The nurse is performing a psychosocial assessment, the nurse will consider which of the following:

Client's insurance status

Client history

Client's culture and spiritual beliefs

Client's mood and affect

Answer and Explanation

The Correct Answer is D

A. Client's insurance status: While important for planning and access to care, it is not a primary focus of a psychosocial assessment.
B. Client history: Client history is part of the assessment but does not cover the psychosocial aspect comprehensively.
C. Client's culture and spiritual beliefs: Culture and spiritual beliefs are critical to understanding the client's psychosocial background and providing holistic care. These can significantly influence the client’s values, behaviors, and perceptions of health and illness.
D. Client's mood and affect: Mood and affect are important components of the client's current psychological state. These provide insight into the client’s current emotional state and can help identify any psychological distress or disorders.

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Correct Answer is A

Explanation

A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.

A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff C. The student must respect the client's privacy and not tell anyone D. The student nurse must tell the instructor and then ask the instructor to keep it a secret

Correct Answer is C

Explanation

A. The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member: Correct. The student nurse has a duty to report any threats of harm to others.

B. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff: This approach is dishonest and unethical.

C. The student must respect the client's privacy and not tell anyone: The nurse has a duty to report threats to safety.

D. The student nurse must tell the instructor and then ask the instructor to keep it a secret: The instructor also has a duty to report threats to safety.

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The nurse is performing a psychosocial assessment, the nurse will consider which of the following:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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