VATI Mental Health Assessment Exam Study Questions with 100% Correct Answers

VATI Mental Health Assessment Exam Study Questions with 100% Correct Answers 1. a nurse is collecting data from a client who has schizophrenia. when asked questions, the client keeps repeating what the nurse says rather than providing answers. the nurse should document this finding as which of the following alterations of speech - ANSWER echolalia 2. a nurse is contributing to the plan of care for a client who has anorexia nervosa and is 60% of their ideal body weight (IBW). which of the following interventions should the nurse include - ANSWER set structured mealtimes for the client 3. a nurse is caring for a client who is experiencing acute alcohol withdrawal. the client becomes agitated and the nurse administers lorazepam 2 mg IM. which of the following actions should the nurses take - ANSWER ensure a staff member remains with the client continuously 4. a nurse is caring for a client who is obese and states, " I need to lose weight to be attractive again." which of the following actions should the nurse take first to promote positive self-esteem. - ANSWER ask the client how they feel about their weight and appearance 5. a nurse is reinforcing teaching with the adult child of a client who is scheduled to have electroconvulsive therapy (ECT), which of the following statements should the nurse make - ANSWER your father might experience short-term memory loss after the procedure 6. a nurse is contributing to the plan of care for a client who has moderate alzheimer's disease and is neglecting personal hygiene. which of the following interventions should the nurse include in the plan - ANSWER assign an assistive personnel (AP) to help the client with personal hygiene 7. a nurse is reinforcing teaching with a client who has a prescription for a monoamine oxidase inhibitor (MAOI). which of the following lunch choices by the client indicates an understanding of the teaching - ANSWER an egg salad with a sliced tomato and a yeast roll 8. Registered dietitians review a client's nutritional needs and adjust the clients diet based upon laboratory findings, medication adverse effects, and dietary intake. - ANSWER 9. a nurse is collecting data from a 5 year old child who is brought to the emergency department by a parent who states that the child feel out of a tree. the child is guarding their right arm. for which of the following findings should the nurse suspect physical maltreatment - ANSWER an x-ray of the right arm indicates a spiral fracture 10. a nurse is caring for a client who is experiencing a paranoid delusion. the client is becoming increasingly anxious. which of the following interventions should the nurse take - ANSWER ask the client to describe the delusion 11. a nurse is caring for a client who has Parkinson's disease. the client states, " Everything is looking pretty grim for me." Which of the following is priority action for the nurse to take - ANSWER ask the client if they have a specific plan of suicide 12. a nurse is caring for a client on a mental health unit and receives a call from the client's sibling requesting information regarding the client's condition. the client has not listed anyone on the release of information form. which of the following actions should the nurse take? - ANSWER tell the caller that information cannot be released regarding their request 13. a nurse in a long term care facility is caring for a client who has dementia and cannot verbalize their wants and needs. the client refuses to drink liquids on meal trays. which of the following actions by the nurse demonstrates advocacy - ANSWER ask the client's family what their favorite beverages are 14. a nurse is collecting data from a client who has generalized anxiety disorder (GAD). which of the following findings should the nurse expect - ANSWER restlessness 15. a nurse is discussing confidentiality with a client who was just admitted to an acute mental health unit. which of the following client statements indicates an understanding of the teaching - ANSWER you have to report it if I threaten to hurt anyone 16. a home health nurse is reinforcing teaching with the family members of a client who has alzheimers disease and is experiencing sleep disturbance. which of the following instructions should the nurse include - ANSWER wake the client at the same time each morning 17. a nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. which of the following manifestations should the nurse instruct the client to report to the provider as an adverse effect of this medication - ANSWER abdominal pain 18. A nurse is performing a psychosocial assessment on an adolescent client. Which of the following should indicate to the nurse a potential risk for suicide? Select all that apply A) Death of a parent at a young age B) Recent or impending move C) Low parental expectations D) Volunteering at a community center after school E) Sudden decline in school performance - ANSWER A) Death of a parent at a young age B) Recent or impending move C) Low parental expectations E) Sudden decline in school performance 19. a nurse is reinforcing teaching with a newly licensed nurse about the guidelines for use of mechanical restraints. which of the following statements made by the newly licensed nurse indicates an understanding of the teaching. - ANSWER I should apply mechanical restraints on a client who is attempting to harm themselves prior to obtaining a prescription 20. a nurse is caring for a client who recently experienced a traumatic event. the nurse should identify that which of the following is an example of the client using repression as a defense mechanism - ANSWER the client reports not being able to remember anything about the event 21. a nurse is contributing to the plan of care for a client who is experiencing acute alcohol withdrawal. which of the following interventions should the nurse recommend - ANSWER initiate seizure precautions for the client