VATI MENTAL HEALTH 2025
EXAMINATION TEST FULL QUESTIONS AND
DETAILED SOLUTIONS GRADED A+
⩥ A nurse is caring for a client who is admitted for alcohol use disorder.
The client states, "I have not had anything to drink for 24 hours." Which
the following is the priority nursing intervention? Answer: Check the
client's vital signs.
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12
to 72 hr after the client has last consumed alcohol and can include
tachycardia, hypertension, and an elevated temperature. Therefore, the
first action the nurse should take when using the airway, breathing,
circulation (ABC) approach to client care is to check the client's vital
signs to monitor for signs of abstinence syndrome.
⩥ 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."
The nurse should reinforce to the client's child that short-term memory
loss is a common adverse effect of ECT.
,⩥ A nurse is assisting with planning care for a client who is in the manic
phase of bipolar disorder. Which of the following actions is the priority
for the nurse to include in the plan? Answer: Offer frequent high-calorie
fluids throughout the day.
The priority action the nurse should take when using Maslow's hierarchy
of needs is to meet the client's physiological need for food and fluids.
The priority nursing action is to frequently.offer the client high-calorie
fluids to prevent dehydration and ensure the client's caloric is adequate
to meet intake physical needs.
⩥ 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
The nurse should instruct the client that abdominal pain can indicate
hepatoxicity or pancreatitis, both adverse effects of valproic acid;
therefore, the client should report this to the provider.
⩥ A nurse is establishing a therapeutic relationship with a client who has
generalized anxiety disorder. Which of the following actions should the
nurse take first? Answer: Explain confidentiality guidelines to the client.
, Evidence-based practice indicates that the nurse should first begin a
therapeutic relationship with the orientation phase. During this phase,
the nurse should explain the guidelines for confidentiality. This initial
step in developing a therapeutic relationship builds trust between the
client and the nurse.
⩥ A nurse is interviewing an adolescent client who reports that they
were sexually assaulted. Which of the following actions should the nurse
take? Answer: Move the client to a private examination room to perform
the interview.
The nurse should interview the client in a private room without others
present. Providing privacy in a safe environment will foster trust and
promote open communication between the client and the nurse.
⩥ A nurse is caring for a client who is experiencing a severe panic
attack. Which of the following actions should the nurse take during the
panic attack? (Select all that apply.) Answer: Stay with the client is
correct. The nurse should stay with the client during the panic attack to
ensure that the client remains safe and reduce feelings of abandonment.
Instruct the client to take slow, deep breaths is correct. The nurse should
instruct the client to breathe slowly and deeply to distract from the
distressing manifestations of the attack and reduce the risk for
hyperventilation.
EXAMINATION TEST FULL QUESTIONS AND
DETAILED SOLUTIONS GRADED A+
⩥ A nurse is caring for a client who is admitted for alcohol use disorder.
The client states, "I have not had anything to drink for 24 hours." Which
the following is the priority nursing intervention? Answer: Check the
client's vital signs.
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12
to 72 hr after the client has last consumed alcohol and can include
tachycardia, hypertension, and an elevated temperature. Therefore, the
first action the nurse should take when using the airway, breathing,
circulation (ABC) approach to client care is to check the client's vital
signs to monitor for signs of abstinence syndrome.
⩥ 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."
The nurse should reinforce to the client's child that short-term memory
loss is a common adverse effect of ECT.
,⩥ A nurse is assisting with planning care for a client who is in the manic
phase of bipolar disorder. Which of the following actions is the priority
for the nurse to include in the plan? Answer: Offer frequent high-calorie
fluids throughout the day.
The priority action the nurse should take when using Maslow's hierarchy
of needs is to meet the client's physiological need for food and fluids.
The priority nursing action is to frequently.offer the client high-calorie
fluids to prevent dehydration and ensure the client's caloric is adequate
to meet intake physical needs.
⩥ 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
The nurse should instruct the client that abdominal pain can indicate
hepatoxicity or pancreatitis, both adverse effects of valproic acid;
therefore, the client should report this to the provider.
⩥ A nurse is establishing a therapeutic relationship with a client who has
generalized anxiety disorder. Which of the following actions should the
nurse take first? Answer: Explain confidentiality guidelines to the client.
, Evidence-based practice indicates that the nurse should first begin a
therapeutic relationship with the orientation phase. During this phase,
the nurse should explain the guidelines for confidentiality. This initial
step in developing a therapeutic relationship builds trust between the
client and the nurse.
⩥ A nurse is interviewing an adolescent client who reports that they
were sexually assaulted. Which of the following actions should the nurse
take? Answer: Move the client to a private examination room to perform
the interview.
The nurse should interview the client in a private room without others
present. Providing privacy in a safe environment will foster trust and
promote open communication between the client and the nurse.
⩥ A nurse is caring for a client who is experiencing a severe panic
attack. Which of the following actions should the nurse take during the
panic attack? (Select all that apply.) Answer: Stay with the client is
correct. The nurse should stay with the client during the panic attack to
ensure that the client remains safe and reduce feelings of abandonment.
Instruct the client to take slow, deep breaths is correct. The nurse should
instruct the client to breathe slowly and deeply to distract from the
distressing manifestations of the attack and reduce the risk for
hyperventilation.
