Chapter 13. Psychosocial Health & Illness My Nursing Test Banks

Chapter 13. Psychosocial Health & Illness

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Which of the following is considered a strength of the nursing profession?

1)

Biomedical focus

2)

Psychosocial focus

3)

Biopsychosocial focus

4)

Physical focus

ANS: 3

A strength of the nursing profession is the ability to go beyond the biomedical, psychosocial, or physical focus to care for the entire person. This approach focuses on the overall biopsychosocial well-being of the patient.

PTS:1DIF:EasyREF:p. 273

KEY:Nursing process: N/A | Client need: HPM | Cognitive level: Recall

____ 2. A homeless patient is admitted with an infected leg wound. According to Maslows hierarchy of needs, which nursing intervention meets one of his basic physiological needs?

1)

Providing the patient with a dinner tray

2)

Administering antibiotics as prescribed

3)

Irrigating a wound with normal saline solution

4)

Encouraging the patient to express his feelings

ANS: 1

According to Abraham Maslow and his hierarchy of needs, basic physiological needs, such as food, should be addressed first. After the patients basic needs are met, the nurse can provide wound care, administer antibiotics as prescribed (safety needs), and encourage the patient to express his feelings (love and belonging or self-actualization, depending on what feelings he expresses).

PTS:1DIF:ModerateREF:p. 274

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

____ 3. Which of the following can the nurse assess using Erik Eriksons theory?

1)

Moral development

2)

Developmental tasks

3)

Social identity

4)

Self-esteem

ANS: 2

Using Eriksons theory, the nurse can assess for successful completion of developmental tasks. The theory does not help the nurse assess social identity or self-esteem. However, these factors are components of developmental tasks that Eriksons theory explores. Moral development was addressed in the Kohlbergs theory.

PTS:1DIF:EasyREF:p. 274

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Comprehension

____ 4. Which statement best describes self-concept? An individuals

1)

Understanding of how others perceive him

2)

Evaluation of himself

3)

Overall view of himself

4)

Perspective of his role in society

ANS: 3

Self-concept is an individuals overall view of himself. The overall view includes his evaluation of himself and how he thinks others evaluate him.

PTS:1DIF:EasyREF:p. 274

KEY: Nursing process: N/A | Client need: PSI | Cognitive level: Recall

____ 5. A 13-year-old patient is admitted to the hospital. There is no medical restriction on visitation. To help maintain the patients social identity while hospitalized, it is most important for the nurse to encourage visits by

1)

Peers

2)

Grandparents

3)

Siblings

4)

Parents

ANS: 1

Peers are more important than family in maintaining social identity in this age group.

PTS:1DIF:ModerateREF:p. 275

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Recall

____ 6. Which response by the patient demonstrates an internal locus of control?

1)

My blood sugar wouldnt be out of control if my wife prepared better foods.

2)

I knew I shouldnt have come to this hospital; Id be better if I hadnt.

3)

God must be getting even with me for my past behavior.

4)

Im just glad to be alive; the accident couldve been a lot worse.

ANS: 4

People who demonstrate an internal locus of control take responsibility for their life experiences and their responses to them. This allows them to interpret unexpected events in a positive light, as the response the accident couldve been a lot worse illustrates. The other options demonstrate an external locus of control; control of the situation is attributed to external factors.

PTS:1DIF:ModerateREF:p. 275

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Application

____ 7. The nurse is caring for a group of patients on the medical-surgical unit. Which patient is most likely to experience the most difficulty in adapting to a change in body image? The patient

1)

Who suffered a traumatic amputation of the left leg in an industrial accident

2)

With hypothyroidism who has coarse, dry, thinning hair and weight gain

3)

Who is obese and who underwent gastric bypass surgery

4)

With peripheral vascular disease who required a wound graft

ANS: 1

Theoretically, the patient who suffered a traumatic amputation in an industrial accident will most likely have more difficulty adjusting to his change in body image because the change occurred abruptly. The patients described in the other options will naturally have some difficulty adjusting to their body image change, but it should not be as great because the physical changes are more gradual, which allows for adaptation over time.

PTS:1DIF:ModerateREF:pp. 275-276

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Application

____ 8. Which individual is most likely to have a positive body image?

1)

Child who has been deaf since birth

2)

Child who was born with cystic fibrosis

3)

Adolescent of average appearance who had an appendectomy

4)

Adult born with a spinal defect and associated paralysis of the lower body

ANS: 3

The adolescent with average appearance who had an appendectomy is likely to have a positive body image because the adolescent suffered an acute, reversible illness. Those born with physical handicaps are less likely to have a positive body image because many times the handicap leaves them socially isolated. This is, of course, not to imply that no one born with a physical handicap has a positive body image; and, of course, a particular adolescents body image might suffer after an appendectomy. However, the question asks which is most likely based on theoretical knowledge of body image.

PTS:1DIF:ModerateREF:pp. 275-276

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Analysis

____ 9. A 35-year-old patient diagnosed with testicular cancer is undergoing chemotherapy, which leaves him unable to help care for his young children. As a result, his wife misses work whenever the children are ill. She has become increasingly distressed over her situation. Her experience best demonstrates which of the following?

1)

Role strain

2)

Interpersonal role conflict

3)

Role performance

4)

Inter-role conflict

ANS: 4

The patients wife is most likely experiencing inter-role conflict, in which her role as a mother and worker are making competing demands on her. Role strain is a mismatch between role expectations and role performance. Interpersonal role conflict results when another persons idea about how a role should be performed differs from that of the person who is performing the role. Role performance is defined as the actions a person takes and the behaviors he demonstrates in performing a role.

PTS:1DIFifficultREF:p. 276

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

____ 10. Which statement best describes self-esteem?

1)

View of oneself as a unique human being

2)

Ones mental image of ones physical self

3)

Ones overall view of oneself

4)

How well one likes oneself

ANS: 4

Personal identity is ones view of oneself as a unique human being. Body image is described as ones mental image of ones physical self. Self-concept is defined as ones overall view of oneself. Self-esteem is a favorable impression of oneself or self-respect.

PTS:1DIF:ModerateREF:pp. 276-277

KEY:Nursing process: N/A | Client need: PSI | Cognitive level: Recall

____ 11. A patient undergoing fertility treatments for the past 9 months learns that despite in vitro fertilization she still is not pregnant. This patient is at risk for experiencing a crisis in which component of self-concept?

1)

Body image

2)

Self-esteem

3)

Personal identity

4)

Role performance

ANS: 2

Setbacks such as not becoming pregnant after months of fertility treatment can cause the patient to question her self-worth. This might provoke a crisis in self-esteem. The patient is not at risk for experiencing a crisis in body image, personal identity, or role performance.

PTS:1DIFifficultREF:pp. 276-277

KEY: Nursing process: Evaluation | Client need: PSI | Cognitive level: Application

____ 12. A 17-year-old patient sustained facial fractures and a 6-inch laceration on the left side of her face in a motor vehicle accident. The patient tells the nurse that she does not want anyone to see her looking this way. Which statement by the nurse is most appropriate?

1)

Tell me what you mean by looking this way.

2)

OK, Ill restrict your visitors until your face heals.

3)

Your friends and family love you no matter what.

4)

Youre young; your face will heal quickly.

ANS: 1

Tell me what you mean . . . encourages the patient to clarify her statement so that the nurse knows exactly what the patient means. The nurse cannot assume that the patient is talking about her facial wounds. Ill restrict your visitors . . . assumes that the patient is speaking about her facial wounds when she might not be. The other options are examples of false reassurance and do not address the patients concerns.

PTS: 1 DIF: Moderate REF: pp. 288-289; ESG, Chapter 13, Supplemental Materials, Psychosocial Nursing Interventions, V2, p. 116; ESG, Supplemental Materials, Psychosocial Nursing Interventions

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

____ 13. A patient has recently had a change in a family relationship that is greatly affecting his health. Which nursing diagnosis could you probably make for this patient?

1)

Parental Role Conflict

2)

Interrupted Family Processes

3)

Compromised Family Coping

4)

Ineffective Individual Coping

ANS: 2

Interrupted Family Processes is defined as a change in a family relationship significantly affecting a patients health. Parental Role Conflict occurs when significant role confusion by a parent results in response to crises. Compromised Family Coping occurs when support from a usual family member is compromised or disabled, causing a significant health challenge. Ineffective Individual Coping occurs when the patient is unable to comprehend and effectively judge stressors.

PTS:1DIFifficultREF:p. 281

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

____ 14. The nurse is updating a care plan for a patient who has a nursing diagnosis of Anxiety. Which patient behavior might suggest that the problem is resolving?

1)

Pacing in the hallway at intervals

2)

Using relaxation techniques

3)

Speaking rapidly when spoken to

4)

Avoiding eye contact

ANS: 2

Using relaxation techniques might suggest that the patients anxiety is resolving. Pacing, speaking rapidly, and avoiding eye contact suggest that anxiety is still a problem for the patient. The patients use of relaxation techniques indicates problem solving by the patient.

PTS: 1 DIF: Easy REF: pp. 288-289

KEY: Nursing process: Evaluation | Client need: PSI | Cognitive level: Comprehension

____ 15. Which nursing diagnosis is categorized as a psychosocial, rather than a self-concept, diagnosis?

1)

Ineffective Individual Coping

2)

Situational Low Self-Esteem

3)

Disturbed Personal Identity

4)

Disturbed Body Image

ANS: 1

Ineffective Individual Coping is considered a psychosocial nursing diagnosis. It implies poor life choices, inability to use available resources, and other interactional and relationship symptoms. The term psychosocial encompasses both psychological and social factors. The other diagnoses represent primarily individual, psychological factors. They are examples of self-concept nursing diagnoses.

PTS:1DIF:ModerateREF:p. 281

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Recall

____ 16. Which statement by the nurse is best when communicating with a patient with clinical depression?

1)

Its a beautiful day today; youll feel better if you look out the window.

2)

Youre having a bad day; Im sure youll feel better soon.

3)

Life seems overwhelming at times; would you like to discuss how youre feeling?

4)

You are very lucky to have such a supportive family.

ANS: 3

When caring for a patient with depression, the nurse should encourage the patient to discuss his feelings. Its a beautiful day . . . and Youre having a bad day . . . offer false reassurance. It would not be therapeutic to say, You are very lucky . . .; that is offering a judgment.

PTS:1DIF:ModerateREF:p. 293

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

____ 17. A patient who lost his job last month has now been told that his wife wants a divorce. He says, I know I dont have much to offer a woman. She wants more than what I am, and now Im not even bringing home any money. Which nursing diagnosis is most appropriate?

1)

Chronic Low Self-Esteem

2)

Situational Low Self-Esteem

3)

Disturbed Personal Identity

4)

Disturbed Body Image

ANS: 2

Situational Low Self-Esteem occurs when a person exhibits self-disapproval and negative self-evaluations as a specific reaction to loss or change (in this case, of a job and a marriage). There are no data to indicate long-standing (Chronic) Low Self-Esteem. This client has no defining characteristics for Disturbed Personal Identity, which is an inability to determine boundaries between self and others, nor of Disturbed Body Image. He does mention his appearance but does not focus on it in particular; it is only part of his overall dissatisfaction with himself.

PTS:1DIF:ModerateREF:p. 284

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

____ 18. The nurse is updating the care plan of a patient who must undergo a right mastectomy for breast cancer. Which nursing diagnosis should the nurse anticipate in expectation of the body changes associated with the upcoming surgery?

1)

Deficient Knowledge

2)

Impaired Adjustment

3)

Hopelessness

4)

Grieving

ANS: 4

Grieving may occur as a result of body changes associated with mastectomy. Deficient Knowledge, Impaired Adjustment, and Hopelessness are not associated with the expected body changes associated with the upcoming surgery, although they could certainly occur.

PTS:1DIF:ModerateREF:p. 285

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

____ 19. A patient admitted with depression has a nursing diagnosis of Chronic Low Self-Esteem. Which NOC outcome is essential for this nursing diagnosis?

1)

Decision Making

2)

Distorted Thought Content

3)

Role Performance

4)

Depression Level

ANS: 4

Depression Level is the appropriate NOC outcome for the patient admitted with depression who has the nursing diagnosis Chronic Low Self-Esteem. Decision Making is associated with the nursing diagnosis Situational Low Self-Esteem, Role Performance with Ineffective Role Performance, and Distorted Thought Content with Disturbed Personal Identity. Although the other options might contribute to the patients low self-esteem, the nurse must write one goal (outcome) that, if achieved, would demonstrate resolution of the nursing diagnosis. Decision Making is the only outcome that does that.

PTS: 1 DIF: Moderate REF: p. 293; ESG, Chapter 13, Standardized Language, Table: Self-Concept Diagnoses: Selected Standardized and Individualized Outcomes

KEY: Nursing process: Planning | Client need: PSI | Cognitive level: Application

____ 20. The nursing diagnosis Disturbed Personal Identity is identified for a newly admitted patient. Which of the following is an example of an individualized goal for that patient?

1)

Distorted Thought Control

2)

Anxiety Level

3)

Self-Mutilation Restraint

4)

No Self-Injury, Consistently Demonstrated

ANS: 4

No Self-Injury, Consistently Demonstrated is an example of using NOC indicators and outcomes to write an individualized goal. The other options are examples of NOC outcomes; they are not written as goals.

PTS:1DIF:ModerateREF:p. 293

KEY: Nursing process: Planning | Client need: PSI | Cognitive level: Application

____ 21. A 73-year-old patient was admitted with a perforated bowel. Following surgical repair, he developed complications and required an extensive stay in the hospital. How can the medical-surgical nurse best promote self-esteem in this patient?

1)

Assist the patient to ambulate in the hallway once daily.

2)

Encourage the patient to participate in self-care.

3)

Introduce herself to the patient if he does not know her.

4)

Listen attentively when the patient speaks.

ANS: 2

Encouraging the patient to his accomplish own self-care, such as bathing and brushing his teeth, encourages independence and promotes self-esteem. Assisting the patient to ambulate in the hallway prevents complications of immobility. Introducing yourself and listening attentively to the patient prevents depersonalization.

PTS:1DIFifficultREF:p. 285

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

____ 22. The nurse is developing a plan of care for a mother of three small children who has been admitted with a serious acute illness, which is likely to continue long term. The nurse writes the following intervention: Facilitate communication between patient and significant other regarding the sharing of responsibilities to accommodate changes brought on by illness. The purpose of this intervention is to help

1)

Promote self-esteem

2)

Promote positive body image

3)

Facilitate role enhancement

4)

Prevent depersonalization

ANS: 3

Facilitating communication between the patient and significant other regarding sharing of responsibilities to accommodate changes brought on by the illness can help facilitate role enhancement in the patient. The intervention is not designed to promote self-esteem or positive body image or to prevent depersonalization.

PTS:1DIF:ModerateREF:p. 286

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Application

____ 23. A patient comes to the emergency department complaining of headache, palpitations, nausea, and dizziness. After determining that the patient is anxious, the nurse notes tachycardia and trembling. Which level of anxiety is this patient exhibiting?

1)

Mild anxiety

2)

Moderate anxiety

3)

Severe anxiety

4)

Panic anxiety

ANS: 3

The patient experiencing severe anxiety may experience physical symptoms including headache, palpitations, tachycardia, insomnia, dizziness, nausea, trembling, hyperventilation, urinary frequency, and diarrhea. Symptoms associated with mild anxiety include muscle tension, restlessness, irritability, and a sense of unease. The patient experiencing moderate anxiety might experience a rise in heart rate and respiratory rate, increased perspiration, gastric discomfort, and increased muscle tension. The patient suffering from panic anxiety might believe he has a life-threatening illness. Physical symptoms include dilated pupils, labored breathing, severe trembling, sleeplessness, palpitations, diaphoresis, pallor, and uncoordinated muscle movements.

PTS:1DIF:ModerateREF:p. 278

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application

____ 24. The nurse is assessing a patient admitted with a newly diagnosed bleeding duodenal ulcer. He is exhibiting physiological signs of anxiety and seems to have difficulty concentrating. During the interview, the patient tells the nurse that he is often short of breath and says, I lie awake nights worrying about everything. He has been unable to work or care for his family for the past 6 months. What is the nurses priority after documenting this information in the nurses notes?

1)

Provide emotional support for the patient using reflective listening technique.

2)

Do nothing; people with duodenal ulcers typically cannot work.

3)

Question the patients family about the information received from the patient.

4)

Notify the primary care provider and ask for a referral to a mental health professional.

ANS: 4

The nurse should involve a mental health professional immediately, because the patient is exhibiting signs of a disabling anxiety disorder. Although it is important for the nurse to provide emotional support for the patient, a mental health professional is needed for this patient. Doing nothing is neglectful. Questioning the patients family about the information violates the patients right to privacy, unless the nurse obtains the patients permission to do so.

PTS: 1 DIF: Difficult REF: p. 291; requires synthesis, answer not given verbatim.

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Analysis

____ 25. An adult patient is diagnosed with lung cancer, and surgery to remove the right lung is recommended. The patient is uncertain about whether he should consent to the surgery because of the risks involved. Which nursing diagnosis is most appropriate for this patient?

1)

Decisional Conflict

2)

Death Anxiety

3)

Powerlessness

4)

Ineffective Denial

ANS: 1

Decisional Conflict is the most appropriate nursing diagnosis for this patient because he is uncertain about whether he should take the surgical risk. Death Anxiety is apprehension, worry, or fear related to death or dying; there is nothing to suggest that this patient is suffering from Death Anxiety at this time. Powerlessness is a perceived lack of control over a current situation; this patient is trying to exert some control over his care. Ineffective Denial is appropriate when the patient consciously or unconsciously rejects knowledge; there is nothing in this scenario to suggest that the patient is rejecting knowledge.

PTS:1DIF:ModerateREF:p. 288

KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

____ 26. Which nursing intervention specifically helps reduce a patients anxiety?

1)

Teaching the importance of adequate nutrition and hydration

2)

Giving clear fact pertaining to the patients circumstances

3)

Promoting small-group activities to improve self-esteem

4)

Monitoring the patient for the risk of suicide

ANS: 2

Using clear and factual knowledge that is tailored to the patients circumstances helps reduce anxiety. Teaching the importance of adequate hydration, promoting small-group activities to improve self-esteem, and monitoring the patient for suicide risk are interventions designed to help the patient with depression.

PTS:1DIF:EasyREF:p. 289

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Recall

____ 27. The nurse caring for a patient admitted with severe depression identifies a nursing diagnosis of Hopelessness on the care plan. Which outcome is appropriate for this diagnosis?

1)

Displays stabilization and control of mood

2)

Sleeps 6 to 8 hours per night with report of feeling rested

3)

Does not engage in risky, self-injurious behavior

4)

Eats a well-balanced diet to prevent weight change

ANS: 1

An outcome for the nursing diagnosis Hopelessness is displays stabilization and control of mood. Sleeps 6 to 8 hours per night and reports feeling rested and eats a well-balanced diet to prevent weight change are example of outcomes for the diagnosis Depressed Mood. Does not engage in risky, self-injurious behavior is an outcome for the nursing diagnosis Risk for Suicide.

PTS: 1 DIF: Moderate REF: p. 293

KEY: Nursing process: Planning | Client need: PSI | Cognitive level: Application

____ 28. The nurse is assessing a patient for depression. Which of the following sets of behavioral symptoms may indicate depression?

1)

Preoccupation with loss, self-blame, and ambivalence

2)

Anger, helplessness, guilt, and sadness

3)

Anorexia, insomnia, headache, and constipation

4)

Tearfulness, withdrawal, and present substance abuse

ANS: 4

Tearfulness, regression, restlessness, agitation, withdrawal, past or present substance abuse, and a past history of suicide attempts are all behavioral symptoms of depression. Denial of feelings, anger, anxiety, guilt, helplessness, hopelessness, and sadness are affective findings associated with depression. Cognitive findings in depression include preoccupation with loss, self-blame, ambivalence, and blaming others. Physiological findings of depression include anorexia, overeating, insomnia, hypersomnia, headache, backache, chest pain, and constipation.

PTS:1DIF:ModerateREF:p. 289

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Comprehension

____ 29. A frail, elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. What is most important for the nurse do?

1)

Recognize these symptoms as signs of normal, physiologic aging.

2)

Obtain a urine specimen before notifying the primary care provider.

3)

Be sure she is placed in a room occupied with another patient.

4)

Interview the patient to screen for clinical depression.

ANS: 4

Depression is often masked in older adults and expressed as physical and personality changes. Memory loss and confusion are also common symptoms of depression in older adults. Any one of the symptoms might occur as a result of physical illness, but the combination should prompt the nurse to suspect depression and interview and screen for it before exploring physiological causes for the symptom (as with a urine specimen). Placing the patient with another patient would be indicated for social isolation, which can be associated with depression; however, the nurse needs to screen for depression before looking for causes.

PTS:1DIF:ModerateREF:pp. 291, 295

KEY: Nursing process: Implementation | Client need: PSI | Cognitive level: Application

____ 30. An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. She has a medical diagnosis of dehydration. Which of the following should lead the nurse to suspect that dementia, rather than depression or dehydration, is the source of the symptoms? The history and nursing observations indicate that the patient

1)

Rambles, speaks incoherently, and answers questions inappropriately

2)

Speaks slowly with delayed response to questions but responds appropriately

3)

Awakens early in the day yet sleeps almost constantly during the day

4)

Sometimes has difficulty concentrating on details of the present situation

ANS: 1

In dementia, a patients language is disoriented, rambling, and incoherent and the patient responds to questions inappropriately or with near misses. Speaking slowly and being slow to respond to verbal stimuli are signs of depression, and in depression, the patient usually answers questions appropriately. Awakening early and sleeping constantly during the day are signs of depression; in dementia, sleep is fragmented and the person awakens often during the night. Difficulty concentrating on details is a thinking pattern seen more in depression; in dementia, there is difficulty finding words, difficulty calculating, and decreased judgment.

PTS: 1 DIF: Difficult REF: p. 291

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 1. Which assessment finding(s) might suggest that the patient has low self-esteem and requires more in-depth assessment? Choose all that apply.

1)

Infrequent eye contact

2)

Straight posture

3)

Overly critical of others

4)

Careful grooming

ANS: 1, 3

Assessment findings that suggest low self-esteem include avoiding eye contact and being overly critical of others. You would not need to follow up if the person displayed straight posture and careful grooming.

PTS: 1 DIF: Easy REF: pp. 276-277; 282-284

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application

____ 2. Which intervention(s) by the nurse might help the patient maintain a sense of personhood during hospitalization? Assume that all are culturally appropriate. Choose all that apply.

1)

Addressing the patient by his first name

2)

Making eye contact if it is comfortable for the patient

3)

Always offering an explanation before beginning a procedure

4)

Speaking to others about the patient so that the patient can hear you

ANS: 2, 3

The nurse can help the patient maintain a sense of personhood by addressing him by his preferred name, which might be his first name or might be his surname with title. Using eye contact, always offering an explanation before beginning a procedure, and not talking about the patient to others in the room are additional ways for the nurse to offer care that respects patient rights.

PTS:1DIF:ModerateREF:pp. 285-286

KEY: Nursing process: Interventions | Client need: PSI | Cognitive level: Recall

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