RN VATI Mental Health 2024 Assessment

1. A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan? ANS Provide the client with plastic eating utensils. 2. A nurse is performing an admission assessment for a client who appears withdrawn and fearful. Which of the following actions should the nurse take first? ANS Inform the client that this admission is confidential. 3. A nurse is caring for an adolescent client who has anorexia nervosa. The client states, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make? ANS 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 one of her children. The client is crying and does not make eye contact with the nurse. Which of the following questions should the nurse ask first? ANS 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. Which of the following values is the priority for the nurse to report to the provider? ANS Serum creatinine 2.1 mg/dL 6. A nurse is providing information to a client who is seeking voluntary ad- mission to a mental health facility. Which of the following information should the nurse include? ANS You will still need to give informed consent for treatment after admission. 7. A nurse is developing a plan of care for an adolescent client who has con- duct disorder. Which of the following interventions should the nurse include in the plan? ANS Initiate a behavioral contract with the client