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 anxiety repeatedly says, 'I'm not really that anxious — I just had too much coffee.' Which defense mechanism is the patient using?
Answer: Rationalization
Rationalization involves creating logical-sounding excuses to justify anxiety-provoking feelings or behaviors.
Which nursing response BEST demonstrates therapeutic communication when a patient states, 'I feel like no one understands me'?
Answer: 'Tell me more about what you're experiencing.'
Open-ended prompts encourage the patient to elaborate and demonstrate the nurse's genuine interest.
A patient with a new colostomy refuses to look at the stoma and says, 'I'm disgusting.' The nurse identifies this as which nursing diagnosis?
Answer: Disturbed body image
Disturbed body image is evidenced by refusal to look at the stoma and negative verbalization about altered appearance.
When using the PHQ-9 tool, the LVN is screening a patient for:
Answer: Depression severity
The PHQ-9 (Patient Health Questionnaire-9) is a validated tool used to screen for and measure the severity of depression.
A patient with panic disorder begins hyperventilating in the hallway. The nurse's PRIORITY intervention is to:
Answer: Stay with the patient and speak in a calm, reassuring voice
Staying calm, providing presence, and using a reassuring tone helps reduce acute panic and prevents escalation.
A patient tells the nurse, 'I can't do anything right.' Which response by the nurse is MOST therapeutic?
Answer: 'What makes you feel that way?'
Asking what makes the patient feel that way explores the underlying concern and validates their experience.
Which behavior indicates a patient is maintaining appropriate therapeutic boundaries with the nurse?
Answer: Discussing only care-related concerns during interactions
Therapeutic relationships remain focused on the patient's health needs; socializing, gifts, and personal advice fall outside professional boundaries.