PRIORITIZATION DELEGATION AND
ASSIGNMENT BY LACHARITY CERTIFICATION
EVALUATION 2026 QUESTIONS WITH
PRACTICE SOLUTION GRADED A+
◉ The nurse is caring for patients who have schizophrenia. In
addition to medication, multidisciplinary nondrug therapies are
available. What is the nurse's *most* important role in helping the
patients to benefit from this comprehensive approach?
•Help identify patients who would benefit from conventional
psychotherapy
•Refer patients to a psychiatric nurse specialist for education about
the disease
•Suggest that patients talk to vocational specialists for additional
training
•Establish a therapeutic relationship with patients and encourage
participation. Answer: •Establish a therapeutic relationship with
patients and encourage participation
•The nurse and the psychiatric nursing assistant spend more time
with the patients than any of the other members of the health care
team; thus, establishing a good therapeutic relationship is essential
to building trust; increasing social skills; and encouraging
,participation in educational, socialization, and vocational
opportunities. Conventional psychotherapy is generally not used
with patients with schizophrenia.
◉ A patient with a diagnosis of hypochondriasis has made multiple
clinic visits and undergone diagnostic tests for "cancer," with no
evidence of organic disease. Today he declares, "I have a brain tumor.
I can feel it growing. My appointment is tomorrow, but I can't wait!"
What is the *most* therapeutic response?
•Present reality: "Sir, you have been seen many times in this clinic
and had many diagnostic tests. The results have always been
negative."
•Encourage expression of feelings: "Let me spend some time with
you. Tell me about what you are feeling and why you think you have
a brain tumor."
•Set boundaries: "Sir, I will take your vital signs, but then I am going
to call your case manager so that you can discuss the scheduled
appointment."
•Respect the patient's wishes: "Sir, sit down and I will make sure
that you see the health care provider right away. Don't worry; we
will take care of you.". Answer: •Set boundaries: "Sir, I will take your
vital signs, but then I am going to call your case manager so that you
can discuss the scheduled appointment."
,•The case manager has a relationship with the patient, knows the
specific details of agreements made with the patient, and is the most
capable of helping him to decrease anxiety and preoccupation with
physical symptoms. In general, presenting reality does not have an
impact on patients with hypochondriasis. Encouraging expression of
feelings and following the patient's wishes contribute to secondary
gains of maintaining the sick role.
◉ A patient who was recently diagnosed with conversion disorder is
experiencing a sudden loss of vision after witnessing a violent fight
between her husband and adult-age son. What is the *priority*
therapeutic approach to use with this patient?
•Reassure her that her blindness is temporary and will resolve with
time
•Gently point out that she seems to be able to see well enough to
function independently
•Encourage expression of feelings and link emotional trauma to the
blindness
•Teach ways to cope with blindness, such as methodically arranging
personal items. Answer: •Teach ways to cope with blindness, such as
methodically arranging personal items
•Patients with conversion disorders are experiencing symptoms,
even though there is no identifiable organic cause; therefore, the
patient should be assisted in learning ways to cope and live with the
, disability. Encouraging the expression of feelings is okay, but it is
premature to expect the patient to link the fight to her blindness. It
is likely that the sudden onset of blindness will quickly resolve. The
patient may physically be able to see, but presenting facts would not
be helpful at this time.
◉ The charge nurse is reviewing the assignment sheet for an acute
psychiatric unit. Which experienced team member should be
reassigned?
•Male LVN assigned to an older male patient with chronic
depression and excessive rumination
•Young male psychiatric nursing assistant assigned to a female
adolescent with anorexia nervosa
•Female RN assigned to a newly admitted female patient who has
command hallucinations and delusions of persecution
•Older female RN with medical-surgical experience assigned to a
male patient with Alzheimer disease. Answer: •Young male
psychiatric nursing assistant assigned to a female adolescent with
anorexia nervosa
•Adolescents, in general, are self-conscious in the presence of
members of the opposite sex, and teenagers with anorexia are overly
concerned with their appearance; therefore, it would be better to
assign this patient to a mature female staff member. An experienced
LVN is able to set boundaries and to assist patients with chronic
ASSIGNMENT BY LACHARITY CERTIFICATION
EVALUATION 2026 QUESTIONS WITH
PRACTICE SOLUTION GRADED A+
◉ The nurse is caring for patients who have schizophrenia. In
addition to medication, multidisciplinary nondrug therapies are
available. What is the nurse's *most* important role in helping the
patients to benefit from this comprehensive approach?
•Help identify patients who would benefit from conventional
psychotherapy
•Refer patients to a psychiatric nurse specialist for education about
the disease
•Suggest that patients talk to vocational specialists for additional
training
•Establish a therapeutic relationship with patients and encourage
participation. Answer: •Establish a therapeutic relationship with
patients and encourage participation
•The nurse and the psychiatric nursing assistant spend more time
with the patients than any of the other members of the health care
team; thus, establishing a good therapeutic relationship is essential
to building trust; increasing social skills; and encouraging
,participation in educational, socialization, and vocational
opportunities. Conventional psychotherapy is generally not used
with patients with schizophrenia.
◉ A patient with a diagnosis of hypochondriasis has made multiple
clinic visits and undergone diagnostic tests for "cancer," with no
evidence of organic disease. Today he declares, "I have a brain tumor.
I can feel it growing. My appointment is tomorrow, but I can't wait!"
What is the *most* therapeutic response?
•Present reality: "Sir, you have been seen many times in this clinic
and had many diagnostic tests. The results have always been
negative."
•Encourage expression of feelings: "Let me spend some time with
you. Tell me about what you are feeling and why you think you have
a brain tumor."
•Set boundaries: "Sir, I will take your vital signs, but then I am going
to call your case manager so that you can discuss the scheduled
appointment."
•Respect the patient's wishes: "Sir, sit down and I will make sure
that you see the health care provider right away. Don't worry; we
will take care of you.". Answer: •Set boundaries: "Sir, I will take your
vital signs, but then I am going to call your case manager so that you
can discuss the scheduled appointment."
,•The case manager has a relationship with the patient, knows the
specific details of agreements made with the patient, and is the most
capable of helping him to decrease anxiety and preoccupation with
physical symptoms. In general, presenting reality does not have an
impact on patients with hypochondriasis. Encouraging expression of
feelings and following the patient's wishes contribute to secondary
gains of maintaining the sick role.
◉ A patient who was recently diagnosed with conversion disorder is
experiencing a sudden loss of vision after witnessing a violent fight
between her husband and adult-age son. What is the *priority*
therapeutic approach to use with this patient?
•Reassure her that her blindness is temporary and will resolve with
time
•Gently point out that she seems to be able to see well enough to
function independently
•Encourage expression of feelings and link emotional trauma to the
blindness
•Teach ways to cope with blindness, such as methodically arranging
personal items. Answer: •Teach ways to cope with blindness, such as
methodically arranging personal items
•Patients with conversion disorders are experiencing symptoms,
even though there is no identifiable organic cause; therefore, the
patient should be assisted in learning ways to cope and live with the
, disability. Encouraging the expression of feelings is okay, but it is
premature to expect the patient to link the fight to her blindness. It
is likely that the sudden onset of blindness will quickly resolve. The
patient may physically be able to see, but presenting facts would not
be helpful at this time.
◉ The charge nurse is reviewing the assignment sheet for an acute
psychiatric unit. Which experienced team member should be
reassigned?
•Male LVN assigned to an older male patient with chronic
depression and excessive rumination
•Young male psychiatric nursing assistant assigned to a female
adolescent with anorexia nervosa
•Female RN assigned to a newly admitted female patient who has
command hallucinations and delusions of persecution
•Older female RN with medical-surgical experience assigned to a
male patient with Alzheimer disease. Answer: •Young male
psychiatric nursing assistant assigned to a female adolescent with
anorexia nervosa
•Adolescents, in general, are self-conscious in the presence of
members of the opposite sex, and teenagers with anorexia are overly
concerned with their appearance; therefore, it would be better to
assign this patient to a mature female staff member. An experienced
LVN is able to set boundaries and to assist patients with chronic
