() RN VATI Comprehensive
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 2 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
An adult presents to the mental clinic trembling and crying, and becomes
distressed when the nurse attempts to conduct an assessment. What is the best
nursing action for this client?
A.
Take the client's blood pressure and reassure her that questioning will not cause
a heart attack.
B.
A+ TEST BANK 1
, () RN VATI Comprehensive
Explain that treatment is based on information obtained in the assessment.
C.
Encourage the client to relax so that information can be provided as requested
D.
Empower the client to share the story of events just prior to coming to the clinic.
D
Rationale:
The client is exhibiting signs of moderate anxiety, which include voice tremors,
shakiness, somatic complaints, and selective inattention. Option D is the best
method for addressing this client's level of anxiety by creating a shared
understanding of the client's concerns. Although assessment of blood pressure
might be a worthwhile intervention, reassuring her that questioning will not
cause a heart attack is argumentative. Option B suggests that treatment cannot
be provided without the information, which is manipulative. Asking the client to
relax is likely to increase her anxiety.
A client is admitted to a mental health unit because of mild depression. When
asked, the client denies suicidal ideation, but the nurse reads in the psychosocial
assessment that there were attempts to overdose on aspirin 5 years earlier.
Which nursing action is most important for this client?
A.
Orient the client to activities on the unit.
B.
Document suicide precautions on the shift report.
C.
Assign the client to a semiprivate room.
A+ TEST BANK 2
, () RN VATI Comprehensive
D.
Obtain a verbal no-suicide contract with the client.
C
Rationale:
It is most important to prevent the risk of self-harm from social isolation, so the
client should be assigned to a semiprivate room. Option A does not have the
priority of option C. Options B and D can be implemented if the client admits
suicidal ideation. However, based on the fact that this client is mildly depressed
and that he attempted suicide 5 years ago using a method that is usually
nonlethal (aspirin overdose), it is most important to prevent social isolation.
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot. –
A+ TEST BANK 3
, () RN VATI Comprehensive
Correct Answer :D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
( (D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of
transfer and include the use of poor body mechanics by the caregiver.)
An elderly resident of a long-term care facility is no longer able to perform self-
care and is becoming progressively weaker. The resident previously requested
that no resuscitative efforts be performed, and the family requests hospice care.
What action should the nurse implement first?
A. Reaffirm the client's desire for no resuscitative efforts.
B. Transfer the client to a hospice inpatient facility.
C. Prepare the family for the client's impending death.
D. Notify the healthcare provider of the family's request. –
Correct Answer :D. Notify the HCP of the family's request.
(The nurse should first communicate with HCP (D). Hospice care is provided for
clients with a limited life expectancy which must be identified by the HCP. (A) is
not necessary at this time. Once the HCP provides the transfer to hospice care,
the nurse can collaborate with the hospice staff and HCP to determine (B and C)
should be implemented.)
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
A+ TEST BANK 4
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 2 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
An adult presents to the mental clinic trembling and crying, and becomes
distressed when the nurse attempts to conduct an assessment. What is the best
nursing action for this client?
A.
Take the client's blood pressure and reassure her that questioning will not cause
a heart attack.
B.
A+ TEST BANK 1
, () RN VATI Comprehensive
Explain that treatment is based on information obtained in the assessment.
C.
Encourage the client to relax so that information can be provided as requested
D.
Empower the client to share the story of events just prior to coming to the clinic.
D
Rationale:
The client is exhibiting signs of moderate anxiety, which include voice tremors,
shakiness, somatic complaints, and selective inattention. Option D is the best
method for addressing this client's level of anxiety by creating a shared
understanding of the client's concerns. Although assessment of blood pressure
might be a worthwhile intervention, reassuring her that questioning will not
cause a heart attack is argumentative. Option B suggests that treatment cannot
be provided without the information, which is manipulative. Asking the client to
relax is likely to increase her anxiety.
A client is admitted to a mental health unit because of mild depression. When
asked, the client denies suicidal ideation, but the nurse reads in the psychosocial
assessment that there were attempts to overdose on aspirin 5 years earlier.
Which nursing action is most important for this client?
A.
Orient the client to activities on the unit.
B.
Document suicide precautions on the shift report.
C.
Assign the client to a semiprivate room.
A+ TEST BANK 2
, () RN VATI Comprehensive
D.
Obtain a verbal no-suicide contract with the client.
C
Rationale:
It is most important to prevent the risk of self-harm from social isolation, so the
client should be assigned to a semiprivate room. Option A does not have the
priority of option C. Options B and D can be implemented if the client admits
suicidal ideation. However, based on the fact that this client is mildly depressed
and that he attempted suicide 5 years ago using a method that is usually
nonlethal (aspirin overdose), it is most important to prevent social isolation.
The UAPs working on a chronic neuro unit ask the nurse to help them determine
the safest way to transfer an elderly client w/ left-sided weakness from the bed
to the chair. What method describes the correct transfer procedure for this
client?
A. Place the chair at a right angle to the bed on the client's left side before
moving.
B. Assist the client to a standing position, then place the right hand on the
armrest.
C. Have the client place the left foot next to the chair and pivot to the left
before sitting.
D. Move the chair parallel to the right side of the bed, and stand the client on
the right foot. –
A+ TEST BANK 3
, () RN VATI Comprehensive
Correct Answer :D. Move the chair parallel to the right side of the bed, and stand
the client on the right foot.
( (D) uses the client's stronger side, the right side, for weight-bearing during the
transfer, and is the safest approach to take. (A, B, and C) are unsafe methods of
transfer and include the use of poor body mechanics by the caregiver.)
An elderly resident of a long-term care facility is no longer able to perform self-
care and is becoming progressively weaker. The resident previously requested
that no resuscitative efforts be performed, and the family requests hospice care.
What action should the nurse implement first?
A. Reaffirm the client's desire for no resuscitative efforts.
B. Transfer the client to a hospice inpatient facility.
C. Prepare the family for the client's impending death.
D. Notify the healthcare provider of the family's request. –
Correct Answer :D. Notify the HCP of the family's request.
(The nurse should first communicate with HCP (D). Hospice care is provided for
clients with a limited life expectancy which must be identified by the HCP. (A) is
not necessary at this time. Once the HCP provides the transfer to hospice care,
the nurse can collaborate with the hospice staff and HCP to determine (B and C)
should be implemented.)
After completing an assessment and determining that a client has a problem,
which action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
A+ TEST BANK 4
