LVN Mental Health & Psychiatric Nursing 4

Question 1

A patient newly admitted for major depression states, 'I've given away all my belongings and said goodbye to everyone.' The LVN should interpret this as:

Accepted Answer

A strong warning sign of imminent suicide attempt

Answer

Giving away possessions and saying final goodbyes are classic warning signs of imminent suicidal intent requiring immediate safety intervention.

Question 2

Which side effect of antipsychotic medications involves involuntary, rhythmic, repetitive movements of the face, tongue, and extremities that appear after long-term use?

Accepted Answer

Tardive dyskinesia

Answer

Tardive dyskinesia is a late-onset, potentially irreversible extrapyramidal side effect of long-term antipsychotic use characterized by repetitive involuntary movements.

Question 3

The LVN is preparing a patient for discharge after treatment for alcohol use disorder. Which statement by the patient indicates a need for further teaching?

Accepted Answer

'I only need to avoid hard liquor; beer and wine are okay.'

Answer

Total abstinence from all forms of alcohol, including beer and wine, is required in alcohol use disorder recovery; no amount is considered safe.

Question 4

A patient with borderline personality disorder frequently tells the nurse, 'You're the only one who understands me; the other nurses are terrible.' This behavior is known as:

Accepted Answer

Splitting

Answer

Splitting is a defense mechanism common in borderline personality disorder where people are viewed as all good or all bad, with no middle ground.

Question 5

Which nursing action is most important when a patient is placed in physical restraints?

Accepted Answer

Assess circulation, sensation, and skin integrity every 15 minutes

Answer

Frequent assessment of circulation, sensation, and skin integrity prevents complications such as nerve damage, skin breakdown, and impaired circulation in restrained patients.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Mental Health & Psychiatric Nursing 4