Psychosocial Integrity

The practical nurse is assisting in data collection for several clients exhibiting various psychological responses to health crises. Match each client's specific clinical behavior or statement to the corresponding ego defense mechanism it best demonstrates.

During a routine home health visit for a bedbound older adult, a practical nurse observes the client and the living environment. Which of the following findings should alert the nurse to suspect potential neglect? Select all that apply.

During an admission assessment on a medical-surgical unit, a practical nurse gathers data from an older adult of Navajo (Diné) heritage who has type 2 diabetes. Which approaches demonstrate culturally competent communication and care? (Select all that apply.)

A client with a respiratory infection who follows traditional Eastern health beliefs regarding 'hot' and 'cold' energies is admitted to the medical unit. The client pushes away a breakfast tray containing chilled juice, cold milk, and yogurt, stating, 'These cold foods will trap the illness inside me.' Which of the following is the most appropriate action by the practical nurse?

A resident in a long-term care facility is exhibiting escalating psychomotor agitation, shouting at staff members, and forcefully refusing initial redirection. The practical nurse (PN) is planning the care approach to safely manage the client's behavior. Arrange the following interventions in order from the least restrictive to the most restrictive approach.

A practical nurse is reviewing the expected clinical progression of alcohol withdrawal syndrome for a newly admitted client. Arrange the following clinical manifestations in chronological order from the earliest to the latest onset after the client's last drink.

Match each therapeutic communication technique with the most appropriate example of a practical nurse's statement.

While performing a room check on a medical-surgical unit, a licensed practical nurse observes a newly admitted client pointing frantically at a blank wall. The client shouts, 'Get those huge spiders away from me!' Which action should the nurse take first?

Match each client statement or behavior to the corresponding defense mechanism.

A practical nurse is assisting with a dressing change for an older adult client at an outpatient wound care center. The client has moderate dementia and is accompanied by a family caregiver. During the procedure, the nurse observes multiple fading grip-mark bruises on the client's inner arms and notes that the client appears unusually fearful whenever the caregiver speaks. Which of the following is the priority action for the practical nurse?

A practical nurse (PN) is preparing an older adult client of Native American heritage for transport to the radiology department. The PN notices a small leather pouch (medicine bag) tied to the client's hospital gown. Which of the following actions by the PN provide culturally competent care? (Select all that apply.)

A practical nurse (PN) is participating in a family meeting for a 16-year-old client whose parent died unexpectedly 6 months ago. The surviving parent expresses intense frustration, stating, "My child hasn't shed a single tear over the death. Instead, they are constantly irritable, getting into fights at school, and complaining of frequent headaches." Which response by the PN is most appropriate?

The practical nurse is working on a busy telemetry unit. A client admitted with acute confusion abruptly leaves their room, grabs a heavy IV pole from the hallway, and begins swinging it toward the nurses' station while shouting aggressively. What is the priority nursing action?

A client with a history of post-traumatic stress disorder (PTSD) is receiving treatment for a severe systemic infection on a medical-surgical unit. During the night shift, the practical nurse (PN) enters the room and finds the client disconnected from the intravenous (IV) infusion. The client is standing in the corner of the room, holding a heavy metal water pitcher defensively, and whispers, "I need to get out of this bunker before the enemy finds us." Which action should the PN take first?

A practical nurse (PN) is in the mental health unit dayroom when a client with bipolar disorder in a manic phase suddenly becomes highly agitated, pacing aggressively, and shouting at peers. Arrange the following nursing actions in the order of priority, from first to last.

A client who was recently diagnosed with terminal lung cancer is visibly distressed and tells the practical nurse, "I do not understand why this is happening to me. I have never even smoked a cigarette in my life." Which of the following responses by the nurse is the most therapeutic?

A practical nurse (PN) at an urgent care clinic is caring for a 4-year-old client who presents with suspicious, patterned bruising on their back and shoulders. The PN suspects non-accidental trauma. In what order should the PN perform the following actions? Arrange the actions from first to last.

A practical nurse (PN) is reinforcing medication teaching for a client with a history of schizophrenia. The client has a flat affect and appears unkempt. While the PN is speaking, the client abruptly stops listening, tilts their head to the side, and stares intently at an empty corner of the room. Which action should the PN take first?

An adult client in the emergency department waiting area becomes increasingly agitated due to a prolonged wait time. The client begins pacing the hallway, clenching their fists, and shouting profanities at the triage desk. Which behavioral de-escalation interventions should the practical nurse implement? Select all that apply.

A practical nurse (PN) is assisting with the care of a family on a pediatric unit following the expected death of a 7-year-old child. The client's 15-year-old sibling suddenly begins pacing rapidly in the hallway, clenching their fists, and shouting that the medical staff 'did not do enough to save him.' In which order should the PN implement the following interventions to support this adolescent's acute grief response? Arrange the actions from first to last.