LPN Psychosocial Integrity 2

Question 1

A patient with schizophrenia tells the LPN, 'The television is sending me secret messages.' Which response is most therapeutic?

Accepted Answer

'I can see the TV is on, but I don't receive messages from it.'

Answer

'That's impossible — TVs can't send messages.'

Answer

'Tell me more about these messages.'

Answer

'You should ignore the television.'

Question 2

Which behavior by an LPN best demonstrates active listening during a therapeutic interaction?

Accepted Answer

Nodding, maintaining eye contact, and reflecting the patient's statements

Answer

Offering advice quickly to resolve the patient's concerns

Answer

Changing the subject when the patient becomes emotional

Answer

Completing documentation while the patient speaks

Question 3

A patient newly diagnosed with cancer states, 'Why bother treating it — I'm going to die anyway.' What stage of grief does this statement best reflect?

Accepted Answer

Depression

Answer

Denial

Answer

Bargaining

Answer

Acceptance

Question 4

An LPN is caring for a patient experiencing a panic attack. Which intervention is the priority?

Accepted Answer

Stay with the patient and speak in a calm, low voice

Answer

Leave the patient alone to reduce stimulation

Answer

Encourage the patient to explain what triggered the attack

Answer

Administer PRN anxiolytic without further assessment

Question 5

A patient with obsessive-compulsive disorder (OCD) spends 45 minutes washing their hands before meals. The LPN's best initial approach is to:

Accepted Answer

Allow the ritual but set gentle time limits collaboratively

Answer

Physically prevent the patient from washing their hands

Answer

Ignore the behavior to avoid reinforcing it

Answer

Tell the patient the ritual is unnecessary and harmful

Question 6

A patient who is widowed says, 'I talk to my husband's photo every night.' The LPN's best response is:

Accepted Answer

'That sounds like a comforting way to feel close to him.'

Answer

'You should consider that this may not be healthy.'

Answer

'Have you thought about seeing a grief counselor?'

Answer

'It's important to accept that he is gone.'

Question 7

Which statement by a patient indicates a need for further mental health teaching about medication adherence in bipolar disorder?

Accepted Answer

'I can stop my lithium once I feel stable for a few weeks.'

Answer

'I should have my lithium levels checked regularly.'

Answer

'I need to drink plenty of water while on lithium.'

Answer

'I should report hand tremors to my provider.'