VATI Mental Health Assessment
Study online at https://quizlet.com/_ekzcht
1. A nurse is planning care for a client following a suicide Provide the client with
attempt. Which of the following interventions should plastic eating utensils.
the nurse include in the plan?
2. A nurse is performing an admission assessment for a Inform the client that this
client who appears withdrawn and fearful. Which of admission is confidential.
the following actions should the nurse take first?
3. A nurse is caring for an adolescent client who has You're afraid you have
anorexia nervosa. The client states, "Have I done any caused physical injury to
permanent damage to my body?" Which of the follow- yourself?
ing responses should the nurse make?
4. A nurse is caring for a client following a fire that de- Have you thought of harm-
stroyed her home and killed one of her children. The ing yourself?
client is crying and does not make eye contact with
the nurse. Which of the following questions should the
nurse ask first?
5. A nurse is checking laboratory values for a hospitalized Serum creatinine 2.1
young adult client who has bipolar disorder and is tak- mg/dL
ing lithium. Which of the following values is the priority
for the nurse to report to the provider?
6. A nurse is providing information to a client who is You will still need to
seeking voluntary admission to a mental health facility. give informed consent for
Which of the following information should the nurse treatment after admission.
include?
7. A nurse is developing a plan of care for an adolescent Initiate a behavioral con-
client who has conduct disorder. Which of the following tract with the client.
interventions should the nurse include in the plan?
, VATI Mental Health Assessment
Study online at https://quizlet.com/_ekzcht
8. A hospice nurse is talking with the family of a client Displacement
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 mecha-
nisms is the family using?
9. A nurse in an acute care facility is providing teaching I expect that my father
for the adult child of an older adult client who is ad- will no longer be confused
mitted with a UTI and delirium. The client has been when he is discharged.
living independently at home. Which of the following
statements by the adult child demonstrates the teach-
ing has been effective?
10. A nurse is caring for a client who is experiencing a Encourage the client to
manic episode. Which of the following actions should rest each hour
the nurse take first?
11. A nurse is leading a medication education group for Move others away from
several clients. A client who is sometimes violent be- the client.
comes angry and begins yelling at others in the group. Offer the client a PRN dose
Which of the following actions should the nurse take? of lorazepam.
SATA Ask the client open ended
questions about the be-
havior.
12. A charge nurse is planning an in-service for a group Record the client's behav-
of newly licensed nurses about the use of restraints. ior every 15mins while in
Which of the following information should the nurse restraints.
include?
13. Dental caries
Study online at https://quizlet.com/_ekzcht
1. A nurse is planning care for a client following a suicide Provide the client with
attempt. Which of the following interventions should plastic eating utensils.
the nurse include in the plan?
2. A nurse is performing an admission assessment for a Inform the client that this
client who appears withdrawn and fearful. Which of admission is confidential.
the following actions should the nurse take first?
3. A nurse is caring for an adolescent client who has You're afraid you have
anorexia nervosa. The client states, "Have I done any caused physical injury to
permanent damage to my body?" Which of the follow- yourself?
ing responses should the nurse make?
4. A nurse is caring for a client following a fire that de- Have you thought of harm-
stroyed her home and killed one of her children. The ing yourself?
client is crying and does not make eye contact with
the nurse. Which of the following questions should the
nurse ask first?
5. A nurse is checking laboratory values for a hospitalized Serum creatinine 2.1
young adult client who has bipolar disorder and is tak- mg/dL
ing lithium. Which of the following values is the priority
for the nurse to report to the provider?
6. A nurse is providing information to a client who is You will still need to
seeking voluntary admission to a mental health facility. give informed consent for
Which of the following information should the nurse treatment after admission.
include?
7. A nurse is developing a plan of care for an adolescent Initiate a behavioral con-
client who has conduct disorder. Which of the following tract with the client.
interventions should the nurse include in the plan?
, VATI Mental Health Assessment
Study online at https://quizlet.com/_ekzcht
8. A hospice nurse is talking with the family of a client Displacement
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 mecha-
nisms is the family using?
9. A nurse in an acute care facility is providing teaching I expect that my father
for the adult child of an older adult client who is ad- will no longer be confused
mitted with a UTI and delirium. The client has been when he is discharged.
living independently at home. Which of the following
statements by the adult child demonstrates the teach-
ing has been effective?
10. A nurse is caring for a client who is experiencing a Encourage the client to
manic episode. Which of the following actions should rest each hour
the nurse take first?
11. A nurse is leading a medication education group for Move others away from
several clients. A client who is sometimes violent be- the client.
comes angry and begins yelling at others in the group. Offer the client a PRN dose
Which of the following actions should the nurse take? of lorazepam.
SATA Ask the client open ended
questions about the be-
havior.
12. A charge nurse is planning an in-service for a group Record the client's behav-
of newly licensed nurses about the use of restraints. ior every 15mins while in
Which of the following information should the nurse restraints.
include?
13. Dental caries
