Mental Health & Psychiatric Nursing 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 Mental Health & Psychiatric Nursing flashcards as text
A patient taking an MAOI (monoamine oxidase inhibitor) asks what foods to avoid. The LVN correctly teaches the patient to avoid:
Answer: Aged cheeses, cured meats, and red wine
MAOIs interact with tyramine-rich foods (aged cheeses, cured meats, red wine) to cause a hypertensive crisis, which can be life-threatening.
A patient with dementia becomes increasingly confused and agitated every evening. The LVN should document this pattern as:
Answer: Sundowning
Sundowning describes increased confusion, agitation, and behavioral disturbances that occur in the late afternoon or evening in patients with dementia.
Which statement correctly describes the difference between delirium and dementia?
Answer: Delirium has an abrupt onset and is often reversible; dementia develops gradually and is generally irreversible
Delirium is characterized by acute onset and fluctuating course and is often reversible with treatment of the underlying cause, while dementia is a progressive, irreversible decline.
A patient with schizophrenia states, 'The television is sending me secret messages.' The LVN should document this as:
Answer: A delusion of reference
A delusion of reference is a false belief that external events, objects, or people have special personal significance or secret messages directed at oneself.
When developing a therapeutic relationship, which behavior by the LVN would be most likely to damage trust with a psychiatric patient?
Answer: Making promises that cannot be kept
Making promises that cannot be kept destroys trust, which is the foundation of the therapeutic relationship, particularly with vulnerable psychiatric patients.
A patient taking clozapine (Clozaril) must have routine blood tests because this medication carries a risk of:
Answer: Agranulocytosis
Clozapine can cause agranulocytosis, a life-threatening drop in white blood cells, requiring regular WBC and ANC monitoring throughout treatment.
An LVN caring for a patient with antisocial personality disorder should expect the patient to display:
Answer: Disregard for the rights of others and lack of remorse
Antisocial personality disorder is characterized by a persistent pattern of violating others' rights, deceitfulness, impulsivity, and absence of remorse.