NCLEX LPN Psychosocial Integrity 2 - Questions, Answers and Explanations

NCLEX LPN Psychosocial Integrity 2 - Questions, Answers and Explanations An LPN/LVN provides care for a client who is worried that a tumor removed from the pancreas may be cancerous. The LPN/LVN identifies which of the following behaviors as MOST commonly associated with anxiety? 1. Insomnia. 2. Anger. 3. Fear. 4. Aggression. (1) anxiety can interfere with sleep, but inability to sleep is not a behavior most commonly associated with anxiety (2) CORRECT— somatizing, anger, and withdrawal are commonly associated with anxiety; all serve to reduce the emotion (3) fear generally coexists with anxiety, but does not lower the intensity of the emotion (4) can reduce anxiety, but is not most commonly associated with the emotion; most individuals do not exhibit aggression when they are anxious While a dressing is being changed on a left lower leg amputation, the client informs the LPN/LVN he is unable to shop for groceries because he does not know how to operate the motorized shopping carts. Which of the following responses by the LPN/LVN is BEST? 1. Ask client to have family members help with grocery shopping. 2. Contact supervisor about having home health aid shop for groceries. 3. Contact store manager about possible training for use of the carts. 4. Contact supervisor about having physical therapist for proper training. (1) appropriate if client were not physically or mentally able to perform tasks; client has identified a specific problem (2) need to investigate client's interest before recommending; independence is primary goal (3) store manager may or may not have the needed skills (4) CORRECT—is safest method and promotes highest degree of independence While cleansing the wound on a school-aged child who fell from the roof of a storage building, the LPN/LVN overhears the mother and the client interacting. It is MOST important for the LPN/LVN to further assess if the mother makes which of the following statements to the child? 1. "Maybe in the future, you will follow the rules." 2. "You know, of course, this means no dinner tonight." 3. "Why did you climb up there when I told you not to?" 4. "It appears that your injury isn't serious." (1) parents are sometimes punitive when children are suffering the consequences of their behavior; they sometimes do this to reassure themselves that they were not at fault (2) CORRECT—indicative of improper disciplinary action; indicates also that this has been utilized before; supervising nurse needs to be involved (3) individuals often explore why others make certain choices; may need teaching about growth and development for this age group (4) reflects caring and compassion The LPN/LVN assists in the care of a client with a terminal illness. It is MOST important for the LPN/LVN to take which of the following actions? 1. Reassure the client that he is not alone. 2. Attempt to promote hope in the client. 3. Be helpful to the client at all times 4. Discourage denial in the client. (1) CORRECT—this is very important in the care of the dying client; fear of the unknown is frightening to dying clients; may become frightened of procedures and anything that reminds them that they will eventually die; need the continual reassurance that staff and family are available at all times and will be there for them (2) don't give client false reassurance; would need to consult with lead nurse to gain insight into the best approach to helping client have hope for the least amount of discomfort possible as the disease progresses (3) more important to convey that client is not alone; since nursing has boundaries and limitations, would be times when nurse could not be helpful (4) denial protects client from overwhelming anxiety; would need to consult with RN about such complex matters; client needs to be free to exercise any defense mechanism that would bring comfort without causing harm The LPN/LVN cares for a client diagnosed with clinical depression. The LPN/LVN teaches the client about the prescribed medications. It is MOST important for the LPN/LVN to include which of the following statements about the client's antidepressant medication? 1. "Antidepressants reverse the sequence of the sleep cycle." 2. "Antidepressants affect the function of norepinephrine and serotonin." 3. "Antidepressants promote the actions of estrogen and testosterone." 4. "Antidepressants affect the brain's ability to metabolize glucose." (1) one side effect of the drug is drowsiness; can induce the sleep cycle (2) CORRECT—it is well documented that these neurotransmitters are directly related to mood disorders; drug causes balancing of the chemicals, resulting in mood elevation (3) although fluctuation of estrogen levels can affect the mood, drugs are not known to have significant impact on gender hormone levels or functions (4) brain glucose levels are known to have an influence on clients with schizophrenia; drugs are not known to have a clinical influence on the brain's use of glucose After a client attempted suicide, the LPN/LVN admitted the client to an inpatient medical unit. The client is LEAST likely to have the following psychiatric or mental disorder? 1. Obsessive-compulsive disorder. 2. Clinical depressions. 3. Schizophrenia. 4. Alcohol abuse. (1) CORRECT—not likely to have