Uncategorized LVN Psychosocial Integrity 2

Question 1

A nurse is caring for a client who was recently diagnosed with a terminal illness.
The client states, 'If I promise to go to church every Sunday, maybe God will let me live longer.' Which stage of Kübler-Ross's grief model is the client demonstrating?

Accepted Answer

Bargaining

Answer

Anger

Answer

Depression

Answer

Acceptance

Question 2

A nurse is communicating with a client who has schizophrenia. The client suddenly shifts from discussing a fear of snakes to talking about a recent meal to describing a childhood memory, with no logical connection between topics. The nurse recognizes this pattern as:

Accepted Answer

Loose associations

Answer

Neologism

Answer

Echolalia

Answer

Flight of ideas

Question 3

A client with anorexia nervosa refuses to eat and states, 'I am fat and disgusting.' Which nursing response is MOST therapeutic?

Accepted Answer

'I can see you feel very upset about your body. Can you tell me more about those feelings?'

Answer

'You are not fat at all — look how thin you are.'

Answer

'If you don't eat, we will have to start tube feedings.'

Answer

'You need to eat to stay healthy. Everyone here wants you to get better.'

Question 4

A nurse is caring for a client who has just lost a spouse. The client says, 'I keep setting the table for two every evening out of habit.' Which nursing action is MOST appropriate?

Accepted Answer

Sit with the client and offer a therapeutic presence without interrupting.

Answer

Advise the client to rearrange the dining area to avoid the reminder.

Answer

Explain that grief typically resolves within six months.

Answer

Encourage the client to join a support group immediately.

Question 5

A client with obsessive-compulsive disorder (OCD) insists on washing their hands exactly 30 times before each meal. The nurse understands that the handwashing ritual primarily serves to:

Accepted Answer

Temporarily reduce anxiety associated with obsessive thoughts

Answer

Satisfy a physical need for cleanliness

Answer

Gain attention from nursing staff

Answer

Demonstrate control over the hospital environment

Question 6

A nurse is planning care for a client who was recently admitted after a suicide attempt. Which of the following interventions should receive the HIGHEST priority?

Accepted Answer

Assigning the client to a room near the nurses' station and removing potentially harmful objects

Answer

Encouraging the client to verbalize feelings of hopelessness

Answer

Scheduling the client for group therapy three times per week

Answer

Notifying the client's family of the admission