LVN Psychosocial Integrity 2

Question 1

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?

Accepted Answer

Rationalization

Answer

Rationalization involves creating logical-sounding excuses to justify anxiety-provoking feelings or behaviors.

Question 2

Which nursing response BEST demonstrates therapeutic communication when a patient states, 'I feel like no one understands me'?

Accepted Answer

'Tell me more about what you're experiencing.'

Answer

Open-ended prompts encourage the patient to elaborate and demonstrate the nurse's genuine interest.

Question 3

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?

Accepted Answer

Disturbed body image

Answer

Disturbed body image is evidenced by refusal to look at the stoma and negative verbalization about altered appearance.

Question 4

When using the PHQ-9 tool, the LVN is screening a patient for:

Accepted Answer

Depression severity

Answer

The PHQ-9 (Patient Health Questionnaire-9) is a validated tool used to screen for and measure the severity of depression.

Question 5

A patient with panic disorder begins hyperventilating in the hallway. The nurse's PRIORITY intervention is to:

Accepted Answer

Stay with the patient and speak in a calm, reassuring voice

Answer

Staying calm, providing presence, and using a reassuring tone helps reduce acute panic and prevents escalation.

(LVN) Licensed Vocational Nurse Practice Test