LVN Psychosocial Integrity 4

Question 1

A patient with schizophrenia states, 'The government has implanted a chip in my brain.' The nurse correctly identifies this as a:

Accepted Answer

Persecutory delusion

Answer

A persecutory delusion involves the belief that one is being controlled, monitored, or harmed by an external force.

Question 2

A patient in a manic episode is pacing, talking rapidly, and has not eaten in 24 hours. The nurse's PRIORITY intervention is to:

Accepted Answer

Offer high-calorie finger foods the patient can eat while moving

Answer

Meeting nutritional needs with portable, calorie-dense foods accommodates the patient's hyperactivity and prevents physical deterioration.

Question 3

A patient with borderline personality disorder frequently tells one nurse, 'You're the only one who understands me,' while telling another, 'That other nurse is terrible.' The nurse recognizes this as:

Accepted Answer

Splitting

Answer

Splitting is a hallmark defense mechanism in borderline personality disorder in which people or situations are seen as all good or all bad.

Question 4

A patient with paranoid schizophrenia refuses to eat, stating the food is poisoned. The BEST nursing approach is to:

Accepted Answer

Offer factory-sealed, single-serve food items the patient can open themselves

Answer

Offering sealed, commercially packaged foods reduces the patient's fear of tampering and supports nutritional intake.

Question 5

A patient reports hearing voices telling them to harm themselves. The nurse's FIRST action is to:

Accepted Answer

Ask the patient whether they intend to act on the voices

Answer

Assessing whether the patient intends to act on command hallucinations is essential for immediate safety evaluation.

(LVN) Licensed Vocational Nurse Practice Test

(LVN) Licensed Vocational Nurse Practice Test

LVN Psychosocial Integrity 4