Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
True or False: Lability is characterized by a rapid change in emotions.
A. True
B. False.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn Ati Mental Health Psychosocial Proctored Exam. Take the full exam now
Full Explanation
Lability is characterized by rapid, often unpredictable changes in emotions.
Similar Questions
In a medical-surgical unit, the nurse is monitoring several patients. Which patient does the nurse identify as being at the highest risk for developing delirium?
A. A 32-year-old patient with gastroenteritis.
B. A 60-year-old patient with type II diabetes, 2 months post bilateral above-knee amputations.
C. A 55-year-old patient with coronary artery disease, 4 days post coronary bypass surgery.
D. An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis.
An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium. Multiple factors such as advanced age, severe illness, and multiple comorbidities increase the risk of delirium.
Full Explanation
An 80-year-old patient with chronic obstructive pulmonary disease, chronic respiratory failure, and urosepsis is at the highest risk for developing delirium. Multiple factors such as advanced age, severe illness, and multiple comorbidities increase the risk of delirium.
In a psychiatric unit, how are bright colors in the client’s environment often perceived?
A. Frightening.
B. Calming.
C. Depressive.
D. Stimulating.
Bright colors in a psychiatric unit environment are often perceived as stimulating. They can enhance alertness and motivation in patients.
Full Explanation
Bright colors in a psychiatric unit environment are often perceived as stimulating. They can enhance alertness and motivation in patients.
A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly.
During a one-on-one interaction with the nurse, the client says, “My fiancé is really wonderful and is not to blame for calling off the engagement.
I look awful and I’m not much good for anything.”. What is the most appropriate response by the nurse?
A. “Tell me how you felt when your fiancé broke up with you.”.
The nurse’s response, “Tell me how you felt when your fiancé broke up with you,” is the most therapeutic because it encourages the client to express feelings. This is a crucial step in the healing process. The nurse is using active listening skills and showing empathy, which can help build a therapeutic relationship with the client. It’s important for the nurse to provide a safe and nonjudgmental environment for the client to express feelings of sadness, anger, or guilt related to the breakup.
B. “Maybe the breakup was for the best.”.
The response, “Maybe the breakup was for the best,” is not therapeutic because it minimizes the client’s feelings and experiences. It’s not the nurse’s place to make judgments or assumptions about the situation. The nurse should focus on the client’s feelings and provide support.
C. “Do you think you are better off without your fiancé?”
The response, “Do you think you are better off without your fiancé?” could be seen as leading or suggestive. It’s important for the nurse to remain neutral and not impose personal beliefs or opinions on the client.
D. “How could your fiancé be wonderful after saying those things to you?”
The response, “How could your fiancé be wonderful after saying those things to you?” could be seen as confrontational and judgmental. It’s not the nurse’s role to judge the client’s relationships or experiences. The nurse should provide a supportive and understanding environment for the client to express feelings.
Full Explanation
Choice A rationale
The nurse’s response, “Tell me how you felt when your fiancé broke up with you,” is the most therapeutic because it encourages the client to express feelings. This is a crucial step in the healing process. The nurse is using active listening skills and showing empathy, which can help build a therapeutic relationship with the client. It’s important for the nurse to provide a safe and nonjudgmental environment for the client to express feelings of sadness, anger, or guilt related to the breakup.
Choice B rationale
The response, “Maybe the breakup was for the best,” is not therapeutic because it minimizes the client’s feelings and experiences. It’s not the nurse’s place to make judgments or assumptions about the situation. The nurse should focus on the client’s feelings and provide support.
Choice C rationale
The response, “Do you think you are better off without your fiancé?” could be seen as leading or suggestive. It’s important for the nurse to remain neutral and not impose personal beliefs or opinions on the client.
Choice D rationale
The response, “How could your fiancé be wonderful after saying those things to you?” could be seen as confrontational and judgmental. It’s not the nurse’s role to judge the client’s relationships or experiences. The nurse should provide a supportive and understanding environment for the client to express feelings.