Author Question: The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints ... (Read 109 times)

tiara099 · **on:** Jul 23, 2018

The nurse is conducting a thorough psychosocial assessment of a client who presents with complaints of fatigue, tearfulness, and relationship difficulties. What action by the nurse would support accurate assessment?

1. Take detailed notes to record client responses.
2. Ask as many questions as possible to explore all areas of concern.
3. Start the interview by asking a series of yes/no questions.
4. Investigate the client's culture prior to the interview.

Question 2

The nurse's functional self-esteem is very low after a week of taking care of several clients who have unexpectedly died. What fact about self-esteem should this nurse remember?

1. Even during bad times, functional self-esteem will not regress to a level lower than basic self-esteem.
2. It is important to focus on errors that contributed to client death.
3. Functional self-esteem develops early in life and shouldn't change related to situational problems.
4. It is normal for self-esteem to fluctuate related to daily events and problems.

mistyjohnson · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Taking detailed notes to record client responses would not support an accurate assessment.
Rationale 2: Asking many questions to explore all areas of concern does not support an accurate assessment.
Rationale 3: Asking yes/no questions does not support an accurate assessment.
Rationale 4: The nurse should consider how the client's behaviors are influenced by culture. In order to understand what is being said or seen, the nurse should investigate the client's culture prior to the interview.

Answer to Question 2

Correct Answer: 4
Rationale: It is normal for the adult's functional self-esteem to fluctuate related to daily events and problems. Functional self-esteem can exceed basic self-esteem or can regress to a level lower than basic self-esteem. While reflection on actions is important to prevent further errors, the nurse should not focus on the bad things that have happened.