LPN/LVN Week 13 Mental Health and Professional Practice Quiz 2026
|SBON
1. A client is admitted for major depressive disorder. Which statement by the
nurse best demonstrates therapeutic communication?
A. “Everything will be fine once your medication starts working.”
B. “Tell me more about how you have been feeling lately.”
C. “Why do you feel so sad when you have a supportive family?”
D. “I know exactly how you feel; I was depressed once too.”
Answer: B
Rationale: Open-ended questions like “Tell me more” encourage the client to express
feelings and promote communication.
2. A client is prescribed Lithium Carbonate for bipolar disorder. Which
laboratory value should the nurse report to the provider immediately?
A. Serum sodium of 138 mEq/L
B. Serum Lithium level of 1.8 mEq/L
C. Serum potassium of 4.0 mEq/L
D. Serum Lithium level of 0.8 mEq/L
Answer: B
Rationale: The therapeutic range for Lithium is 0.6 to 1.2 mEq/L. A level of 1.8 mEq/L
indicates toxicity.
,3. The nurse observes a client pacing the hallway, unable to sit still, and
complaining of internal restlessness. This is most likely:
A. Dystonia
B. Pseudoparkinsonism
C. Tardive dyskinesia
D. Akathisia
Answer: D
Rationale: Akathisia is an extrapyramidal side effect characterized by physical restlessness
and an inability to sit still.
4. When assessing a client for suicide risk, which factor is the most significant
indicator of immediate danger?
A. A history of depression in the family
B. Expressing feelings of hopelessness
C. Giving away prized possessions
D. A specific plan with access to a lethal method
Answer: D
Rationale: A specific plan combined with the means to carry it out indicates the highest
immediate risk for suicide.
5. A client blames their spouse for their own drinking problem. Which defense
mechanism is the client using?
A. Projection
B. Rationalization
C. Denial
D. Displacement
Answer: A
Rationale: Projection involves attributing one’s own unacceptable thoughts or behaviors
to another person.
, 6. Which physiological finding is common in a client with Anorexia Nervosa?
A. Tachycardia
B. Amenorrhea
C. Hypertension
D. Hyperthermia
Answer: B
Rationale: Amenorrhea (absence of menstruation) is a common clinical manifestation of
Anorexia Nervosa due to low body weight and hormonal changes.
7. A nurse notes calluses on the knuckles (Russell’s sign) of a client. This is a
common assessment finding in:
A. Bulimia Nervosa
B. Anorexia Nervosa
C. Binge-eating disorder
D. Obsessive-Compulsive Disorder
Answer: A
Rationale: Russell’s sign (calluses on knuckles) results from self-induced vomiting
common in Bulimia Nervosa.
8. A client with schizophrenia tells the nurse, “The voices are telling me I am
evil.” What is the nurse’s best response?
A. “I don’t hear any voices; you are just imagining them.”
B. “What exactly are the voices saying to you right now?”
C. “I don’t hear the voices, but I understand they are real to you.”
D. “The voices are not real, so try to ignore them.”
Answer: C
Rationale: Validating the client’s experience while presenting reality is the most
therapeutic approach to hallucinations.
|SBON
1. A client is admitted for major depressive disorder. Which statement by the
nurse best demonstrates therapeutic communication?
A. “Everything will be fine once your medication starts working.”
B. “Tell me more about how you have been feeling lately.”
C. “Why do you feel so sad when you have a supportive family?”
D. “I know exactly how you feel; I was depressed once too.”
Answer: B
Rationale: Open-ended questions like “Tell me more” encourage the client to express
feelings and promote communication.
2. A client is prescribed Lithium Carbonate for bipolar disorder. Which
laboratory value should the nurse report to the provider immediately?
A. Serum sodium of 138 mEq/L
B. Serum Lithium level of 1.8 mEq/L
C. Serum potassium of 4.0 mEq/L
D. Serum Lithium level of 0.8 mEq/L
Answer: B
Rationale: The therapeutic range for Lithium is 0.6 to 1.2 mEq/L. A level of 1.8 mEq/L
indicates toxicity.
,3. The nurse observes a client pacing the hallway, unable to sit still, and
complaining of internal restlessness. This is most likely:
A. Dystonia
B. Pseudoparkinsonism
C. Tardive dyskinesia
D. Akathisia
Answer: D
Rationale: Akathisia is an extrapyramidal side effect characterized by physical restlessness
and an inability to sit still.
4. When assessing a client for suicide risk, which factor is the most significant
indicator of immediate danger?
A. A history of depression in the family
B. Expressing feelings of hopelessness
C. Giving away prized possessions
D. A specific plan with access to a lethal method
Answer: D
Rationale: A specific plan combined with the means to carry it out indicates the highest
immediate risk for suicide.
5. A client blames their spouse for their own drinking problem. Which defense
mechanism is the client using?
A. Projection
B. Rationalization
C. Denial
D. Displacement
Answer: A
Rationale: Projection involves attributing one’s own unacceptable thoughts or behaviors
to another person.
, 6. Which physiological finding is common in a client with Anorexia Nervosa?
A. Tachycardia
B. Amenorrhea
C. Hypertension
D. Hyperthermia
Answer: B
Rationale: Amenorrhea (absence of menstruation) is a common clinical manifestation of
Anorexia Nervosa due to low body weight and hormonal changes.
7. A nurse notes calluses on the knuckles (Russell’s sign) of a client. This is a
common assessment finding in:
A. Bulimia Nervosa
B. Anorexia Nervosa
C. Binge-eating disorder
D. Obsessive-Compulsive Disorder
Answer: A
Rationale: Russell’s sign (calluses on knuckles) results from self-induced vomiting
common in Bulimia Nervosa.
8. A client with schizophrenia tells the nurse, “The voices are telling me I am
evil.” What is the nurse’s best response?
A. “I don’t hear any voices; you are just imagining them.”
B. “What exactly are the voices saying to you right now?”
C. “I don’t hear the voices, but I understand they are real to you.”
D. “The voices are not real, so try to ignore them.”
Answer: C
Rationale: Validating the client’s experience while presenting reality is the most
therapeutic approach to hallucinations.
