1. A nurse is planning care for a client following a suicide Provide the
client with
attempt. Which of the following interventions plastic eating utensils.
should the nurse include in the plan?
2. A nurse is performing an admission Inform the client that this
assessment for a client who appears admission is
withdrawn and fearful. Which of the confidential.
following actions should the nurse take first?
3. A nurse is caring for an adolescent client You're afraid you have
who has anorexia nervosa. The client states,
caused physical injury to
"Have I done any
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 Have you thought of
that de- stroyed her home and killed one of harm- ing yourself?
her children. The 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 7. A nurse is
the nurse include? developing a
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, VATI Mental Health Assessment Review Test.
plan of care for an adolescent treatment after
admission.
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?
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, VATI Mental Health Assessment Review Test.
8. A hospice nurse is talking with the family of a Displacement
client 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?
I expect that my father
9. A nurse in an acute care facility is providing
will no longer be
teaching for the adult child of an older adult
confused when he is
client who is ad- mitted with a UTI and
discharged.
delirium. The client has been living
independently at home. Which of the
following statements by the adult child
demonstrates the teach- ing has been
effective?
Encourage the client to
10. A nurse is caring for a client who is rest each hour
experiencing a manic episode. Which of the
following actions should the nurse take first?
Move others away
11. A nurse is leading a medication education from the client.
group for several clients. A client who is
sometimes violent be-
comes angry and begins yelling at others in the group. Otter the
client a PRN dose
Which of the following actions should the nurse informatio
take? SATA n should
the nurse
include?
12. A charge nurse is planning an in-service for
a group of newly licensed nurses about the use
of restraints. Which of the following
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