Social Psychology > EXAM > NCLEX LPN Psychosocial Integrity 3 - Questions, Answers and Explanations (All)

NCLEX LPN Psychosocial Integrity 3 - Questions, Answers and Explanations

Document Content and Description Below

NCLEX LPN Psychosocial Integrity 3 - Questions, Answers and Explanations The LPN/LVN cares for a client diagnosed with multiple sclerosis in remission for 5 years. The client suddenly experiences ext... ensive weakness in both legs. The client's spouse is angry, blames the physician, and asks the LPN/LVN to help the family find a new physician "who is more competent." Which of the following responses by the LPN/LVN is BEST? 1. "Your demand for a new physician is upsetting your wife." 2. "Please share with me your specific concerns about your wife's care." 3. "The physician caring for your wife is more than qualified." 4. "Your wife will have to ask me to find a new physician." (1) is very intense situation; this may help husband calm down but does not address his feelings of disappointment at the return of the signs/symptoms (2) CORRECT—if client has had disease for 5 years, husband is aware of remissions and exacerbations associated with disease; his behaviors are more related to the threats to his wife; opportunity to express his feelings may help him return to more realistic thinking as well as provide the LPN/LVN with data for decision making (3) spouse is not seeking information about physician's ability (4) technically correct; closed statement that does not allow husband to verbalize feelings; more appropriate to encourage husband to express his feelings The LPN/LVN cares for a client diagnosed with end stage renal disease and obsessive-compulsive disorder in the long-term care facility. The client has difficulty getting to dialysis on time because the client can't decide which clothing to wear. Which of the following actions by the LPN/LVN is MOST appropriate? 1. Place a clock in the client's room so that the client can monitor the time. 2. Allow the client to choose between two sets of clothing. 3. Inform the client she will have 15 minutes to get dressed. 4. Dress the client in the appropriate clothing. (1) obsessive-compulsive disorder is an anxiety disorder; performing compulsive acts temporarily decreases anxiety levels; client is late due to difficulty making a decision; clock may cause increased anxiety (2) CORRECT if client is indecisive, limit the client's choices; if client still unable to make a decision, give client one outfit to wear (3) provide the client with time to dress; this will not help client make a decision (4) encourage client to perform as much of care as possible; give client simple directions The LPN/LVN cares for a client diagnosed with bipolar disorder during a period of elation. The LPN/LVN follows the nursing care plan and chooses which of the following approaches when caring for the client? 1. Point out the effect the client's behavior has on others. 2. Attempt to distract and redirect the client. 3. Encourage the client to express himself. 4. Provide opportunities for the client to socialize. (1) during manic periods, client has flight of ideas, is disoriented, talks excessively, jokes, dances, sings, is hyperactive; would be unable to deal with the impact of the behaviors on others (2) CORRECT—attempting to distract and redirect the client is the proper course; clients with mania have a tremendous amount of energy, for which they must have an outlet; attempts to confront or limit excessive activities usually lead to an increase in anger and frustration; by redirecting or distracting the client, the LPN/LVN recognizes the client's need for outlets and demonstrates acceptance and understanding of the manic individual's needs (3) during manic phase, client excessively expresses him/herself; important that the staff provide external controls; do not encourage client but help client channel expressions safely (4) during manic phase, important to decrease stimuli; assign to a single room away from activity, limit interactions with people; anticipate situation that will provoke or overstimulate the client The LPN/LVN interacts with a client diagnosed with obsessive-compulsive disorder. Because of a hand washing ritual, the client has difficulty getting to meals on time. In following the plan of care, it is MOST important for the LPN/LVN to implement which of the following interventions? 1. Permit client to eat in the room. 2. Allow the client to be late for meals. 3. Notify the client 15 minutes before mealtime. 4. Instruct the client to discuss the matter with the doctor. (1) goal is to help client manage daily activities while dealing with need for excessive hand washing (2) does not give the client direction about how to deal with the hand washing ritual (3) CORRECT—temporarily allows time to perform the anxiety-relieving ritual; relieves the client from any sense of pressure (4) referrals are outside the LPN/LVN role; if LPN/LVN perceives that referral may be needed, should discuss with charge nurse; there is no direct line of authority from the LPN/LVN to the physician The psychiatric nurse-leader instructs the [Show More]

Last updated: 7 months ago

Preview 1 out of 13 pages

Also available in bundle (1)

NCLEX LPN PSYCHOSOCIAL INTEGRITY 1-4 BUNDLE

NCLEX LPN PSYCHOSOCIAL INTEGRITY 1-4 BUNDLE

By Nurse Henny 7 months ago

$30

4  

Reviews( 0 )

Recommended For You

 Medicine> EXAM > CMS NCC Practice B - Questions, Answers and Rationales (All)

preview
CMS NCC Practice B - Questions, Answers and Rationales

CMS NCC Practice B - Questions, Answers and Rationales

By Ajay25 , Uploaded: Jul 22, 2022

$15

 Medicine> EXAM > CMS NCC Practice A - Questions, Answers and Rationales (All)

preview
CMS NCC Practice A - Questions, Answers and Rationales

CMS NCC Practice A - Questions, Answers and Rationales

By Ajay25 , Uploaded: Jul 22, 2022

$15

 Medicine> EXAM > PN Children Practice 2020 A - Questions, Answers and Rationale (All)

preview
PN Children Practice 2020 A - Questions, Answers and Rationale

PN Children Practice 2020 A - Questions, Answers and Rationale

By Ajay25 , Uploaded: Jul 20, 2022

$16

 Medicine> EXAM > PN Comprehensive Online Practice 2020 B - Questions, Answers and Rationales (All)

preview
PN Comprehensive Online Practice 2020 B - Questions, Answers and Rationales

PN Comprehensive Online Practice 2020 B - Questions, Answers and Rationales

By Ajay25 , Uploaded: Jul 20, 2022

$18

 Medicine> EXAM > PN Comprehensive Online Practice 2020 A - Questions, Answers and Rationales (All)

preview
PN Comprehensive Online Practice 2020 A - Questions, Answers and Rationales

PN Comprehensive Online Practice 2020 A - Questions, Answers and Rationale

By Ajay25 , Uploaded: Jul 20, 2022

$18

 Medicine> EXAM > PN Children Practice 2020 B - Questions, Answers and Rationale (All)

preview
PN Children Practice 2020 B - Questions, Answers and Rationale

PN Children Practice 2020 B - Questions, Answers and Rationale

By Ajay25 , Uploaded: Jul 20, 2022

$16

 *NURSING> EXAM > NUR 326 FINAL EXAM - QUESTIONS, ANSWERS AND RATIONALE (All)

preview
NUR 326 FINAL EXAM - QUESTIONS, ANSWERS AND RATIONALE

NUR 326 FINAL EXAM - QUESTIONS, ANSWERS AND RATIONALE

By Ajay25 , Uploaded: Jul 11, 2022

$18

 *NURSING> EXAM > NREMT TEST BANK - Questions, answers and well-articulated reasons (All)

preview
NREMT TEST BANK - Questions, answers and well-articulated reasons

NREMT Test Bank - Multiple Choice,2022 Hypoglycemia and acute ischemic stroke can present similarly because: • A:both oxygen and glucose are needed for brain function. • B:the majority of stroke patie...

By Ajay25 , Uploaded: May 26, 2022

$18

 *NURSING> EXAM > OCN Practice Questions - Questions, Answers and Explanations (All)

preview
OCN Practice Questions - Questions, Answers and Explanations

OCN Practice Questions A patient has the following laboratory values: white blood cell count 2100 mm3; neutrophils, segmented 23%; neutrophils, band 6%; hemoglobin 8.9 g/dl; and, platelets 100,000 mm...

By Ajay25 , Uploaded: May 25, 2022

$16

 *NURSING> EXAM > N601 Saunders Fluid and Electrolytes - Questions, Answers and Rationale (All)

preview
N601 Saunders Fluid and Electrolytes - Questions, Answers and Rationale

N601 Saunders Fluid and Electrolytes - Questions, Answers and Rationale

By Ajay25 , Uploaded: May 16, 2022

$15

$15.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
104
0

Document information


Connected school, study & course



About the document


Uploaded On

Jul 20, 2023

Number of pages

13

Written in

Seller


seller-icon
Nurse Henny

Member since 1 year

4 Documents Sold


Additional information

This document has been written for:

Uploaded

Jul 20, 2023

Downloads

 0

Views

 104

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$15.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·