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

Haloperidol (Haldol) is a high-potency first-generation antipsychotic that primarily blocks dopamine D2 receptors. This mechanism of action is strongly associated with a high incidence of extrapyramidal symptoms (EPS), which are movement disorders such as dystonia, akathisia, and parkinsonism. Monitoring for EPS is a critical nursing responsibility when administering haloperidol.

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

Patients with antisocial personality disorder often use manipulation to achieve their goals and may disregard the rights of others. Confronting the patient directly, calmly, and non-judgmentally about their manipulative behavior is crucial. This approach helps the patient understand the impact of their actions, reinforces accountability, and prevents them from exploiting others or disrupting the therapeutic environment.

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

For a patient with anorexia nervosa admitted with severe malnutrition, the immediate priority is physical stabilization and nutritional restoration. Closely monitoring daily weights and nutritional intake is fundamental to assessing the effectiveness of refeeding, preventing refeeding syndrome, and addressing the life-threatening physiological consequences of starvation. This ensures the patient's physical safety and recovery.

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

During a flashback, a patient with PTSD is intensely re-experiencing the traumatic event and may be disoriented or feel in danger. The nurse's initial action must be to provide reassurance and ensure a safe environment. This helps to reorient the patient to the present reality, reduce their distress, and prevent further escalation of the flashback, prioritizing their immediate safety and emotional stability.

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

Agitation and aggression in Alzheimer's disease often stem from confusion, fear, or unmet needs. The initial, least restrictive intervention is to redirect the patient's attention to a calming activity or topic. This approach can help de-escalate the situation, reduce distress, and avoid the need for more restrictive measures like medication or restraints, promoting a sense of security.

Uncategorized Practice Test

Uncategorized Practice Test

LVN Psychosocial Integrity Test 3