a young age. Which factor should the nurse recognize?

Earlier onset may be associated with poorer outcomes.

A nurse is completing a psychiatric assessment of a client with major depressive disorder. Which question is most important when assessing genetic and biologic factors?

"What psychiatric or medical conditions have occurred in your family?"

A client tells the nurse, "My mother and grandmother both had bipolar disorder, so I'm worried about my own mental health." Which response is best?

"Family history can be relevant, but it does not guarantee that you will develop the disorder."

A client with depression reports sleeping only 3 hours per night and frequently skipping meals. Which interpretation by the nurse is most appropriate?

Poor nutrition and inadequate sleep can interfere with coping.

The nurse is teaching a client about lifestyle practices that may support mental health. Which recommendation is most appropriate?

Exercise may help decrease negative effects of depression and anxiety.

A client taking an antidepressant reports that the medication "doesn't seem to work" despite taking it as prescribed. What should the nurse consider?

Genetic differences can affect medication metabolism and effectiveness.

A nurse is caring for a client who is prescribed a psychotropic medication. Which assessment is the nurse's responsibility?

Evaluate medication effectiveness and monitor for adverse effects.

Which statement best describes pharmacogenetics?

The study of how genomes influence drug response

A client newly diagnosed with a chronic illness states, "I know this will be difficult, but I'll learn what I need to do and figure out how to manage it." Which concept does this statement best demonstrate?

High self-efficacy

Which client statement demonstrates low self-efficacy?

"There's no point trying because I can't do anything about this."

The nurse wants to increase a client's self-efficacy. Which intervention is most appropriate?

Help the client experience small successes and mastery.

A nurse asks a client to observe another client successfully using a relaxation technique. Which method of increasing self-efficacy is being used?

Social modeling

A client facing a serious illness states, "This situation is difficult, but I'm going to use it as an opportunity to learn and grow." Which component of hardiness is demonstrated?

Challenge

Which client statement best demonstrates the control component of hardiness?

"I believe I can make appropriate decisions about how to handle this situation."

A client has experienced several major stressors but continues to adapt, maintain relationships, and remain hopeful. Which concept does this best demonstrate?

Resilience

A client tells the nurse, "My faith gives my life meaning and helps me get through difficult times." What is the nurse's best response?

"Tell me more about how your spirituality helps you cope."

A hospitalized client states, "Nobody needs me anymore. I don't feel like I belong anywhere." Which concept should the nurse identify as a priority?

Sense of belonging

According to Maslow's theory, a sense of belonging is considered:

A basic psychosocial need

Which intervention would best promote a client's sense of belonging?

Encourage meaningful connection with supportive people.

Which statement best distinguishes social support from simple social contact?

Social support requires meaningful emotional or practical assistance.

A client with depression states, "My sister checks on me every day, listens when I'm upset, and helps me get to appointments." Which benefit is the client receiving?

Social support

A client tells the nurse, "My family wants to help, but they don't understand what I need." Which nursing action is most appropriate?

Explore what type of support the client wants and help communicate those needs.

Which statement about family support is most accurate?

Family can be an important resource, although family relationships may not always be positive.

A nurse is caring for a client from a culture unfamiliar to the nurse. Which action demonstrates cultural humility?

Ask the client and family about their beliefs and preferences.

A nurse states, "People from that culture always prefer family members to make healthcare decisions." What is the primary problem with this statement?

The nurse is demonstrating stereotyping.

A client avoids eye contact during an assessment. What should the nurse do first?

Consider that eye-contact expectations may vary culturally and assess further.

The nurse reaches out to shake a client's hand, but the client pulls away. Which action is most appropriate?

Recognize that touch and handshaking have different meanings across cultures.

A nurse is assessing a client who stands farther away than the nurse expects during conversation. What is the nurse's best action?

Maintain the distance that appears comfortable for the client and assess cultural preferences.

A client states, "I need to talk with my family before making this healthcare decision." Which cultural assessment category is the nurse exploring?

Social organization

A client frequently arrives late for appointments. The nurse learns that the client's cultural background has a more flexible view of time. What should the nurse do?

Explain why precise timing is important for certain treatments while respecting the client's time orientation.

Which assessment finding represents environmental control?

A client's beliefs about whether health can be controlled through personal actions

The nurse is assessing a client's beliefs about the cause of illness. Which statement reflects an unnatural/supernatural belief?

"A spirit caused my illness."

A client with schizophrenia states, "I stopped taking my medication because I can't afford the prescription." Which factor is most directly affecting the client's treatment?

Financial/social determinant

The nurse is assessing a client's ability to manage a newly prescribed psychiatric medication. Which question best assesses health literacy?

"Can you explain to me how you will take this medication at home?"

A client is prescribed a medication but reports having no transportation to follow-up appointments. Which social determinant should the nurse recognize?

Access to healthcare

Which client situation represents a potential social determinant of mental health?

Exposure to racism and discrimination

A nurse is caring for several clients from the same cultural group. Which approach is most appropriate?

Assess each client individually regarding beliefs, practices, and preferences.

A nurse is caring for a newly admitted psychiatric client who reports anxiety related to a recent illness.

Assessment findings:

• Client reports poor sleep.

• Client has stopped exercising.

• Client states, "I don't think I can handle this."

• Client lives alone.

• Client's sister lives nearby and wants to help.

• Client states that prayer is an important coping strategy.

• Client reports difficulty paying for medications.

• Client prefers more personal space during conversation.

Which nursing interventions should the nurse prioritize?

- Explore the client's sleep and physical health practices.
- Encourage the client to identify achievable goals to strengthen self-efficacy.
- Ask how the client would like their sister involved in care.
- Incorporate the client's preferred spiritual practices when desired.
- Assess barriers related to medication affordability.