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

Bargaining is the stage in which a person attempts to make deals—often with God or a higher power—in hopes of postponing or reversing the loss. The client's statement directly reflects this negotiation behavior.

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

Loose associations (also called derailment) describe a pattern of speech in which ideas shift from one unrelated topic to another with no logical connection. Flight of ideas is similar but involves rapid, pressured speech typically seen in mania.

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

Acknowledging the client's feelings and encouraging further expression is the most therapeutic approach. Arguing about body image, making threats, or giving advice dismisses the client's perception and impairs the therapeutic relationship.

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

Providing therapeutic presence—sitting quietly with the grieving client and allowing them to express emotions without interruption—is the most appropriate immediate action. It communicates empathy and support without minimizing or rushing the grief process.

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

Compulsive rituals in OCD are performed to neutralize the anxiety triggered by obsessive thoughts. The behavior temporarily relieves distress, which reinforces its repetition, even when the person recognizes it is excessive.

Uncategorized Practice Test

Uncategorized Practice Test

Uncategorized LVN Psychosocial Integrity 2