LVN Mental Health & Psychiatric Nursing 5

Question 1

A patient taking an MAOI (monoamine oxidase inhibitor) asks what foods to avoid. The LVN correctly teaches the patient to avoid:

Accepted Answer

Aged cheeses, cured meats, and red wine

Answer

MAOIs interact with tyramine-rich foods (aged cheeses, cured meats, red wine) to cause a hypertensive crisis, which can be life-threatening.

Question 2

A patient with dementia becomes increasingly confused and agitated every evening. The LVN should document this pattern as:

Accepted Answer

Sundowning

Answer

Sundowning describes increased confusion, agitation, and behavioral disturbances that occur in the late afternoon or evening in patients with dementia.

Question 3

Which statement correctly describes the difference between delirium and dementia?

Accepted Answer

Delirium has an abrupt onset and is often reversible; dementia develops gradually and is generally irreversible

Answer

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.

Question 4

A patient with schizophrenia states, 'The television is sending me secret messages.' The LVN should document this as:

Accepted Answer

A delusion of reference

Answer

A delusion of reference is a false belief that external events, objects, or people have special personal significance or secret messages directed at oneself.

Question 5

When developing a therapeutic relationship, which behavior by the LVN would be most likely to damage trust with a psychiatric patient?

Accepted Answer

Making promises that cannot be kept

Answer

Making promises that cannot be kept destroys trust, which is the foundation of the therapeutic relationship, particularly with vulnerable psychiatric patients.

(LVN) Licensed Vocational Nurses Certification Practice Test

(LVN) Licensed Vocational Nurses Certification Practice Test

LVN Mental Health & Psychiatric Nursing 5