LVN Mental Health Nursing 2

Question 1

A patient says 'I feel like nobody cares about me.' Which LVN response best demonstrates therapeutic communication?

Accepted Answer

That must be a very difficult feeling to carry.

Answer

Reflecting the patient's feelings validates their experience without dismissing or redirecting it.

Question 2

Which observation in a psychiatric unit should an LVN report IMMEDIATELY to the supervising RN?

Accepted Answer

A patient is giving away personal belongings and saying goodbye to staff.

Answer

Giving away possessions and saying goodbyes are classic warning signs of suicidal intent requiring immediate escalation.

Question 3

A patient with bipolar disorder in the manic phase is talking rapidly and pacing. Which intervention is the priority?

Accepted Answer

Redirect the patient to a calm, quiet environment.

Answer

Reducing stimulation in the environment helps decrease escalating manic behavior and promotes safety.

Question 4

An LVN is caring for a patient with schizophrenia who appears to be responding to internal stimuli. Which response is most therapeutic?

Accepted Answer

'I don't hear anything, but I can see this is distressing to you.'

Answer

This response acknowledges the patient's distress without reinforcing delusional content or dismissing their experience.

Question 5

A patient on a psychiatric unit is found hoarding medications in their pillowcase. The LVN's FIRST action is?

Accepted Answer

Confiscate the medications and notify the RN immediately.

Answer

Medication hoarding is a patient safety emergency that requires immediate removal of the medications and RN notification.

(LVN) Licensed Vocational Nurse Practice Test