Free LVN Psychosocial Integrity Test 1
A toddler has sustained an injury. Which of the following injuries is MOST LIKELY the result of child abuse?
Small circular burns on a child's back are no accident and may be from cigarettes. Toddlers are injury-prone because of their developmental state, and falls are frequent because of their unsteady gait; head injuries are not uncommon. A small area of ecchymosis is not suspicious in this age group.
Which of the following is a defense mechanism that is described as withdrawing into passivity and becoming inaccessible so as to avoid further threatening situations?
Withdrawing into passivity and becoming inaccessible so as to avoid threats is insulation. Identification is the unconscious attempt to change oneself to resemble an admired person. Suppression is the conscious, deliberate forgetting of unacceptable or painful thoughts, ideas, and feelings. Projection is transferring one's internal feelings, thoughts, and unacceptable ideas and traits to someone else.
During an initial assessment, a client reports the following behaviors: social inhibition, hypersensitivity to negative evaluation, fear of criticism, and social ineptitude. The nurse suspects which of the following personality disorders?
The behaviors describe avoidant behaviors. Antisocial behaviors are against society but are not inhibited. Paranoid behaviors are those in which a client is suspicious of the actions of others, and narcissistic are self-centered behaviors.
A client is in the first stage of Alzheimer's disease. The nurse should plan to focus this client's care on:
Clients in the first stage of Alzheimer's disease are aware that something is happening to them and may become overwhelmed and frightened. Therefore, nursing care typically focuses on providing emotional support and individual counseling. The other choices are appropriate during the second stage of Alzheimer's disease, when the client needs continuous monitoring to prevent minor illness from progressing into major problems and when maintaining adequate nutrition may become a challenge. During this stage, offering nourishing finger foods helps clients to feed themselves and maintain adequate nutrition.
The mother of a 7-year-old asks about the administration of the booster immunizations while the child has an upper respiratory infection. The nurse should understand what?
An upper respiratory infection such as the common cold, sore throat, laryngitis, sinusitis, or tonsillitis, involves the nose, nasal cavity, larynx, and trachea. When an individual has an upper respiratory infection, the nurse should not administer any active immunizations as these can worsen the inflammatory response that already exists with an infection,
The nurse is caring for a 58-year-old client with hypothyroidism. Which type of diet should the nurse expect to be ordered for the client?
Clients who have a diagnosis of hypothyroidism are at risk for obesity or are already obese due to the slow down in the client's metabolism process due to the hypothyroidism. Therefore, the client should eat a low-calorie diet to promote weight loss.
You have a patient in your unit who has cirrhosis. He is experiencing a fluid volume excess as a result of this disease. Which of the following nursing interventions would NOT be taken for this patient?
In a patient with a fluid volume you would not be replacing fluids, you would be trying to eliminate excess fluid. This patient would be given diuretics, placed on a sodium-restricted diet, weighed daily, and would have his K+ serum monitored.