VATI Mental Health Exam with Answers and Rationales 2023

VATI Mental Health Exam with Answers and Rationales -Occurs when there is a prolonged emotional instability, a withdrawal from usual tasks or activities, and lack of progression to successful coping with loss. 56. A nurse is planning care to assist a client with smoking cessation. Which of the following medications should the nurse expect the provider to prescribe? -bupropion -chlordiazepoxide -disulfiram -methadone: Bupropion -An atypical antidepressant, to a client undergoing nicotine withdrawal. Bupropion reduces the addictive action of nicotine and can minimize the manifestations of withdrawal. 57. A nurse is discussing resources with the case manager of a client who has schizophrenia and heart failure. Which of the following resources should the nurse recommend to address the client's behavioral health and medical needs?: Patient-centered medical home (PCMH) -Provides behavioral health and medical services. It offers extended hours of service 7 days a week with comprehensive patient-centered care. Clients participating in the patient-centered medical home receive comprehensive care as well as supportive community and social services. Services such as email and phone support to clients are a part of the patient-centered medical home. 58. A nurse in an acute mental health facility is assessing a newly admitted client who has schizophrenia. Which of the following findings should the nurse identify as the priority to assess further?: Command hallucinations -The greatest risk to this client is injury to self or others due to command halluci- nations. Command hallucinations occur when the client hears inner voices that tell them to take an action, such as self harm or harm to others. The nurse should ask the client what the voices are telling them to do. 59. A nurse is teaching a client about biofeedback therapy. Which of the following client statements indicates an understanding of the teaching?: This therapy will help me recognize changes in my blood pressure. -Uses a monitoring machine, to identify changes in body function. The purpose of biofeedback therapy is to enable the client to learn to consciously control body processes. 60. A nurse is assessing a client who is experiencing mild anxiety. Which of the following findings should the nurse expect?: Sharpened perceptions. -Mild anxiety occurs daily during normal experiences and allows and individual to grasp more information and problem-solve more effectively. As stress increases, the client's perceptual field narrows and they are able to focus only on the source of the anxiety. 61. A nurse is performing a mental status examination of a client. Which of the following questions should the nurse ask the client to assess their cognition?: What did you have for dinner last night? -The nurse can assess the client's cognitive status by asking questions that test the client's recent and immediate memory, such as what they had for dinner. 62. A nurse is creating a plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse in- clude? -Allow the client to eat in their room for the first week. -Obtain the client's vital signs once each day. -Weigh the client daily after first voiding. -Allow the client to determine their daily calorie intake.: Weigh the client daily after first voiding. -Weigh the client each morning after waking and following their first voiding. The client should have nothing by mouth, including water, before obtaining the clients weight. The nurse should also assess the clients skin turgor and oral mucus mem- branes to ensure the client is hydrated. 63. A nurse is assessing a client for a substance use disorder. The client exhibits yawning, pupillary dilation, rhinorrhea, and reports muscle cramps. The nurse should suspect that the client is withdrawing from which of the following substances?: Heroin -Manifestations of opioid withdrawal can include severe muscle cramps, yawning, rhinorrhea, and pupillary dilation. A client who is withdrawing from heroin can start to experience manifestations within 6-8hrs after the last dose following a period of at least 1 week of use. 64. A nurse in an emergency department is assessing an older adult client who was brought in by a family member. The family member reports that the client has had a change in behavior over the past 2 days. The nurse should identify that which of the following findings is an indication that the client has delirium? SATA Change in level of consciousness Decreased attention span is correct. Akathisia Hallucinations Aphasi a: Change in LOC Decrea sed attentio n span Hallucin ations -Change in LOC is an indication that the client is experiencing delirium, which the nurse should observe as a decreased awareness of surroundings. -Delirium usually shows a disturbance in ability to focus and maintain attention as well as memory impairment and poor judgement. -Hallucinations can indicate that the client is experiencing delirium. Hallucinations are false sensory perceptions that can increase the clients fear and anxiety. 65. A charge nurse is discussing elder abuse with a newly licensed nurse. Which of the following responses by the newly licensed nurse demonstrates an understanding of elder abuse?: Older adults who are dependent on a caregiver might be at an increased risk for abuse. -Caregiver strain can increase the risk for elder abuse. An older adult who is dependent on others for care due to poor physical health, or a chronic disease such as Alzheimer's disease, is at an increased risk for abuse. 66. A nurse is caring for a client who has schizophrenia and is experiencing visual hallucinations. The client states, "That man on the ceiling is ridiculing me." Which of the following responses should the nurse make?: I'm sorry but I do not see anything on the ceiling. -Use therapeutic communication to address the client's hallucinations and delusions. The nurse should offer their own perception of what the client is seeing or hearing without negating the client's experience. 67. A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following findings should the nurse expect?: Tachypnea -Other manifestations of withdrawal include hyperreflexia, enlarged pupils, muscle spasms, lacrimation, yawning, and rhinorrhea. 68. A nurse is teaching a client who has alcohol use disorder about medica- tions that can be used to treat manifestations of withdrawal. The nurse should include information about which of the following medications?: Lorazepam -Lorazepam is a benzodiazepine that helps to alleviate the clients craving for alcohol. 69. A nurse is caring for a group of clients. Which of the following clients should the nurse identify as experiencing an adventitious crisis?: A client who recently lost their home in a fire. -An adventitious crisis is caused by an unplanned event, such as a fire, earthquake, riot, plan crash, or violent crime.