Psychosocial Integrity Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Psychosocial Integrity flashcards as text
A patient with schizophrenia states, 'The government has implanted a chip in my brain.' The nurse correctly identifies this as a:
Answer: Persecutory delusion
A persecutory delusion involves the belief that one is being controlled, monitored, or harmed by an external force.
A patient in a manic episode is pacing, talking rapidly, and has not eaten in 24 hours. The nurse's PRIORITY intervention is to:
Answer: Offer high-calorie finger foods the patient can eat while moving
Meeting nutritional needs with portable, calorie-dense foods accommodates the patient's hyperactivity and prevents physical deterioration.
A patient with borderline personality disorder frequently tells one nurse, 'You're the only one who understands me,' while telling another, 'That other nurse is terrible.' The nurse recognizes this as:
Answer: Splitting
Splitting is a hallmark defense mechanism in borderline personality disorder in which people or situations are seen as all good or all bad.
A patient with paranoid schizophrenia refuses to eat, stating the food is poisoned. The BEST nursing approach is to:
Answer: Offer factory-sealed, single-serve food items the patient can open themselves
Offering sealed, commercially packaged foods reduces the patient's fear of tampering and supports nutritional intake.
A patient reports hearing voices telling them to harm themselves. The nurse's FIRST action is to:
Answer: Ask the patient whether they intend to act on the voices
Assessing whether the patient intends to act on command hallucinations is essential for immediate safety evaluation.
Which strategy is MOST effective when de-escalating an agitated patient?
Answer: Speaking softly, maintaining non-threatening body language, and allowing personal space
Calm verbal communication, non-threatening posture, and maintaining personal space are evidence-based de-escalation techniques.
A therapeutic milieu in an inpatient psychiatric unit refers to:
Answer: The structured environment designed to promote healing and safe behavior
A therapeutic milieu is a carefully structured, safe, and supportive inpatient environment that itself serves as a treatment modality.