NCLEX LPN Psychosocial Integrity 2023.

NCLEX LPN Psychosocial Integrity 2023.A man is admitted to the hospital with a diagnosis of paranoid schizophrenia. The LPN/LVN learns the client has not slept for 4 nights. When implementing the client's plan of care, the LPN/LVN should FIRST try to achieve which of the following goals? 1. Increase client's sense of responsibility. 2. Increase client's independence. 3. Promote client's trust. 4. Promote client's rest. Strategy: "FIRST" indicates priority. (1) have to intervene first with schizophrenic's lack of trust because the schizophrenic views the world as hostile and threatening (2) since client is likely to be fearful, will lack confidence to perform activities independently (3) CORRECT—schizophrenic individuals are highly sensitive to fear of rejection; promoting trust is the nursing approach that should take priority (4) schizophrenic client not likely to rest until he feels safe 4. Milieu therapy sets limits on behavior. - ANSWERStrategy: Think about each answer. (1) CORRECT—milieu therapy provides a therapeutic social, cultural, and physical environment in which all aspects are utilized as instruments of growth to the client's benefit (2) want to establish environment in which client feels safe and is able to work through issues (3) not the purpose of milieu therapy (4) not the purpose of milieu therapy The LPN cares for a client just admitted with a diagnosis of an obsessive-compulsive disorder. The client usually performs 100 sit-ups, along with 30 minutes of aerobic exercise after eating. Because the LPN/LVN needs to administer medications and treat an open wound immediately after the client's meal, which of the following nursing actions is MOST appropriate? 1. Remind the client about the routine unit policies.