LPN - Certified Practical Nurse Psychosocial Integrity Questions and Answers

Question 1

An LPN is caring for a client with advanced dementia who has become increasingly agitated and is yelling out. Which of the following interventions should the LPN implement first?

Accepted Answer

Assess the client for potential sources of pain or discomfort.

Answer

Administer a prescribed PRN sedative medication.

Answer

Redirect the client by offering a familiar activity.

Answer

Place the client in a quiet room to reduce stimuli.

Question 2

A client receiving hospice care tells the LPN, 'I'm ready to give up. I don't want any more treatments.' Which response by the LPN is most therapeutic?

Accepted Answer

"Tell me more about what you are feeling right now."

Answer

"You shouldn't talk like that; you have to keep fighting."

Answer

"Let's talk about the wonderful memories you have."

Answer

"I will let the doctor know so we can discuss your options."

Question 3

An LPN is admitting a new client to a substance abuse treatment facility. During the initial interview, the client becomes defensive and states, 'I don't have a problem. I can quit anytime I want.' What is the LPN's most appropriate action?

Accepted Answer

Document the client's statement as denial and continue the admission process.

Answer

Confront the client with evidence of their substance abuse problem.

Answer

Explain the negative health consequences of continued substance use.

Answer

Agree with the client to build rapport and trust.

Question 4

An LPN in a pediatric clinic is assessing a toddler with numerous bruises in various stages of healing on their trunk and back. The parent states the child is clumsy and falls a lot. Which of the following actions is the LPN's legal responsibility?

Accepted Answer

Report the suspected child abuse to the appropriate authorities.

Answer

Document the findings and ask the parent to return in one week.

Answer

Confront the parent about the suspicious nature of the injuries.

Answer

Tell the parent to implement better safety measures at home.

Question 5

A client is scheduled for a surgical procedure and expresses significant anxiety, stating, 'I'm so scared I won't wake up from the anesthesia.' Which therapeutic communication technique should the LPN use?

Accepted Answer

Using reflection by stating, 'It sounds like you're worried about the surgery's outcome.'

Answer

Providing false reassurance by saying, 'Everything will be perfectly fine.'

Answer

Changing the subject to distract the client from their fears.

Answer

Advising the client that their fear is irrational and common.

Question 6

An LPN is caring for a client from a culture that practices stoicism in the face of pain. How can the LPN best assess this client's pain level?

Accepted Answer

Observe for non-verbal cues such as facial grimacing, restlessness, or guarding.

Answer

Assume the client is not in pain if they do not complain.

Answer

Administer pain medication only when the client explicitly requests it.

Answer

Rely solely on the numerical pain scale for an accurate assessment.