LVN Psychosocial Integrity Test 1

Question 1

A toddler has sustained an injury. Which of the following injuries is MOST LIKELY the result of child abuse?

Accepted Answer

Several small, dime-sized circular burns on the child's back

Answer

A hematoma on the occipital region of the head

Answer

A 1-inch forehead laceration

Answer

A small isolated bruise on the right lower extremity

Question 2

Which of the following is a defense mechanism that is described as withdrawing into passivity and becoming inaccessible so as to avoid further threatening situations?

Accepted Answer

Insulation

Answer

Identification

Answer

Suppression

Answer

Projection

Question 3

During an initial assessment, a client reports the following behaviors: social inhibition, hypersensitivity to negative evaluation, fear of criticism, and social ineptitude. The nurse suspects which of the following personality disorders?

Accepted Answer

Avoidant

Answer

Narcissistic

Answer

Antisocial

Answer

Paranoid

Question 4

A client is in the first stage of Alzheimer's disease. The nurse should plan to focus this client's care on:

Accepted Answer

providing emotional support and individual counseling

Answer

offering nourishing finger foods to help maintain the client's nutritional status.

Answer

monitoring the client to prevent minor illnesses from turning into major problems

Answer

suggesting new activities for the client and family to do together.

Question 5

The mother of a 7-year-old asks about the administration of the booster immunizations while the child has an upper respiratory infection. The nurse should understand what?

Accepted Answer

Active immunologic vaccines are not given to clients with an upper respiratory infection.

Answer

The active immunizations can be administered.

Answer

The observation of responses to the immunization should be monitored closely.

Answer

Active immunizations have properties to reduce upper respiratory infection symptoms.

Question 6

The nurse is caring for a 58-year-old client with hypothyroidism. Which type of diet should the nurse expect to be ordered for the client?

Accepted Answer

Low calorie diet

Answer

High protein diet

Answer

Low sodium diet

Answer

High carbohydrate diet

Question 7

You have a patient in your unit who has cirrhosis. He is experiencing a fluid volume excess as a result of this disease. Which of the following nursing interventions would NOT be taken for this patient?

Accepted Answer

Replacement of fluids isotonically, preferably orally

Answer

Sodium-restricted diet

Answer

Administer diuretics as prescribed

Answer

Weigh daily