RN VATI MENTAL HEALTH 2024 FORM A & B ACTUAL EXAM EACH FOR
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
A nurse is establishing a therapeutic re-
lationship with a client who has antisocial
personality disorder. Which of the follow-
ing strategies should the nurse use when Set realistic limits on the clients behavior
communicating with this client?
Clients who have antisocial personality
Behave in a friendly manner toward the disorder can seem to be in control of their
client behavior, but are manipulative and impul-
sive and can suddenly become aggres-
Set realistic limits on the client's behavior sive and assaultive. The nurse should es-
tablish clear limits on specific aggressive
Show respect for the client's need for and demanding behaviors.
isolation
Act as a role model for assertiveness
A nurse is caring for a child who has
conducted disorder and is behaving in
a destructive manner, throwing objects,
and kicking others. Which of the following
therapeutic nursing interventions is the
Reduce environmental stimuli
priority?
The greatest risk to the child and others
Encourage expression of feelings
is harm. Therefore, the nurse's priority
intervention is to reduce environmental
Support the child's attendance at an as-
stimuli in an attempt to de-escalate the
sertiveness training group
behavior and prevent injury.
Assist the child to perform relaxation
breathing
Reduce environmental stimuli
A nurse in a community health center is
working with a group of clients who have
post-traumatic stress disorder. Which of Guided imagery
the following interventions should the
nurse include to reduce anxiety among
the group members?
, RN VATI MENTAL HEALTH 2024 FORM A & B ACTUAL EXAM EACH FOR
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
Response prevention
Guided imagery involves assisting the
client to imagine a restful and safe place.
Guided imagery
This method is effective in reducing anx-
iety in clients who have post-traumatic
Aversion therapy
stress disorder.
Light therapy
A nurse is performing a cognitive as-
sessment to distinguish delirium from
dementia in a client whose family reports
episodes of confusion. Which of the fol-
lowing assessment findings supports the
nurse's suspicion of delirium? Easily distracted
Slow onset Extreme distractibility is a hallmark man-
ifestation of delirium.
Aphasia
Confabulation
Easily distracted
A nurse is caring for an older adult client
who begins to cry and states, "I knew
God would punish me and I deserve this
horrible sickness!" Which of the following
responses should the nurse make? "Let's talk about what is upsetting you."
"Why do you think you deserve this pun- The nurse is acknowledging the client's
ishment?" concerns and is showing a desire to un-
derstand what the client is thinking and
"Don't worry about being punished by feeling.
God."
"Let's talk about what is upsetting you."
, RN VATI MENTAL HEALTH 2024 FORM A & B ACTUAL EXAM EACH FOR
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
"You shouldn't say things that will upset
you so much."
A client who has a recent diagnosis of
bipolar disorder is placed in a room with
a client who has severe depression. The
client who has depression reports to the
nurse, "My roommate never sleeps and
keeps me up, too." Which of the following
Move the client who has bipolar disorder
actions should the nurse take?
to a private room.
Move the client who has bipolar disorder
Clients who have bipolar disorder can
to a private room
disrupt the therapeutic milieu for other
clients. Therefore, the nurse should move
Administer sleep medication to the client
this client to a private room.
who has bipolar disorder.
Move the client who has severe depres-
sion to a private room.
Administer sleep medication to the c
A nurse is caring for a group of clients.
Which of the following findings is he
nurse required to report? A client who has borderline personality
disorder threatened to harm their room-
A client who has bipolar disorder and mate.
tested positive for genital herpes simplex
virus reports having multiple sexual part- Manifestations of borderline personality
ners. disorder include disturbed interperson-
al relationships accompanied by threats
A client who has depression reports hav- and other-directed violence. While it is
ing a lack of interest in assisting their important for the nurse to maintain
partner in the care of their children. the client's confidentiality, on occasions
when another individual's life might be in
A client who has borderline personality danger, the nurse is required by law to
disorder threatened to harm their room- report it to authorities.
mate.
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
A nurse is establishing a therapeutic re-
lationship with a client who has antisocial
personality disorder. Which of the follow-
ing strategies should the nurse use when Set realistic limits on the clients behavior
communicating with this client?
Clients who have antisocial personality
Behave in a friendly manner toward the disorder can seem to be in control of their
client behavior, but are manipulative and impul-
sive and can suddenly become aggres-
Set realistic limits on the client's behavior sive and assaultive. The nurse should es-
tablish clear limits on specific aggressive
Show respect for the client's need for and demanding behaviors.
isolation
Act as a role model for assertiveness
A nurse is caring for a child who has
conducted disorder and is behaving in
a destructive manner, throwing objects,
and kicking others. Which of the following
therapeutic nursing interventions is the
Reduce environmental stimuli
priority?
The greatest risk to the child and others
Encourage expression of feelings
is harm. Therefore, the nurse's priority
intervention is to reduce environmental
Support the child's attendance at an as-
stimuli in an attempt to de-escalate the
sertiveness training group
behavior and prevent injury.
Assist the child to perform relaxation
breathing
Reduce environmental stimuli
A nurse in a community health center is
working with a group of clients who have
post-traumatic stress disorder. Which of Guided imagery
the following interventions should the
nurse include to reduce anxiety among
the group members?
, RN VATI MENTAL HEALTH 2024 FORM A & B ACTUAL EXAM EACH FOR
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
Response prevention
Guided imagery involves assisting the
client to imagine a restful and safe place.
Guided imagery
This method is effective in reducing anx-
iety in clients who have post-traumatic
Aversion therapy
stress disorder.
Light therapy
A nurse is performing a cognitive as-
sessment to distinguish delirium from
dementia in a client whose family reports
episodes of confusion. Which of the fol-
lowing assessment findings supports the
nurse's suspicion of delirium? Easily distracted
Slow onset Extreme distractibility is a hallmark man-
ifestation of delirium.
Aphasia
Confabulation
Easily distracted
A nurse is caring for an older adult client
who begins to cry and states, "I knew
God would punish me and I deserve this
horrible sickness!" Which of the following
responses should the nurse make? "Let's talk about what is upsetting you."
"Why do you think you deserve this pun- The nurse is acknowledging the client's
ishment?" concerns and is showing a desire to un-
derstand what the client is thinking and
"Don't worry about being punished by feeling.
God."
"Let's talk about what is upsetting you."
, RN VATI MENTAL HEALTH 2024 FORM A & B ACTUAL EXAM EACH FOR
CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Study online at https://quizlet.com/_foknco
"You shouldn't say things that will upset
you so much."
A client who has a recent diagnosis of
bipolar disorder is placed in a room with
a client who has severe depression. The
client who has depression reports to the
nurse, "My roommate never sleeps and
keeps me up, too." Which of the following
Move the client who has bipolar disorder
actions should the nurse take?
to a private room.
Move the client who has bipolar disorder
Clients who have bipolar disorder can
to a private room
disrupt the therapeutic milieu for other
clients. Therefore, the nurse should move
Administer sleep medication to the client
this client to a private room.
who has bipolar disorder.
Move the client who has severe depres-
sion to a private room.
Administer sleep medication to the c
A nurse is caring for a group of clients.
Which of the following findings is he
nurse required to report? A client who has borderline personality
disorder threatened to harm their room-
A client who has bipolar disorder and mate.
tested positive for genital herpes simplex
virus reports having multiple sexual part- Manifestations of borderline personality
ners. disorder include disturbed interperson-
al relationships accompanied by threats
A client who has depression reports hav- and other-directed violence. While it is
ing a lack of interest in assisting their important for the nurse to maintain
partner in the care of their children. the client's confidentiality, on occasions
when another individual's life might be in
A client who has borderline personality danger, the nurse is required by law to
disorder threatened to harm their room- report it to authorities.
mate.
