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

The nurse acknowledges the patient's experience without reinforcing the delusion by stating their own reality calmly.

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

Active listening involves nonverbal cues, eye contact, and reflecting content to show the patient they are heard.

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

Hopelessness and withdrawal of effort are hallmarks of the depression stage in Kübler-Ross's grief model.

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

Remaining with the patient and using a calm demeanor provides reassurance and helps reduce the intensity of a panic attack.

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

Abruptly interrupting rituals increases anxiety; collaboratively setting limits respects patient needs while working toward behavior modification.

(LPN) Certified Practical Nurse Practice Test

(LPN) Certified Practical Nurse Practice Test

LPN Psychosocial Integrity 2