Mental Health

1. A young woman of 18 years is brought to the emergency room on a stretcher. She is unconscious and accompanied by her ex-boyfriend. Earlier this morning, after being laid off by her employer, the young woman called her ex-boyfriend to ask him for help. A few minutes later, the ex-boyfriend found pill bottles next to the patient, which the paramedics have handed over to the LPN. On her observation sheet, the LPN makes note of the bottle given to her: an empty bottle of anxiolutics (Oxazepam 1 mg), an empty bottle of hypnosedatives (Phenobarbital 30 mg), and an empty bottle of another type of anxiolytic (Alprazolam 2 mg). After checking the patient’s vital signs, the LPN notifies the emergency physician, who prescribes an NG tube STAT in order to perform a gastric lavage and administer activated charcoal afterwards, based on other prescriptions, the LPN installs a cardiorespiratory monitor and venous and urinary catheters. She also performs blood and urine tests. Which intervention should take priority in this situation? *
2. A 23-year-old patient is admitted to the psychiatric unit after attempting to tend his life by taking medication. The patient was bullied during his youth, spent time in a drug treatment centre, and now lives in a rooming house. The patient shows signs of depression, does not want to talk, and refuses to help he is offered. Given the patient’s condition, which of the following interventions is appropriate? *
3. Mr. Pascal Vigneault, 44, has been hospitalized for severe major depressive disorder for six days. He reports persistent sadness, poor sleep, and difficulty concentrating. This morning, he refuses to get out of bed for breakfast, saying he “doesn’t see the point.” His vital signs are stable, and he denies suicidal intent today but appears withdrawn. The physician ordered antidepressant therapy, daily mood monitoring, and participation in group activities as tolerated. What should the LPN do first? *
4. Ms. Célia Martel, 29, arrives at the psychiatric unit visibly trembling and hyperventilating after a panic attack triggered at work. She clutches her chest, saying it feels “tight,” but vitals are normal and ECG ruled out cardiac involvement. The physician orders breathing exercises, reassurance, and PRN anxiolytics. What intervention should the LPN provide first? *
5. Mr. Jonathan Delorme, 36, diagnosed with schizophrenia, reports hearing voices saying he is “worthless.” He appears frightened and looks around the room frequently. He has PRN antipsychotics ordered and was stable yesterday. Today he states the voices are “louder,” but denies intent to harm himself. What is the most therapeutic response? *
6. Ms. Marianne Dupuis, 31, admitted for bipolar I disorder, has become increasingly restless, pacing the hallway and speaking rapidly. She slept only one hour last night and skipped breakfast. The physician ordered mood stabilizers, safety monitoring, and reduced stimulation. Which intervention is most appropriate? *
7. Ms. Ariane Létourneau, 26, with borderline personality disorder, becomes distressed after a disagreement with her roommate. She cries loudly, saying staff “don’t care about her.” She threatens to leave the unit, but has no suicidal intent. Orders include emotional regulation coaching and limit-setting. What should the LPN do? *
8. Mr. Émile Bouchard, 82, with moderate Alzheimer’s, becomes disoriented around 18:00 daily. Today he is pacing and attempting to leave the unit, stating he “needs to go home to milk the cows.” Vitals are stable. Orders include reorientation, safety, and evening routine stabilization. Which intervention is BEST? *
9. Ms. Olivia Gagnon, 34, diagnosed with PTSD following a violent assault, suddenly crouches in the corner of her room, shaking and covering her head. She seems unaware of her surroundings. Orders include grounding techniques and supportive presence. What is the priority intervention? *
10. Mr. Denis Poulin, 58, admitted for alcohol withdrawal, is now 12 hours without alcohol. He is shaking, sweating, and reports nausea. Vitals: BP 162/94, HR 112. Orders: CIWA monitoring, hydration, benzodiazepines PRN. Which action should the LPN take? *
11. Mr. Félix Trudeau, 23, repeatedly checks whether his door is locked, performing the ritual over 50 times this morning. He reports anxiety if he stops. The physician ordered therapy participation and anxiety-reduction techniques. What should the LPN encourage? *
12. Ms. Sabrina Lévesque, 32, delivered her baby 3 weeks ago and has been admitted for postpartum depression. She avoids eye contact with her infant and says she feels “nothing.” Orders include depression monitoring and bonding support. What is the BEST action? *
13. Mr. Lionel Beauséjour, 52, expresses hopelessness, stating, “Everyone would be better off without me.” He avoids eye contact and isolates in his room. Orders include suicide risk assessment and increased observation. What should the LPN do FIRST? *
14. Ms. Élisa Montigny, 17, admitted for anorexia, eats only two bites of lunch. She appears fatigued and dizzy. Orders include nutritional monitoring, supervised meals, and daily weights. What should the LPN do? *
15. Mr. Armand Bélanger, 72, with Parkinson’s disease, shows new confusion and difficulty following instructions. His gait is slower today. Orders include neurologic monitoring and fall precautions. Which intervention is MOST important? *
16. Mrs. Renée Daoust, 78, normally oriented, becomes suddenly confused after starting antibiotics. She tries to get out of bed and says she is “late for work,” though retired. Orders include monitoring mental status, safety, and hydration. What is priority? *
17. Mr. Julien Sansfaçon, 20, diagnosed with ADHD, admits he stopped taking his medications due to side effects and now struggles to focus. Orders include medication teaching and evaluation. What should the LPN emphasize? *
18. Ms. Bianca D’Amour, 33, seeking help for cocaine misuse, states she is “not sure” she wants to quit. She appears anxious and ambivalent. Orders include supportive counseling and motivational interviewing. Which statement reflects motivational interviewing? *
19. Mr. Philippe Boivin, 39, diagnosed with schizoaffective disorder, becomes increasingly tense, pacing with clenched fists. He raises his voice at staff. Orders: de-escalation, PRN antipsychotics. What should the LPN do? *
20. Ms. Livia Rousselle, 48, recently lost her partner. She cries frequently and has stopped attending activities. She says she feels “stuck” and guilty. Orders include grief support and emotional expression. What is an appropriate response? *
21. Mr. Gabriel Laramée, 40, started haloperidol 48 hours ago. Today he has a stiff neck and reports feeling like he “can’t stop moving his legs.” Orders include EPS monitoring and PRN medications. What should the LPN do? *
22. Mrs. Carole Laramée, 63, with recurrent major depression, has stopped showering and refuses meals. She appears disheveled and weak. Orders include nutritional support, hygiene assistance, and depression monitoring. What is the BEST LPN action? *