LVN Psychosocial Integrity Test 2

Question 1

A patient diagnosed with schizophrenia is experiencing auditory hallucinations. Which nursing intervention is most appropriate?

Accepted Answer

Encouraging the patient to discuss the hallucinations

Answer

Encouraging a patient with schizophrenia to discuss their auditory hallucinations in a non-judgmental way is the most appropriate intervention. This approach validates the patient's experience, helps the nurse understand the nature and impact of the hallucinations, and builds trust. It allows for assessment and appropriate intervention without ignoring or reinforcing the delusion.

Question 2

A patient with depression has been prescribed fluoxetine (Prozac). The nurse should monitor the patient for which potential adverse effect?

Accepted Answer

Suicidal ideation

Answer

Fluoxetine (Prozac), an SSRI antidepressant, carries a black box warning for an increased risk of suicidal thoughts and behaviors, especially in children, adolescents, and young adults, particularly at the beginning of treatment or with dose changes. While the medication can improve mood, it may initially increase energy before mood fully lifts, potentially giving patients the impetus to act on suicidal ideation. Therefore, close monitoring is crucial.

Question 3

Which nursing action is most important when caring for a patient with bipolar disorder during a manic episode?

Accepted Answer

Ensuring a quiet, low-stimulation environment

Answer

During a manic episode, a patient with bipolar disorder experiences elevated energy, racing thoughts, and is easily overstimulated. Ensuring a quiet, low-stimulation environment helps to reduce agitation, promote rest, and prevent the escalation of manic symptoms. This intervention is crucial for the patient's safety and to help them regain control.

Question 4

A patient with borderline personality disorder (BPD) exhibits splitting behavior. The nurse understands this behavior involves:

Accepted Answer

Switching between extremes of idealization and devaluation

Answer

Splitting is a defense mechanism commonly seen in borderline personality disorder (BPD). It involves the inability to integrate positive and negative qualities of oneself or others into a cohesive whole. As a result, individuals with BPD perceive people or situations in extreme, all-good or all-bad terms, rapidly shifting between idealization and devaluation.

Question 5

When communicating with a patient diagnosed with antisocial personality disorder, the nurse should:

Accepted Answer

Set firm boundaries and consequences for inappropriate behavior

Answer

Patients with antisocial personality disorder often exhibit manipulative and deceitful behaviors, disregarding rules and the rights of others. Setting firm, consistent boundaries and clearly defined consequences is essential to establish limits, promote accountability, and prevent manipulation. This approach fosters a safe and structured therapeutic environment for both the patient and others.

(LVN) Licensed Vocational Nurse Practice Test

(LVN) Licensed Vocational Nurse Practice Test

LVN Psychosocial Integrity Test 2