LVN Psychosocial Integrity Test 3

Question 1

A patient with schizophrenia is prescribed haloperidol (Haldol). The nurse should monitor the patient for which potential adverse effect?

Accepted Answer

Extrapyramidal symptoms (EPS)

Answer

Sedation

Answer

Weight gain

Answer

Hypertension

Question 2

A patient diagnosed with antisocial personality disorder manipulates other patients to obtain privileges. The nurse should:

Accepted Answer

Confront the patient about their manipulative behavior.

Answer

Limit interactions with other patients to prevent manipulation.

Answer

Ignore the behavior to avoid reinforcement.

Answer

Offer rewards for positive interactions with peers.

Question 3

A patient with anorexia nervosa is admitted with severe malnutrition. The nurse should prioritize:

Accepted Answer

Monitoring daily weights and nutritional intake.

Answer

Initiating group therapy sessions focused on body image.

Answer

Allowing the patient to choose meal times and menus.

Answer

Providing rewards for achieving weight gain goals.

Question 4

A patient with post-traumatic stress disorder (PTSD) experiences a flashback during a therapy session. The nurse's initial action should be to:

Accepted Answer

Provide reassurance and ensure a safe environment.

Answer

Encourage the patient to confront and re-experience the trauma.

Answer

Administer a sedative to calm the patient.

Answer

Explore potential triggers for the flashback.

Question 5

A patient diagnosed with Alzheimer's disease is becoming increasingly agitated and aggressive. The nurse's initial response should be to:

Accepted Answer

Redirect the patient's attention to a calming activity.

Answer

Administer an antipsychotic medication to manage behavior.

Answer

Restrict visitors to minimize overstimulation.

Answer

Confront the patient about their behavior.

Question 6

Which intervention is most appropriate for a patient experiencing acute anxiety?

Accepted Answer

Administering a benzodiazepine as prescribed

Answer

Allowing the patient to pace in the hallway

Answer

Encouraging the patient to engage in deep breathing exercises

Answer

Suggesting distraction techniques such as watching TV

Question 7

A patient with substance use disorder is admitted for detoxification. The nurse should prioritize which assessment?

Accepted Answer

Monitoring withdrawal symptoms

Answer

Identifying triggers for substance use

Answer

Assessing family history of substance use

Answer

Evaluating readiness for change

Question 8

When caring for a patient with borderline personality disorder (BPD), the nurse should:

Accepted Answer

Set consistent boundaries and expectations.

Answer

Avoid discussing past traumatic experiences.

Answer

Allow the patient to negotiate treatment plans.

Answer

Provide immediate rewards for positive behaviors.

Question 9

A patient with bipolar disorder is in the manic phase. The nurse should prioritize which intervention?

Accepted Answer

Promoting adequate rest and sleep patterns

Answer

Limiting social interactions to prevent overstimulation

Answer

Encouraging decision-making without interference

Answer

Monitoring for signs of suicidal ideation

Question 10

Which behavior by a patient with schizophrenia should the nurse identify as a positive symptom of the disorder?

Accepted Answer

Auditory hallucinations

Answer

Social withdrawal

Answer

Flat affect

Answer

Anhedonia