Nokea
The role of the LPN/LVN to the nursing process is (select all that apply):
- A. Assisting the registered nurse with the nursing diagnosis.
- B. Collecting data.
- C. Completing the initial assessment.
- D. Developing principles of teaching.
Correct Answer: A
Rationale: The LPN/LVN can assist the registered nurse with the nursing diagnosis. The nursing diagnosis is the responsibility of the registered nurse. The LPN/LVN can collect data in order to implement care.
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A patient diagnosed with major depressive disorder expresses a desire to commit suicide. What is the nurse's priority intervention?
- A. Reassure the patient that they are not alone.
- B. Encourage the patient to express their feelings and emotions.
- C. Ensure the patient is in a safe environment and not at risk for harm.
- D. Ask the patient to sign a no-suicide contract.
Correct Answer: C
Rationale: The priority when a patient expresses suicidal thoughts is to ensure their safety and prevent self-harm. This includes close monitoring and removal of potential means of harm.
Which of the following individual factors can a person modify to improve mental and emotional health? Select one that does not apply.
- A. Serotonin deficiency
- B. Lack of exercise
- C. Poor nutrition
- D. Type I diabetes
Correct Answer: A
Rationale: Exercise (B), nutrition (C), and sleep (E) are lifestyle factors one can change to boost mental health. Serotonin deficiency (A) and Type I diabetes (D) are biologic conditions not directly alterable by personal choice.
An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?
- A. This patient continues to deny problems resulting from drinking.
- B. My parents were alcoholics and often neglected our family.
- C. The patient cannot identify any goals for improvement.
- D. The patient said I have many traits like her mother.
Correct Answer: B
Rationale: Countertransference involves the nurse’s past influencing their reaction, as in Option B, linking irritability to personal history. Options A and C are objective observations, and Option D suggests patient transference.
Do Not Resuscitate Order often accompanies situations when the prognosis of the patient is approximately
- A. Between 6 and 12 months
- B. Between 3 and 6 months
- C. Less than 6 months
- D. Less than 12 months
Correct Answer: C
Rationale: A DNR order typically applies when prognosis is less than 6 months (Option C), aligning with terminal illness stages where resuscitation is futile, per palliative care norms. Options A, B, and D are less precise.
During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.
- A. I notice you keep looking toward the door.'
- B. This is our time together. No one is going to interrupt us.'
- C. It looks as if you are eager to end our discussion for today.'
- D. If you are uncomfortable in this room, we can move someplace else.'
Correct Answer: A
Rationale: Making observations and encouraging the patient to describe perceptions are useful therapeutic communication techniques for this situation. The other responses are assumptions made by the nurse.