LVN Psychosocial Integrity Test 2

Question 1

A patient diagnosed with schizophrenia is experiencing auditory hallucinations. Which nursing intervention is most appropriate?

Accepted Answer

Encouraging the patient to discuss the hallucinations

Answer

Administering a sedative medication

Answer

Ignoring the hallucinations to avoid reinforcing them

Answer

Restraining the patient to prevent self-harm

Question 2

A patient with depression has been prescribed fluoxetine (Prozac). The nurse should monitor the patient for which potential adverse effect?

Accepted Answer

Suicidal ideation

Answer

Hypotension

Answer

Weight gain

Answer

Insomnia

Question 3

Which nursing action is most important when caring for a patient with bipolar disorder during a manic episode?

Accepted Answer

Ensuring a quiet, low-stimulation environment

Answer

Providing frequent opportunities for social interaction

Answer

Limiting physical activity to conserve energy

Answer

Allowing the patient to make financial decisions independently

Question 4

A patient with borderline personality disorder (BPD) exhibits splitting behavior. The nurse understands this behavior involves:

Accepted Answer

Switching between extremes of idealization and devaluation

Answer

Confusion and disorientation

Answer

Impulsivity and risk-taking behaviors

Answer

Severe mood swings and agitation

Question 5

When communicating with a patient diagnosed with antisocial personality disorder, the nurse should:

Accepted Answer

Set firm boundaries and consequences for inappropriate behavior

Answer

Provide excessive praise and attention for positive behaviors

Answer

Allow the patient to manipulate others to maintain peace

Answer

Avoid confrontation or conflict to prevent aggression

Question 6

Which statement by a patient with generalized anxiety disorder (GAD) indicates a need for further education?

Accepted Answer

"I drink a glass of wine every night to help me relax before bed."

Answer

"I try to avoid caffeine and nicotine to reduce my anxiety."

Answer

"I take my lorazepam (Ativan) as needed when I feel very anxious."

Answer

"I find it helpful to exercise regularly to manage my stress."

Question 7

Which behavior by a patient diagnosed with anorexia nervosa should the nurse prioritize as needing immediate intervention?

Accepted Answer

Experiencing bradycardia and hypotension

Answer

Refusing to participate in group therapy sessions

Answer

Complaining of feeling cold despite warm room temperature

Answer

Expressing a desire to exercise excessively

Question 8

A patient with schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the patient for which potential adverse effect?

Accepted Answer

Orthostatic hypotension

Answer

Weight loss

Answer

Hyperactivity

Answer

Excessive salivation

Question 9

A patient with post-traumatic stress disorder (PTSD) is experiencing a flashback. The nurse's priority intervention is to:

Accepted Answer

Ensure a safe environment and reassure the patient

Answer

Provide distraction by engaging the patient in a conversation

Answer

Administer a prescribed sedative to calm the patient

Answer

Encourage the patient to confront and re-experience the traumatic event

Question 10

A patient with alcohol use disorder is admitted for detoxification. The nurse understands that the priority during detoxification is to:

Accepted Answer

Monitor for signs of delirium tremens (DTs) and manage symptoms

Answer

Administer benzodiazepines as needed for withdrawal symptoms

Answer

Provide group therapy sessions to explore underlying issues

Answer

Encourage the patient to attend Alcoholics Anonymous (AA) meetings daily