VATI Mental Health Assessment
2019
1. A nurse is planning care for a client following a suicide attempt.
Provide the client with plastic eating utensils
2. A nurse is performing an admission assessment for a client who appears withdrawn and fearful.
Inform the client that this admission is confidential
3. A nurse is caring for an adolescent client who has anorexia nervosa.
“You’re afraid you have caused physical injury to yourself?
4. A nurse is caring for a client following a fire that destroyed her home and killed on of her children.
Have you thought of harming yourself?
5. A nurse is checking laboratory values for a hospitalized young adult client who has bipolar disorder and is
taking lithium.
Serum creatinine 2.1
6. A nurse is providing information to a client who is seeking voluntary admission to a mental health facility.
You will still need to give informed consent for treatments after admission
7. A nurse is developing a plan of care for an adolescent client who has conduct disorder.
Initiate a behavioral contract with the client
8. A hospice nurse is talking with the family of a client who recently died from cancer following a series of
chemotherapy treatments.
Displacement
9. A nurse in an acute care facility is providing teaching for the adult child of an older adult client who is admitted
with a urinary tract infection and delirium
I expect that my father will no longer be confused when he is discharged
10. A nurse is caring for a client who is experiencing a manic episode.
Encourage the client to rest each hour
11. A nurse is leading a medication education group for several clients. (select all that apply)
Move others away from the client
Offer the client a PRN dose of Lorazepam
Ask the client open-ended questions about the behavior
12. A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints.
Record the client’s behavior every 15 minutes while in restraints
13. A nurse is assessing a client who has bulimia nervosa.
Dental caries
14. A nurse is providing teaching to a client who has bipolar and has been taking lithium for 4 months.
Limit outdoor exercise during hot weather.
15. A nurse on a mental health unit is conduction one-on-one session with a client who suddenly becomes silent.
I’ve notices you have become quiet. Please share with me what you are thinking
16. A nurse is caring for a client who appears extremely agitated and believes that pacing the floor a specific
number of times is necessary or “something terrible will happen”
It must be hard for you to have to pace the floor. Let’s talk about your feelings
17. A nurse is discussing therapeutic communication with a group of newly licensed nurses
And after that?
18. A nurse in a community program for clients who experience partner violence is planning secondary prevention
strategies.
Coordinating community resources for a hospitalized client
19. A nurse is caring for an adult client who was involuntarily admitted following a suicide attempt.
I cannot discuss your spouse’s health information with you without his consent.
20. A nurse is planning to teach a group of clients about techniques to change unwanted behaviors.
Role playing
21. A home health nurse is caring for a new client who has hoarding disorder that involves food.
Assist the client with completing the hoarding scale self-report
22. A nurse is caring for a client who is experiencing mania and is place in seclusion due to escalating behavior.
Check the client’s physical needs every 15 min while in seclusion
23. A nurse is assisting in obtaining informed consent from a client who is scheduled for Vagus nerve stimulation
Ensure the client signs the form voluntarily
2019
1. A nurse is planning care for a client following a suicide attempt.
Provide the client with plastic eating utensils
2. A nurse is performing an admission assessment for a client who appears withdrawn and fearful.
Inform the client that this admission is confidential
3. A nurse is caring for an adolescent client who has anorexia nervosa.
“You’re afraid you have caused physical injury to yourself?
4. A nurse is caring for a client following a fire that destroyed her home and killed on of her children.
Have you thought of harming yourself?
5. A nurse is checking laboratory values for a hospitalized young adult client who has bipolar disorder and is
taking lithium.
Serum creatinine 2.1
6. A nurse is providing information to a client who is seeking voluntary admission to a mental health facility.
You will still need to give informed consent for treatments after admission
7. A nurse is developing a plan of care for an adolescent client who has conduct disorder.
Initiate a behavioral contract with the client
8. A hospice nurse is talking with the family of a client who recently died from cancer following a series of
chemotherapy treatments.
Displacement
9. A nurse in an acute care facility is providing teaching for the adult child of an older adult client who is admitted
with a urinary tract infection and delirium
I expect that my father will no longer be confused when he is discharged
10. A nurse is caring for a client who is experiencing a manic episode.
Encourage the client to rest each hour
11. A nurse is leading a medication education group for several clients. (select all that apply)
Move others away from the client
Offer the client a PRN dose of Lorazepam
Ask the client open-ended questions about the behavior
12. A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints.
Record the client’s behavior every 15 minutes while in restraints
13. A nurse is assessing a client who has bulimia nervosa.
Dental caries
14. A nurse is providing teaching to a client who has bipolar and has been taking lithium for 4 months.
Limit outdoor exercise during hot weather.
15. A nurse on a mental health unit is conduction one-on-one session with a client who suddenly becomes silent.
I’ve notices you have become quiet. Please share with me what you are thinking
16. A nurse is caring for a client who appears extremely agitated and believes that pacing the floor a specific
number of times is necessary or “something terrible will happen”
It must be hard for you to have to pace the floor. Let’s talk about your feelings
17. A nurse is discussing therapeutic communication with a group of newly licensed nurses
And after that?
18. A nurse in a community program for clients who experience partner violence is planning secondary prevention
strategies.
Coordinating community resources for a hospitalized client
19. A nurse is caring for an adult client who was involuntarily admitted following a suicide attempt.
I cannot discuss your spouse’s health information with you without his consent.
20. A nurse is planning to teach a group of clients about techniques to change unwanted behaviors.
Role playing
21. A home health nurse is caring for a new client who has hoarding disorder that involves food.
Assist the client with completing the hoarding scale self-report
22. A nurse is caring for a client who is experiencing mania and is place in seclusion due to escalating behavior.
Check the client’s physical needs every 15 min while in seclusion
23. A nurse is assisting in obtaining informed consent from a client who is scheduled for Vagus nerve stimulation
Ensure the client signs the form voluntarily
