LVN Mental Health & Psychiatric Nursing 2

Question 1

A patient with schizophrenia is started on haloperidol and develops muscle rigidity, hyperthermia, and autonomic instability. The LVN should recognize this as:

Accepted Answer

Neuroleptic malignant syndrome

Answer

Neuroleptic malignant syndrome (NMS) is a life-threatening reaction to antipsychotics characterized by muscle rigidity, hyperthermia, altered consciousness, and autonomic instability.

Question 2

When using therapeutic communication, which response is most appropriate when a depressed patient says, 'Nobody cares if I live or die'?

Accepted Answer

'I care about what happens to you. Are you having thoughts of suicide?'

Answer

The most therapeutic response acknowledges the patient's feelings and directly assesses for suicidal ideation without dismissing or deflecting.

Question 3

A patient with bipolar disorder is in the manic phase. Which nursing intervention takes priority?

Accepted Answer

Provide a calm, low-stimulation environment

Answer

Reducing environmental stimulation is the priority during mania to prevent escalation of hyperactivity, agitation, and potential harm.

Question 4

Which statement best describes the concept of 'milieu therapy' in a psychiatric setting?

Accepted Answer

Use of the total therapeutic environment to promote healing and recovery

Answer

Milieu therapy uses the entire therapeutic environment—physical space, staff interactions, and peer relationships—as a tool for treatment and recovery.

Question 5

A patient taking lithium reports nausea, vomiting, tremors, and confusion. The LVN should first:

Accepted Answer

Hold the next lithium dose and notify the charge nurse immediately

Answer

These signs indicate lithium toxicity; the LVN should hold the medication and notify the charge nurse immediately so the lithium level can be checked and treatment initiated.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Mental Health & Psychiatric Nursing 2