Free LVN Psychosocial Integrity Test 2
A patient diagnosed with schizophrenia is experiencing auditory hallucinations. Which nursing intervention is most appropriate?
Engaging the patient in discussing the hallucinations can help to diminish their intensity and provide a therapeutic outlet.
A patient with depression has been prescribed fluoxetine (Prozac). The nurse should monitor the patient for which potential adverse effect?
Fluoxetine and other SSRIs can sometimes increase suicidal thoughts, especially in the early stages of treatment.
Which nursing action is most important when caring for a patient with bipolar disorder during a manic episode?
During a manic episode, patients often benefit from a calm and low-stimulation environment to prevent exacerbation of symptoms.
A patient with borderline personality disorder (BPD) exhibits splitting behavior. The nurse understands this behavior involves:
Splitting is a defense mechanism where individuals see things in extremes, alternating between idealizing and devaluing others.
When communicating with a patient diagnosed with antisocial personality disorder, the nurse should:
Setting clear boundaries helps establish expectations and consequences, which can promote more appropriate behavior.
Which statement by a patient with generalized anxiety disorder (GAD) indicates a need for further education?
Alcohol can exacerbate anxiety symptoms and interfere with treatment for anxiety disorders.
Which behavior by a patient diagnosed with anorexia nervosa should the nurse prioritize as needing immediate intervention?
Bradycardia and hypotension are signs of severe malnutrition and can lead to cardiovascular complications, necessitating immediate medical attention.
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A patient with schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the patient for which potential adverse effect?
Orthostatic hypotension is a common adverse effect of risperidone, necessitating monitoring and precautionary measures.
A patient with post-traumatic stress disorder (PTSD) is experiencing a flashback. The nurse's priority intervention is to:
During a flashback, the patient may feel as though they are reliving the traumatic event; ensuring safety and providing reassurance are essential.
A patient with alcohol use disorder is admitted for detoxification. The nurse understands that the priority during detoxification is to:
DTs are a severe complication of alcohol withdrawal that requires immediate medical intervention and monitoring.
When assessing a patient with dementia, the nurse observes repetitive pacing and agitation. The most appropriate nursing intervention is to:
Redirecting attention can help to alleviate agitation and engage the patient in a more calming and purposeful activity.