Question #1
An adolescent client diagnosed with depression comes to the Adolescent Day Treatment Center for an initial evaluation. The parents accompany the adolescent. Which goal of the family meeting does the LPN/LVN expect the nurse to review with the family?
The goal is that the adolescent recognize that the staff will help treat his depression.
The goal is that the adolescent will learn to live with anxiety and depression.
The goal is that the adolescent will accept responsibility for actions and choices.
The goal is that the various members of the team will assist the client to lift the depression.
Answer:
The correct answer is C.
What is the goal of family therapy?
Needed Info: Symptoms of depression: a low self-esteem, obsessive thoughts, regressive behavior, unkempt appearance, a lack of energy, weight loss, decreased concentration, withdrawn behavior.
trust the nurse who will solve his problem - not realistic
learn to live with anxiety and tension - minimizes concerns
accept responsibility for his actions and choices - CORRECT
use the members of the therapeutic milieu to solve his problems - must do it himself
Question #2
A young adult client comes to the emergency department and reports a recent rape. Which statement best describes the LPN/LVN's responsibility concerning written consent?
The LPN/LVN should explain the procedure to the client and obtain the signature on the consent form.
The LPN/LVN should verify that the consent form has been signed by the client.
The LPN/LVN should inform the health care provider that the client agrees to an examination.
The LPN/LVN should verify that the client or a close family member has signed the consent form.
Answer:
The correct answer is B.
What is your responsibility concerning informed consent?
Needed Info: Physician's responsibility to obtain informed consent.
The LPN/LVN should explain the procedure to the patient and ask her to sign the consent form - Physician should get patient to sign consent
The LPN/LVN should verify that the consent form has been signed by the patient and that it is attached to her chart - CORRECT
The LPN/LVN should tell the physician that the patient agrees to have the examination - Physician should explain procedure and get consent form signer
The LPN/LVN should verify that the patient or a family member has signed the consent form - must be signed by patient unless unable to do
Question #3
The LPN/LVN provides care for an older client with moderate hearing loss. The LPN/LVN reminds the client's family to use which approach when speaking to the client?
Loudly speak to the client until the client acknowledges hearing.
Face the client and speak quickly using a high voice.
Face the client and speak slowly using a slightly lowered voice.
Use facial expressions and speak normally to the client.
Answer:
The correct answer is C.
What should you do to communicate with a person with a moderate hearing loss?
Needed Info: Presbycusis: age-related hearing loss due to inner ear changes. Decreased ability to hear high sounds.
Raise your voice until the patient is able to hear you - would result in high tones patient unable to hear
Face the patient and speak quickly using a high voice - usually unable to hear high tones
Face the patient and speak slowly using a slightly lowered voice - CORRECT: also decrease background noise; speak at a slow pace, use nonverbal cues
Use facial expressions and speak as you would normally - nonverbal cues help, but need low tones
Question #4
An older client admitted to a medical facility after a severe head injury is pronounced dead. The LPN/LVN observes the client's spouse comforting the children. The LPN/LVN understands which is the best interpretation of the spouse's behavior?
The spouse has already moved through the stages of the grieving process.
The spouse is repressing anger related to the sudden death.
The spouse is experiencing shock and disbelief over the sudden death.
The spouse is demonstrating resolution of the grief over the death.
Answer:
The correct answer is C.
What is the reason for the wife’s behavior?
Needed Info: Stages of grief: 1) shock and disbelief, 2) awareness of pain and loss, 3) restitution. Acute period: 4-8 weeks, usual resolution: 1 year.
The spouse has already moved through the stages of the grieving process - takes one year
The spouse is repressing anger related to her husband's death - not accurate; second stage: crying, regression
The spouse is experiencing shock and disbelief related to her husband's death - CORRECT: denial first stage; inability to comprehend reality of situation
The spouse is demonstrating resolution of her husband's death - too soon
Question #5
After two weeks of receiving lithium therapy, a client in the psychiatric unit becomes depressed. Which evaluation of the client's behavior does the LPN/LVN determine?
The treatment plan is not effective; the patient requires a larger dose of lithium.
This is a normal response to lithium therapy; the patient should continue with the current treatment plan.
This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior.
The treatment plan is not effective; the patient requires an antidepressant.
Answer:
The correct answer is C.
Is the depression normal, or something to be concerned about?
The treatment plan is not effective; the patient requires a larger dose of lithium - not accurate
This is a normal response to lithium therapy; the patient should continue with the current treatment plan - does not address safety needs
This is a normal response to lithium therapy; the patient should be monitored for suicidal behavior - CORRECT: delay of 1-3 weeks before med benefits seen
The treatment plan is not effective; the patient requires an antidepressant - normal response
Looking for more practice? We've got all the tools you need for success on the NCLEX.
Qbank is the ideal way to gain experience with NCLEX-PN® style questions in a test-like setting. You'll get:
Access to over 2,000 test-like questions | |
Customizable quizzes by category, incorrect questions and more | |
Detailed performance feedback to measure your progress |
Fill out the information below to get the answers and explanations. We’ll also email you free tips, admissions advice, exclusive offers, and other content aimed specifically to help you do better on Test Day.