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Nursing · NCLEX-PN

NCLEX-PN Mental Health

Psychiatric nursing observation and basic care tasks within LPN/LVN scope of practice, distinct from the RN-level NCLEX Mental Health deck.

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In psychiatric nursing, which task falls within LPN/LVN scope: data collection or assessment?
Data collection
Who is responsible for performing a client's initial psychiatric assessment?
The registered nurse (RN)
What is the LPN/LVN's role regarding a client's psychiatric care plan?
Reinforce and implement the plan the RN has already established
Why does a nurse use open-ended questions with a psychiatric client?
To encourage the client to share more information in their own words
What is the therapeutic purpose of silence during a conversation with a client?
It gives the client time to think and organize thoughts before responding
Name one nonverbal behavior that shows active listening.
Maintaining eye contact (or leaning in, nodding)
Why is telling a worried client, 'Don't worry, everything will be fine,' non-therapeutic?
It is false reassurance and dismisses the client's feelings
Why is telling a client, 'If I were you, I would...' a non-therapeutic response?
Giving advice discourages the client from making their own decisions
What is milieu therapy?
Using the therapeutic environment itself, structure, safety, and social interaction, to support a client's recovery
How often are safety checks typically performed for a client on suicide precautions?
Every 15 minutes
What items are removed from a client's room on suicide precautions?
Sharp objects, belts, shoelaces, cords, and other items that could cause self-harm
What does one-to-one observation mean for a psychiatric client?
A staff member stays within arm's reach of the client at all times
What is the priority nursing action for a client expressing suicidal ideation?
Ensure the client's immediate physical safety
Which defense mechanism involves refusing to acknowledge a painful reality?
Denial
Which defense mechanism involves attributing one's own unacceptable feelings to someone else?
Projection

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