NCLEX LPN Psychosocial Integrity 4 - Questions, Answers and Explanations

NCLEX LPN Psychosocial Integrity 4 - Questions, Answers and Explanations The LPN/LVN interacts with a client diagnosed with depression. The LPN/LVN expects the client to express which of the following thoughts? 1. "I'm embarrassed that everyone has to take care of me." 2. "Once my depression is over, I'll be able to get on with my life." 3. "I like being taken care of from time to time." 4. "I'm glad that I came for help in time. (1) CORRECT depressed clients usually have feelings of guilt and unworthiness, and have difficulty accepting help from others because of these feelings; although depressed clients may be dependent and demanding, they often feel unworthy of the attention they receive and are embarrassed by their feelings of helplessness (2) clients with depression have a sense of doom or failure; have difficulty being able to plan for the future (3) may be dependent or demanding but often feel unworthy of the attention and are embarrassed by feelings of helplessness (4) an introspective statement that indicates the client is feeling better The LPN/LVN cares for clients in the long-term care facility. The LPN/LVN assists in the admission of a client diagnosed with type 1 diabetes and diabetic neuropathy. The client's daughter states that her mother has a history of depression. The LPN/LVN expects to gather which of the following data? 1. The client's daughter states her mother has decreased attention span and concentration. 2. The client makes unreasonable requests for time, attention, and favors. 3. The client threatens to do harm to the staff. 4. The client states she is in charge of life. (1) CORRECT problems with depression occur among people with medical disorders; indications include changes in self-esteem and self-confidence, lack of energy, unkempt appearance, poor appetite (2) more likely to occur with client who is manipulative (3) depression causes slowed speech, slowed thought processes, and slowed motor activity; be alert for self-destructive behaviors (4) depression causes feelings of helplessness and hopelessness A client diagnosed with inoperable cancer has difficulty walking after chemotherapy. When the LPN/LVN comes to assist the client to the bathroom, the client says, "Leave me alone. You treat me like a child." Which of the following is the BEST interpretation by the LPN/LVN of the client's behavior? 1. The client is frightened about falling. 2. The client is entering a regressive phase. 3. The client wants to maintain independence. 4. The client is angry about the nurse's interference. (1) may be frightened of falling, but is probably more frightened about losing his independence (2) expressing concern about losing independence would not be considered regressive (3) CORRECT—clients are often frightened by dependence and have difficulty expressing their fear and anger to caretakers; they use projection and displacement to maintain a level of denial until they are ready to move toward acceptance (4) client is rejecting the person offering assistance and the environment, both of which represent the loss of his independence While an LPN/LVN is teaching family members how to manage tube feeding for an infant, the family receives notice that a 22-year-old son/brother in the military in another country is missing in action. The MOST appropriate intervention by the LPN/LVN for this family is which of the following? 1. Recommend that the family try to go about their normal business. 2. Suggest the family members contact appropriate authorities frequently. 3. Gather the family for a family conference to establish plans for caring for the infant and monitoring new information about missing family member. 4. Discuss how the family will cope if the family member missing in action is not found alive. (1) ignores the family's needs (2) keeps family in constant state of extreme anticipation and disappointment; although will be difficult, is best to structure contact times (3) CORRECT—planning conference can prevent family members from becoming exhausted; allows family to build on strengths during time of crisis (4) focus on the here and now; too early to discuss actions to take if the missing family member does not survive During a home visit to observe a client's self-catheterization abilities, the client relates to the LPN/LVN that the client's son has been diagnosed with an antisocial personality disorder. The client says her son has been seeing a therapist and she feels her son is finally going to grow up and assume responsibility. The LPN/LVN identifies that which of the following BEST describes the son's prognosis? 1. The son has a good prognosis because there is no evidence of psychotic behavior. 2. The son's prognosis is doubtful because psychotherapy will cause a regression in behavior. 3. The son's prognosis is good because the problem will be resolved using medication and psychotherapy. 4. The son's prognosis is doubtful