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?
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Data collection- Who is responsible for performing a client's initial psychiatric assessment?
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The registered nurse (RN)- What is the LPN/LVN's role regarding a client's psychiatric care plan?
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Reinforce and implement the plan the RN has already established- Why does a nurse use open-ended questions with a psychiatric client?
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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?
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It gives the client time to think and organize thoughts before responding- Name one nonverbal behavior that shows active listening.
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Maintaining eye contact (or leaning in, nodding)- Why is telling a worried client, 'Don't worry, everything will be fine,' non-therapeutic?
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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?
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Giving advice discourages the client from making their own decisions- What is milieu therapy?
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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?
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Every 15 minutes- What items are removed from a client's room on suicide precautions?
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Sharp objects, belts, shoelaces, cords, and other items that could cause self-harm- What does one-to-one observation mean for a psychiatric client?
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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?
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Ensure the client's immediate physical safety- Which defense mechanism involves refusing to acknowledge a painful reality?
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Denial- Which defense mechanism involves attributing one's own unacceptable feelings to someone else?
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Projection
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