VATI MENTAL HEALTH ASSESSMENT QUESTIONS
/VERIFIED ANSWERS /2024-2025
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?: 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 A nurse is performing an admission assessment for a client who appears withdrawn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?: 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?: 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?:
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?: 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?:
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?:
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 treatment. One of the adult children is angry w/
provider and blames the provider for their father's death. Which of the following
defense mechanisms is the family using?: 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 UTI and delirium. The client has been living
independently at home. Which of the following statements by the adult child
, demonstrates the teaching has been effective?: 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. Which of the
following actions should the nurse take first?: Encourage the client to rest each
hour
11.A nurse is leading a medication education group for several clients. A client who is
sometimes violent becomes angry and begins yelling at others in the group. Which of
the following actions should the nurse take? SATA: 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. Which of the following information should the nurse
include?: Record the client's behavior every 15mins while in restraints
13.A nurse is assessing a client who has bulimia nervosa. Which of the following
findings should the nurse expect?: Dental caries
/VERIFIED ANSWERS /2024-2025
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?: 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?: 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?: 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?:
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?: 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?:
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?:
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 treatment. One of the adult children is angry w/
provider and blames the provider for their father's death. Which of the following
defense mechanisms is the family using?: 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 UTI and delirium. The client has been living
independently at home. Which of the following statements by the adult child
, demonstrates the teaching has been effective?: 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. Which of the
following actions should the nurse take first?: Encourage the client to rest each
hour
11.A nurse is leading a medication education group for several clients. A client who is
sometimes violent becomes angry and begins yelling at others in the group. Which of
the following actions should the nurse take? SATA: 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. Which of the following information should the nurse
include?: Record the client's behavior every 15mins while in restraints
13.A nurse is assessing a client who has bulimia nervosa. Which of the following
findings should the nurse expect?: Dental caries
