NCLEX LPN Psychosocial Integrity 1 Exam Prep Questions And Answers
(202472025)
The LPN/LVN observes one client develop a strong attachment to a second client. This second
client repeatedly insults the first. The nurse understands that, for the first client, this is an example
of which of the following?
1. Reaction formation.
2. Undoing.
3. Displacement.
4. Introjection. - ✔✔Strategy: Think about each answer.
(1) CORRECT—expressing an attitude that is directly opposite to an unconscious wish or fear
(2) an attempt to erase an act, thought, feeling, or desire; apologizing excessively
(3) redirection of emotions or feelings to a subject that is more acceptable or less threatening; e.g.,
yelling at the cat when angry with the instructor
(4) one takes into oneself the characteristics of another
The nurse and the LPN/LVN prepare to lead a group session for clients with a dependence on
alcohol. The LPN/LVN knows that the primary reason an alcoholic client drinks is because of
which of the following?
1. The client enjoys the feeling of being intoxicated.
2. The client uses alcohol to escape from problems.
3. The client has a greater alcohol tolerance than most people.
4. The client performs more efficiently when drinking. - ✔✔Strategy: Think about each answer.
(1) this may be the behavior exhibited while intoxicated, but clients use the effects of alcohol to
avoid dealing with problems
,(2) CORRECT—alcoholics use alcohol to escape from problems as a way to decrease anxiety and
tension; frequently, alcoholics will use alcohol to cover depression or anxiety rather than seek out
treatment for these problems
(3) because of the body's response to the drug, eventually will take more alcohol to attain the same
effect, but does not mean they have a higher tolerance than others; after almost any person has
ingested a large volume of alcohol habitually for a period of time, s/he develops a tolerance
(4) alcohol is a central nervous system depressant; excessive intake causes poor psychomotor
coordination, impaired thinking, memory loss, drowsiness, slurred speech, and diminished reflexes
A woman is admitted to the hospital for a possible mastectomy. The evening before the surgery,
her husband appears tense and paces up and down the hall. Which of the following comments by
the LPN/LVN to the husband is BEST?
1. "We will do everything we can to help your wife."
2. "This is an upsetting experience for you and your wife."
3. "You will feel relieved once the surgery is over."
4. "I think it might help you if we discussed your wife's surgery." - ✔✔Strategy: "BEST" indicates
that discrimination is required to answer the question.
(1) focus of this response is on the nurse/staff; always focus on the client's and/or family's feelings
(2) CORRECT—good broad opening, caring comment; acknowledges that the nurse observed the
behavior and is reaching out to the husband; invites him to explore matters or feelings with the
nurse
(3) false reassurance; doesn't respond to husband's nonverbal communication; if the breast is
cancerous, the husband may not be relieved
(4) might ask or invite him to discuss; he may not want to discuss his feelings or concerns; walking
about may be all that he wants or needs
, The LPN/LVN assists in the care of clients in an inpatient psychiatric unit. The charge nurse is
leading an adolescent social/support group to discuss the difficulties of growing up in the United
States. The LPN/LVN understands that the primary benefit of this type of group is based on which
of the following?
1. The group's ability to evaluate their behavior.
2. The phase of the group's interaction.
3. The leader's skill in promoting progress.
4. The group members' sense of belonging. - ✔✔Strategy: Think about each answer.
(1) most age-related groups focus on issues that are specific to their developmental age; may be
supportive or educational
(2) group members can benefit during all stages of group development; for example, members may
benefit from helping establish group organization and boundary setting, participating in
establishment of norms, and setting goals after the group terminates; this is not unique to
adolescents
(3) group leader in most groups initiates the group, provides continuity, and facilitates
cohesiveness; is not unique to adolescents
(4) CORRECT—adolescents are strongly influenced by their peers; the therapeutic benefit of this
group can be enhanced through a sense of belonging in which they can establish norms for behavior
and work through shared problems
One day the LPN/LVN overhears the supervisor reprimand the head nurse for not discussing
feelings with a client. Shortly thereafter, another client asks for a blanket. The head nurse tells her
angrily, "Go get it yourself." This is an example of which defense mechanism?
1. Compensation.
2. Displacement.
3. Conversion.
4. Projection. - ✔✔Strategy: Think about each answer.
(202472025)
The LPN/LVN observes one client develop a strong attachment to a second client. This second
client repeatedly insults the first. The nurse understands that, for the first client, this is an example
of which of the following?
1. Reaction formation.
2. Undoing.
3. Displacement.
4. Introjection. - ✔✔Strategy: Think about each answer.
(1) CORRECT—expressing an attitude that is directly opposite to an unconscious wish or fear
(2) an attempt to erase an act, thought, feeling, or desire; apologizing excessively
(3) redirection of emotions or feelings to a subject that is more acceptable or less threatening; e.g.,
yelling at the cat when angry with the instructor
(4) one takes into oneself the characteristics of another
The nurse and the LPN/LVN prepare to lead a group session for clients with a dependence on
alcohol. The LPN/LVN knows that the primary reason an alcoholic client drinks is because of
which of the following?
1. The client enjoys the feeling of being intoxicated.
2. The client uses alcohol to escape from problems.
3. The client has a greater alcohol tolerance than most people.
4. The client performs more efficiently when drinking. - ✔✔Strategy: Think about each answer.
(1) this may be the behavior exhibited while intoxicated, but clients use the effects of alcohol to
avoid dealing with problems
,(2) CORRECT—alcoholics use alcohol to escape from problems as a way to decrease anxiety and
tension; frequently, alcoholics will use alcohol to cover depression or anxiety rather than seek out
treatment for these problems
(3) because of the body's response to the drug, eventually will take more alcohol to attain the same
effect, but does not mean they have a higher tolerance than others; after almost any person has
ingested a large volume of alcohol habitually for a period of time, s/he develops a tolerance
(4) alcohol is a central nervous system depressant; excessive intake causes poor psychomotor
coordination, impaired thinking, memory loss, drowsiness, slurred speech, and diminished reflexes
A woman is admitted to the hospital for a possible mastectomy. The evening before the surgery,
her husband appears tense and paces up and down the hall. Which of the following comments by
the LPN/LVN to the husband is BEST?
1. "We will do everything we can to help your wife."
2. "This is an upsetting experience for you and your wife."
3. "You will feel relieved once the surgery is over."
4. "I think it might help you if we discussed your wife's surgery." - ✔✔Strategy: "BEST" indicates
that discrimination is required to answer the question.
(1) focus of this response is on the nurse/staff; always focus on the client's and/or family's feelings
(2) CORRECT—good broad opening, caring comment; acknowledges that the nurse observed the
behavior and is reaching out to the husband; invites him to explore matters or feelings with the
nurse
(3) false reassurance; doesn't respond to husband's nonverbal communication; if the breast is
cancerous, the husband may not be relieved
(4) might ask or invite him to discuss; he may not want to discuss his feelings or concerns; walking
about may be all that he wants or needs
, The LPN/LVN assists in the care of clients in an inpatient psychiatric unit. The charge nurse is
leading an adolescent social/support group to discuss the difficulties of growing up in the United
States. The LPN/LVN understands that the primary benefit of this type of group is based on which
of the following?
1. The group's ability to evaluate their behavior.
2. The phase of the group's interaction.
3. The leader's skill in promoting progress.
4. The group members' sense of belonging. - ✔✔Strategy: Think about each answer.
(1) most age-related groups focus on issues that are specific to their developmental age; may be
supportive or educational
(2) group members can benefit during all stages of group development; for example, members may
benefit from helping establish group organization and boundary setting, participating in
establishment of norms, and setting goals after the group terminates; this is not unique to
adolescents
(3) group leader in most groups initiates the group, provides continuity, and facilitates
cohesiveness; is not unique to adolescents
(4) CORRECT—adolescents are strongly influenced by their peers; the therapeutic benefit of this
group can be enhanced through a sense of belonging in which they can establish norms for behavior
and work through shared problems
One day the LPN/LVN overhears the supervisor reprimand the head nurse for not discussing
feelings with a client. Shortly thereafter, another client asks for a blanket. The head nurse tells her
angrily, "Go get it yourself." This is an example of which defense mechanism?
1. Compensation.
2. Displacement.
3. Conversion.
4. Projection. - ✔✔Strategy: Think about each answer.
