VATI PN MENTAL HEALTH ASSESSMENT QUESTIONS AND ANSWERS

VATI PN MENTAL HEALTH
ASSESSMENT QUESTIONS AND
ANSWERS
Abnnursebnisbnassistingbnwithbnthebncarebnofbnabnclientbnimmediatelybnfollowingbnelectrocon
vulsivebntherapybn(ECT).bnWhichbnofbnthebnfollowingbnfindingsbnshouldbnthebnnursebndocu
mentbnasbnanbnunexpectedbnresponsebntobnthebnprocedure?bn-bnanswer--
Irregularbnheartbnrhythmbn

AnbnirregularbnheartbnrhythmbnisbnanbnunexpectedbnresponsebntobnECT.bnDuringbnthebnproc
edure,bnthebnclient'sbnheartbncanbnbebnstressed,bnwhichbncanbncausebncardiacbnabnormaliti
es.bnespeciallybnifbnthebnclientbnalreadybnhasbnimpairedbncardiacbnfunction.bnThebnnursebns
houldbndocumentbnthisbnfindingbnandbnnotifybnthebnchargebnnursebnorbnthebnclient'sbnprovide
r.

Abnnursebnisbncaringbnforbnabnclientbnwhobnisbnadmittedbnforbnalcoholbnusebndisorder.bnThebnc
lientbnstates,bn"Ibnhavebnnotbnhadbnanythingbntobndrinkbnforbn24bnhours."bnWhichbnthebnfollowi
ngbnisbnthebnprioritybnnursingbnintervention?bn-bnanswer--
Checkbnthebnclient'sbnvitalbnsigns.bn

Clientsbnwhobnhavebnalcoholbnusebndisorderbnarebnatbnriskbnforbnthebndevelopmentbnofbnabst
inencebnsyndrome.bnManifestationsbnofbnabstinencebnsyndromebnoccurbn12bntobn72bnhrbnaf
terbnthebnclientbnhasbnlastbnconsumedbnalcoholbnandbncanbnincludebntachycardia,bnhyperte
nsion,bnandbnanbnelevatedbntemperature.bnTherefore,bnthebnfirstbnactionbnthebnnursebnshoul
dbntakebnwhenbnusingbnthebnairway,bnbreathing,bncirculationbn(ABC)bnapproachbntobnclientbn
carebnisbntobncheckbnthebnclient'sbnvitalbnsignsbntobnmonitorbnforbnsignsbnofbnabstinencebnsyn
drome.

Abnnursebnisbnreinforcingbnteachingbnwithbnthebnadultbnchildbnofbnabnclientbnwhobnisbnschedul
edbntobnhavebnelectroconvulsivebntherapybn(ECT).bnWhichbnofbnthebnfollowingbnstatements
bnshouldbnthebnnursebnmake?bn-bnanswer--"Yourbnfatherbnmightbnexperiencebnshort-

termbnmemorybnlossbnafterbnthebnprocedure."bn

Thebnnursebnshouldbnreinforcebntobnthebnclient'sbnchildbnthatbnshort-
termbnmemorybnlossbnisbnabncommonbnadversebneffectbnofbnECT.

Abnnursebnisbnassistingbnwithbnplanningbncarebnforbnabnclientbnwhobnisbninbnthebnmanicbnphas
ebnofbnbipolarbndisorder.bnWhichbnofbnthebnfollowingbnactionsbnisbnthebnprioritybnforbnthebnnur
sebntobnincludebninbnthebnplan?bn-bnanswer--Offerbnfrequentbnhigh-
caloriebnfluidsbnthroughoutbnthebnday.bn

ThebnprioritybnactionbnthebnnursebnshouldbntakebnwhenbnusingbnMaslow'sbnhierarchybnofbnn
eedsbnisbntobnmeetbnthebnclient'sbnphysiologicalbnneedbnforbnfoodbnandbnfluids.bnThebnpriorit
ybnnursingbnactionbnisbntobnfrequently.offerbnthebnclientbnhigh-

, caloriebnfluidsbntobnpreventbndehydrationbnandbnensurebnthebnclient'sbncaloricbnisbnadequat
ebntobnmeetbnintakebnphysicalbnneeds.

Abnnursebnisbnreinforcingbnteachingbnwithbnabnclientbnwhobnhasbnbipolarbndisorderbnandbnabn
newbnprescriptionbnforbnvalproicbnacid.bnWhichbnofbnthebnfollowingbnmanifestationsbnshould
bnthebnnursebninstructbnthebnclientbntobnreportbntobnthebnproviderbnasbnanbnadversebneffectbnof

bnthisbnmedication?bn-bnanswer--Abdominalbnpainbn



Thebnnursebnshouldbninstructbnthebnclientbnthatbnabdominalbnpainbncanbnindicatebnhepatoxi
citybnorbnpancreatitis,bnbothbnadversebneffectsbnofbnvalproicbnacid;bntherefore,bnthebnclientbn
shouldbnreportbnthisbntobnthebnprovider.

Abnnursebnisbnestablishingbnabntherapeuticbnrelationshipbnwithbnabnclientbnwhobnhasbngener
alizedbnanxietybndisorder.bnWhichbnofbnthebnfollowingbnactionsbnshouldbnthebnnursebntakebnf
irst?bn-bnanswer--Explainbnconfidentialitybnguidelinesbntobnthebnclient.bn

Evidence-
basedbnpracticebnindicatesbnthatbnthebnnursebnshouldbnfirstbnbeginbnabntherapeuticbnrelatio
nshipbnwithbnthebnorientationbnphase.bnDuringbnthisbnphase,bnthebnnursebnshouldbnexplainbn
thebnguidelinesbnforbnconfidentiality.bnThisbninitialbnstepbninbndevelopingbnabntherapeuticbnre
lationshipbnbuildsbntrustbnbetweenbnthebnclientbnandbnthebnnurse.

Abnnursebnisbninterviewingbnanbnadolescentbnclientbnwhobnreportsbnthatbntheybnwerebnsexua
llybnassaulted.bnWhichbnofbnthebnfollowingbnactionsbnshouldbnthebnnursebntake?bn-
bnanswer--

Movebnthebnclientbntobnabnprivatebnexaminationbnroombntobnperformbnthebninterview.bn

Thebnnursebnshouldbninterviewbnthebnclientbninbnabnprivatebnroombnwithoutbnothersbnpresent
.bnProvidingbnprivacybninbnabnsafebnenvironmentbnwillbnfosterbntrustbnandbnpromotebnopenbnc
ommunicationbnbetweenbnthebnclientbnandbnthebnnurse.

Abnnursebnisbncaringbnforbnabnclientbnwhobnisbnexperiencingbnabnseverebnpanicbnattack.bnWhi
chbnofbnthebnfollowingbnactionsbnshouldbnthebnnursebntakebnduringbnthebnpanicbnattack?
bn(Selectbnallbnthatbnapply.)bn-bnanswer--

Staybnwithbnthebnclientbnisbncorrect.bnThebnnursebnshouldbnstaybnwithbnthebnclientbnduringbnth
ebnpanicbnattackbntobnensurebnthatbnthebnclientbnremainsbnsafebnandbnreducebnfeelingsbnofbn
abandonment.bn

Instructbnthebnclientbntobntakebnslow,bndeepbnbreathsbnisbncorrect.bnThebnnursebnshouldbninst
ructbnthebnclientbntobnbreathebnslowlybnandbndeeplybntobndistractbnfrombnthebndistressingbnm
anifestationsbnofbnthebnattackbnandbnreducebnthebnriskbnforbnhyperventilation.bn

Setbnphysicalbnlimitsbnisbncorrect.bnThebnnursebnshouldbnsetbnphysicalbnlimitsbntobnmaintainb
nthebnsafetybnofbnthebnclientbnandbnothersbnbecausebnthebnclientbnmightbnhavebndifficultybnco

ntrollingbntheirbnactionsbnduringbnthebnattack.

Abnnursebnisbncollectingbndatabnfrombnabn5-year-
oldbnchildbnwhobnisbnbroughtbntobnthebnemergencybndepartmentbnbybnabnparentbnwhobnstate
sbnthatbnthebnchildbnfellbnoutbnofbnabntree.bnThebnchildbnisbnguardingbntheirbnrightbnarm.bnForbn