Psychosocial Integrity

During mealtime at a long-term care facility, a practical nurse (PN) observes a resident who recently experienced a left-hemisphere stroke. The resident has been cleared to use adaptive utensils but pushes the tray away, begins to cry, and demands, 'I cannot do anything right anymore. You have to feed me!' Which action should the PN take to best support the resident's coping?

A practical nurse (PN) is collecting data from a client at a primary care clinic. The client's adult child died unexpectedly eight months ago. The client tearfully states, 'I was functioning okay for a while, but this week I am just so angry and I can't stop crying. I feel like I am not making any progress.' Which response by the PN is the most appropriate?

A practical nurse (PN) is reviewing psychosocial data for several clients on a medical-surgical unit. Match each client statement or behavior to the specific ego defense mechanism being demonstrated.

An adult client who is a practicing Sikh is admitted to the medical-surgical unit for dehydration. Upon receiving the afternoon meal tray containing chicken broth, a turkey sandwich, and gelatin, the client pushes the tray away and states, 'I cannot eat any of this food due to my religious beliefs.' What is the most appropriate response by the practical nurse?

A client is recovering on a medical-surgical unit three days after an emergency appendectomy. The client's spouse approaches the practical nurse (PN) and privately reveals that the client has been taking high doses of unprescribed alprazolam daily for the past year, but has not had any since the morning of the surgery. Which of the following actions should the PN take? Select all that apply.

An older adult client visits a community health clinic for a routine wellness check. The client's spouse passed away 18 months ago. During the intake assessment, which of the following statements by the client indicate to the licensed practical nurse (LPN) that the client is experiencing manifestations of complicated grief and requires reporting to the registered nurse (RN)? Select all that apply.

A practical nurse (PN) is monitoring a client in a short-term rehabilitation unit who is recovering from a fractured pelvis. The client's relative recently disclosed that the client drinks a large amount of whiskey every evening, a fact the client explicitly denied during the initial assessment. It is now the third day of the client's stay. The PN enters the room and finds the client completely drenched in sweat, trembling violently, and frantically trying to swat away "bats" from the ceiling. Which action should the PN take first?

A practical nurse (PN) is admitting a client who practices the Islamic faith and is scheduled for an elective surgical procedure. The healthcare provider has just discussed the procedure with the client and left the consent form to be signed. Which of the following nursing actions best support the client's spiritual beliefs, cultural needs, and safe care? (Select all that apply.)

A client in an outpatient clinic is informed by the healthcare provider that their declining vision requires them to surrender their driver's license. After the provider exits the room, the client slams a magazine onto the table and yells at the nurse, "You kept me waiting in the lobby for an hour! The staff here is completely incompetent!" Which response by the nurse is the most therapeutic?

A client with end-stage chronic obstructive pulmonary disease (COPD) has just been transitioned to comfort care measures. The client's adult child yells at the practical nurse (PN), "You are all just giving up! There must be another medication you can try!" Which response by the PN is the most therapeutic?

A practical nurse (PN) receives a clear liquid diet tray for a client who observes traditional Hindu dietary practices. The tray contains beef broth, apple juice, lemon gelatin, and hot tea. Which action should the PN take first?

A client is admitted to a private room under airborne precautions. On the third day of isolation, the client becomes extremely anxious and reports hearing whispering voices and seeing dark shadows moving across the walls. Arrange the practical nurse's interventions in the priority order of implementation. (Place the first action at the top and the last action at the bottom.)

A client recovering from a fractured femur is placed in a high-acuity trauma unit. The client is exposed to continuous fluorescent lighting, frequent monitor alarms, and loud conversations from adjacent bays. The client becomes visibly agitated, pulls the blanket over their head, and states, "I cannot take all this noise and bright light anymore." Which of the following is the most appropriate initial nursing action?

A 74-year-old client with profound vision loss is admitted to the medical unit for treatment of pneumonia. During the night shift, the client awakens in a darkened room, becomes acutely agitated, and claims that the shadows on the wall are intruders. The client attempts to climb over the bed rails. Which action should the practical nurse (PN) take first?

During a home care visit, the practical nurse (PN) observes a bedbound client who spends most of the day in a dimly lit room. The client suddenly becomes agitated, attempts to pull out their indwelling urinary catheter, and yells, "Get these snakes off my legs!" The PN recognizes a perceptual alteration likely caused by sensory deprivation. In which order should the PN perform the following interventions? Arrange the actions from first to last.

A client recovering from a systemic infection on a medical-surgical unit becomes suddenly distressed at dusk. The client points toward the shadowed window curtains and shouts, "Who are those strangers trying to get inside? Make them go away!" Which action should the practical nurse (PN) take first?

An older adult client with moderate hearing loss is receiving intravenous fluids for dehydration. During the night shift, the client suddenly becomes extremely distressed, points at the infusion pump in the dimly lit room, and yells, "Who is that person standing in the corner? Get him out of here!" Which action should the practical nurse take first?

During a routine medication pass at an outpatient recovery clinic, a client receiving treatment for severe opioid use disorder becomes tearful. The client states, 'I cannot handle the intense guilt of what I put my family through while I was using. Sometimes I think it would be easier to just go back to the drugs.' Which response by the practical nurse is the most appropriate?

A practical nurse (PN) is working in a behavioral health facility. A client with acute methamphetamine intoxication is pacing the hallway, shouting aggressively at unseen individuals, and clenching their fists. Arrange the following nursing actions in the correct sequence from highest to lowest priority.

A practical nurse (PN) is caring for a 71-year-old client in a rehabilitation center on the third day following a hip arthroplasty. The client suddenly exhibits severe restlessness, profuse diaphoresis, and visual hallucinations. A visiting relative remarks that the client consumes large amounts of liquor daily but has abstained since the surgery. What is the priority action for the PN?