VATI MENTAL HEALTH PRE
ASSESSMENT QUETIONS & ANSWERS
100% SOLVED
A nurse on an acute mental health unit is caring for a group of clients. For which of
the following clients is seclusion contraindicated?
An adult client following a suicide attempt
A school-age client who attempts to repeatedly bite staff
An a
dolescent client who throws objects at other clients
An older adult client who is manic and crying due to overstimulation - ANSWERAn
adult client following a suicide attempt
A nurse is admitting a client who is about to undergo surgery for benign prostatic
hypertrophy. The client states, "I don't know what I will do if they find I have cancer."
Which of the following responses should the nurse make?
"Why do you think you might have cancer when your diagnosis is a benign
condition?"
"I'm looking at your chart here and I don't see any reason for you to worry about
that."
"I think that's something you need to discuss with your provider."
"I'm hearing that you are concerned that it might turn out that you have cancer." -
ANSWERI'm hearing that you are concerned that it might turn out that you have
cancer
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of
the following findings should the nurse expect?
Hand tremors
Stuporous level of consciousness
Bradycardia
Hypotension - ANSWERHand tremors
A nurse is caring for a group of clients on a mental health unit. Which of the following
actions should the nurse implement to establish therapeutic relationships with the
clients?
Provide sympathy during interactions.
Focus on the words of the clients.
Control the pace of establishing the nurse-client relationships.
, Demonstrate genuineness when communicating. - ANSWERDemonstrate
genuineness when communicating
A nurse is discussing comorbidities associated with eating disorders with a newly
admitted client. Which of the following conditions should the nurse include in the
discussion? Select all that apply
Anxiety
Obsessive-compulsive disorder
Schizophrenia
Breathing-related sleep disorder
Depression - ANSWERAnxiety, OCD, depression
A charge nurse is providing teaching to a staff nurse about assisting the provider
with ECT. Which of the following responses by the staff nurse indicates
understanding of the teaching?
"ECT is an effective treatment for personality disorders."
"I should monitor the client closely for hypotension following ECT."
"Informed consent should be obtained prior to ECT."
"It is a myth that clients experience seizures during ECT." - ANSWERInformed
consent should be obtained prior to ECT
A nurse is admitting a client who is exhibiting manic behavior. The client reports
recent personal stressors including the loss of her mother and a divorce. Which of
the following is the priority nursing action?
Identifying support systems.
Assisting the client in identifying coping behaviors.
Encouraging self-care
Preventing self-directed violence. - ANSWERPreventing self-directed violence
A nurse is caring for a client who has a new HIV diagnosis. He says, "I don't care
what the doctors say, there is no way I can have HIV, and I don't need treatment for
something I don't have." The nurse identifies that the client is experiencing which
type of crisis?
Adventitious
Internal
Maturational
Situational - ANSWERsituational
A nurse is planning discharge for a client who has borderline personality disorder.
Which of the following interventions should be included for this client?
Dialectical behavior therapy
Behavioral contract
Bibliotherapy
Safety plan - ANSWERDialectical behavior therapy
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following responses is an indication the client is in the denial phase of
the grief process?
"The doctor has been so good to me. I know he has tried everything he can. It is just
my time."
ASSESSMENT QUETIONS & ANSWERS
100% SOLVED
A nurse on an acute mental health unit is caring for a group of clients. For which of
the following clients is seclusion contraindicated?
An adult client following a suicide attempt
A school-age client who attempts to repeatedly bite staff
An a
dolescent client who throws objects at other clients
An older adult client who is manic and crying due to overstimulation - ANSWERAn
adult client following a suicide attempt
A nurse is admitting a client who is about to undergo surgery for benign prostatic
hypertrophy. The client states, "I don't know what I will do if they find I have cancer."
Which of the following responses should the nurse make?
"Why do you think you might have cancer when your diagnosis is a benign
condition?"
"I'm looking at your chart here and I don't see any reason for you to worry about
that."
"I think that's something you need to discuss with your provider."
"I'm hearing that you are concerned that it might turn out that you have cancer." -
ANSWERI'm hearing that you are concerned that it might turn out that you have
cancer
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of
the following findings should the nurse expect?
Hand tremors
Stuporous level of consciousness
Bradycardia
Hypotension - ANSWERHand tremors
A nurse is caring for a group of clients on a mental health unit. Which of the following
actions should the nurse implement to establish therapeutic relationships with the
clients?
Provide sympathy during interactions.
Focus on the words of the clients.
Control the pace of establishing the nurse-client relationships.
, Demonstrate genuineness when communicating. - ANSWERDemonstrate
genuineness when communicating
A nurse is discussing comorbidities associated with eating disorders with a newly
admitted client. Which of the following conditions should the nurse include in the
discussion? Select all that apply
Anxiety
Obsessive-compulsive disorder
Schizophrenia
Breathing-related sleep disorder
Depression - ANSWERAnxiety, OCD, depression
A charge nurse is providing teaching to a staff nurse about assisting the provider
with ECT. Which of the following responses by the staff nurse indicates
understanding of the teaching?
"ECT is an effective treatment for personality disorders."
"I should monitor the client closely for hypotension following ECT."
"Informed consent should be obtained prior to ECT."
"It is a myth that clients experience seizures during ECT." - ANSWERInformed
consent should be obtained prior to ECT
A nurse is admitting a client who is exhibiting manic behavior. The client reports
recent personal stressors including the loss of her mother and a divorce. Which of
the following is the priority nursing action?
Identifying support systems.
Assisting the client in identifying coping behaviors.
Encouraging self-care
Preventing self-directed violence. - ANSWERPreventing self-directed violence
A nurse is caring for a client who has a new HIV diagnosis. He says, "I don't care
what the doctors say, there is no way I can have HIV, and I don't need treatment for
something I don't have." The nurse identifies that the client is experiencing which
type of crisis?
Adventitious
Internal
Maturational
Situational - ANSWERsituational
A nurse is planning discharge for a client who has borderline personality disorder.
Which of the following interventions should be included for this client?
Dialectical behavior therapy
Behavioral contract
Bibliotherapy
Safety plan - ANSWERDialectical behavior therapy
A nurse is caring for a client who has been diagnosed with end-stage liver cancer.
Which of the following responses is an indication the client is in the denial phase of
the grief process?
"The doctor has been so good to me. I know he has tried everything he can. It is just
my time."
