MENTAL HEALTH- VATI POST
ASSESSMENT ASSIGNMENT/24/25
1.A nurse is admitting a client that is confused, what are some priority actions for the
nurse to consider during the admission process?: The priority nursing measure is
to provide for the physical safety of the confused client.
The nurses' station and other areas should be placed to allow for easy
observation of clients by staff and access to staff by clients.
Special safety features (bathroom bars and wheelchair accessibility for
clients who are disable) should be addressed
Seclusion rooms and restraints should be set up for safety and used
only after all less-restrictive measures have been exhausted. When
used, facility policies and procedures must be followed.
, Plan for safe access to recreational areas, occupational therapy, and
meeting rooms. Set up the following provisions to prevent client self-
harm or harm by others
No access to sharp or otherwise harmful objects
Restriction of client access to restricted or locked
areas Monitoring of visitors
Restriction of alcohol and illegal substance access
or use Restriction of sexual activity among clients
Deterrence of elopement from facility
Rapid de-escalation of disruptive and potentially violent behaviors
through planned interventions by trained staff.
2. Forensic nursing is one of the many diverse behavioral health services. Define
forensic nursing and what the specialty entails.: Forensic nursing is a
combination of biophysical education and forensic science. It is the
utilization of nursing science to public or legal proceedings. The
registered nurses use scientific investigation, collection of evidence,
analysis, prevention, and treatment of trauma and/or death of
perpetrators and victims of violence, abuse, and traumatic accidents.
ASSESSMENT ASSIGNMENT/24/25
1.A nurse is admitting a client that is confused, what are some priority actions for the
nurse to consider during the admission process?: The priority nursing measure is
to provide for the physical safety of the confused client.
The nurses' station and other areas should be placed to allow for easy
observation of clients by staff and access to staff by clients.
Special safety features (bathroom bars and wheelchair accessibility for
clients who are disable) should be addressed
Seclusion rooms and restraints should be set up for safety and used
only after all less-restrictive measures have been exhausted. When
used, facility policies and procedures must be followed.
, Plan for safe access to recreational areas, occupational therapy, and
meeting rooms. Set up the following provisions to prevent client self-
harm or harm by others
No access to sharp or otherwise harmful objects
Restriction of client access to restricted or locked
areas Monitoring of visitors
Restriction of alcohol and illegal substance access
or use Restriction of sexual activity among clients
Deterrence of elopement from facility
Rapid de-escalation of disruptive and potentially violent behaviors
through planned interventions by trained staff.
2. Forensic nursing is one of the many diverse behavioral health services. Define
forensic nursing and what the specialty entails.: Forensic nursing is a
combination of biophysical education and forensic science. It is the
utilization of nursing science to public or legal proceedings. The
registered nurses use scientific investigation, collection of evidence,
analysis, prevention, and treatment of trauma and/or death of
perpetrators and victims of violence, abuse, and traumatic accidents.
