VATI MENTAL HEALTH ASSESSMENT 2019 Q & A

VATI MENTAL
HEALTH
ASSESSMENT 2019
Q&A

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2) A nurse is performing an admission assessment for a client who appears withdrawn and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

, VATI MENTAL
HEALTH
ASSESSMENT 2019
Q&A
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