VATI Comprehensive Predictor NCLEX Questions
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At the start of a counseling session C. "Is it because you feel like no one would
with the RN, the patient states, "We're understand what you are experiencing?"
wasting time with these meetings. I
can't trust anyone with what's really (RAT) The nurse is demonstrating the non-
bothering me about things I've therapeutic communication technique of
done." Which of the following verbalizing the implied, which helps clarify the
responses should the RN provide? implicit meaning of the patient's statement and
encourages further discussion.
A. "What makes you think that?"
(NOTE) (A) demonstrates the non-therapeutic
B. "These sessions are for your own communication technique of assuming the
good. We need to continue them." existence of an external source of power. This
allows the patient to blame something else for
C. "Is it because you feel like no one behavior rather than accepting the responsibility.
would understand what you are
experiencing?"
D. "Perhaps you'd rather talk about
that visit you had with your sister".
,A charge nurse is observing a newly B. Instilling 50 mL of fluid with each irrigation
licensed RN irrigate a patient's ear,
which is impacted with cerumen. (RAT) When irrigating a patient's ear the RN should
Which of the following actions use no more than 5 - 10 mL of irrigating fluid at a
requires the charge RN to intervene? time to decrease the chance of stimulating the
vestibular nerve of the inner ear, which would
A. Visualizing the eardrum before result in N&V or dizziness.
irrigating
B. Instilling 50 mL of fluid with each
irrigation
C. Using firm, continuous pressure
while irrigating
D. Warming the irrigation fluid to at
least 37C (98F)
,A charge nurse is preparing an D. "In the event a client threatens harm to others,
educational session for a group of medications can be administered without consent."
new nurses to review patient rights
under the law. Which of the following (RAT) The charge nurse should inform the
statements should the RN make? participants that their primary commitment is to the
client and their priority is always to advocate for
A. "Information regarding clients and protect their health and safety. During an
should remain confidential until after emergency situation, if the client is threatening
their death." harm to self or others, medications can be
administered without the client's consent and
B. "Failure to report suspected without a court order.
maltreatment or neglect of a
disabled adult is a felony in all (NOTE) Because laws vary from state to state,
states." nurses should become familiar with the
requirements as it relates to reporting neglect or
C. "As long as client identity is maltreatment of clients. The nurse should inform
disguised, their health information the participants that in most states failure to report
can be shared between the suspected neglect, physical maltreatment, or
professionals on the internet." exploitation of a disabled adult results in a
misdemeanor charge - (B) is incorrect.
D. "In the event a client threatens
harm to others, medications can be
administered without consent."
, A charge nurse is teaching the C - characterized by a disregard for
patient how to identify the difference others/conduct d/o before age 15yr, charming and
between antisocial personality d/o engaging verbally
and narcissistic personality disorder.
Please use the mnemonic CALLOUS A - arrests, the patient commits acts for arrest
MAN to describe antisocial
personality d/o. L - lies
L - lacks a superego, lacks empathy for others
O - obligations, not honored
U - unstable, can't plan ahead
S - sense of entitlement, seductive behaviors,
safety of self and others are ignored
M - manipulative, money problems, spouse and
children are not supported; failure to accept
responsibilities
A - aggressive and assaultive
N - not a calm person, actions are impulsive; non-
adherence to traditional morals and values.