Psychosocial Needs and Development Flashcards
6 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Psychosocial Needs and Development flashcards as text
A nurse suspects that an elderly patient is being financially exploited by a family member. What is the nurse's legal obligation?
Answer: Report the suspected abuse to Adult Protective Services
Nurses are mandated reporters of suspected elder abuse, including financial exploitation. Reasonable suspicion is sufficient to trigger reporting.
A patient in the emergency department is displaying aggressive behavior and threatening staff. Which de-escalation technique should the nurse try first?
Answer: Speak in a calm, low tone and offer the patient choices
Verbal de-escalation using a calm tone, non-threatening body language, and offering choices gives the patient a sense of control and is the least restrictive intervention.
Which assessment tool is most commonly used by nurses to screen for depression in adult patients?
Answer: Patient Health Questionnaire-9 (PHQ-9)
The PHQ-9 is a validated, widely used screening tool that assesses the nine DSM criteria for major depressive disorder over the past two weeks.
A patient diagnosed with schizophrenia reports hearing voices that tell them to harm themselves. How should the nurse classify this symptom?
Answer: Command auditory hallucination
Command auditory hallucinations are voices that direct the patient to perform specific actions, including self-harm. These require immediate safety assessment and intervention.
A new mother two weeks postpartum tells the nurse she has thoughts of harming her baby. What is the priority nursing action?
Answer: Assess for postpartum psychosis and ensure immediate safety of the mother and infant
Thoughts of harming the baby are a red flag for postpartum psychosis, a psychiatric emergency requiring immediate safety assessment and intervention.
A nurse is caring for a dying patient. The patient's family asks the nurse to 'do everything possible' despite the patient's documented wish for comfort measures only. What is the most appropriate response?
Answer: Gently review the patient's documented wishes and explain the legal and ethical obligation to follow them
The nurse should compassionately review the patient's documented wishes with the family while explaining the ethical and legal obligation to honor the patient's advance directive.