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

Before implementing other interventions, the LPN should first assess for an underlying physiological cause of agitation, as clients with dementia may be unable to verbalize needs such as pain, hunger, or the need to use the toilet. Addressing a physical cause is the priority.

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

The most therapeutic response uses the open-ended technique of exploring the client's feelings. This validates the client's emotions and encourages further communication about their end-of-life wishes and concerns. Giving advice or changing the subject is non-therapeutic.

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

Denial is a common coping mechanism in clients with substance use disorders. The LPN's role is to remain non-judgmental, accurately document the client's statements and behaviors, and proceed with the established admission protocol. Confronting the client can create a barrier to the therapeutic relationship.

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

Nurses are mandated reporters. When there is a suspicion of child abuse, such as bruises in locations not typically associated with accidental falls, the LPN has a legal and ethical obligation to report their findings to Child Protective Services or the designated state agency for investigation.

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

Reflection is a therapeutic technique where the nurse repeats back the emotional content of the client's message. This validates the client's feelings and encourages them to elaborate on their fears, fostering a trusting relationship.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN - Certified Practical Nurse Psychosocial Integrity Questions and Answers