VATI Mental Health Practice Review Test.
1. A nurse is planning
Provide the client with plastic eating utensils.
care for a client
following a suicide -The client can use glass dishes and metal silverware to
attempt. Which of cause self harm, therefore, the nurse should arrange for the
the following interven- client to have only plastic products on their meal tray.
tions should the
nurse in- clude in the
plan? Inform the client that this admission is confidential.
2. A nurse is performing
an admission
assessment for
a client who appears with- -According to evidence-based practice, the nurse should
first inform
drawn and fearful. home and killed one of her
Which of the following children. The client is crying and
actions should the does not make eye con- tact with
nurse take first? the nurse. Which
3. A nurse is caring for
an adolescent client
who has anorexia
nervosa. The client
states, "Have I done
any permanent
damage to my body?"
Which of the following
responses should the
nurse make?
4. A nurse is caring for a
client following a fire
that destroyed her
, VATI Mental Health Practice Review Test.
the client about confidentiality during
the orientation phase of the nurse
client relationship. This action
establishes trust between the client
and the nurse, which in turn decreases
the client's anxiety level.
You're afraid you have caused physical
injury to yourself?
-Repeating the main idea of what the
client has said, which will allow for
clarification of any misunderstanding
on the part of the client or the
nurse.
Have you thought of harming yourself?
-The greatest risk to this client is self
harm due to the loss of her child and
home, therefore, the first question the
nurse should ask a client who is having
a personal crisis is to determine if the
client has suicidal ideation. If so, the
nurse should take action to protect the
client from self harm.
, VATI Mental Health Practice Review Test.
of the following
questions should the
nurse ask first?
Serum creatinine 2.1 mg/dL
5. A nurse is checking
labo- ratory values for -Reference range of 0.5-1.2 mg/dL.
a hospi- talized young The greatest risk to this client is decreased kidney function,
adult client who has which can cause an increase in the client's lithium level;
bipolar disor- der therefore, this value is the priority for the nurse to report to
and is taking lithi- the provider. The clients lithium dosage might need to be
um. Which of the modified based on this lab value. The cause of increased
follow- ing values is serum creatinine include dehydration as well as renal
the priority for the disorders. Lithium is contraindicated for clients who have
nurse to report to severe renal disease, cardiac disease, or severe
the provider? dehydration.
You will still need to give informed consent for treatment
6. A nurse is providing after admis- sion.
infor- mation to a
client who is seeking -A client who seeks voluntary admission to a mental health
voluntary admis- sion facility has the same rights as clients receiving any other
to a mental health kind of health care.
facility. Which of the
fol-
lowing information should The client will still need to give informed consent for
treatment and
the nurse include? interven- tions should the nurse in-
clude in the plan?
7. A nurse is developing
a plan of care for an 8. A hospice nurse is talking with the
ado- lescent client family of a client who recently died
who has conduct from
disorder. Which of
the following
, VATI Mental Health Practice Review Test.
therapies, such as
electroconvulsive
therapy. Initiate a
behavioral contract
with the client.
-A client who has conduct disorder can
demonstrate patterns of
behavior that are aggressive,
disrespectful of others rights, and
can lead to injury of others. A
behavioral contract helps to develop
trust between the client and the nurse
and emphasizes the client's respon-
sibility to commit to work on changes
in behavior.
Displacement
-When this family member uses
displacement, they are transferring
1. A nurse is planning
Provide the client with plastic eating utensils.
care for a client
following a suicide -The client can use glass dishes and metal silverware to
attempt. Which of cause self harm, therefore, the nurse should arrange for the
the following interven- client to have only plastic products on their meal tray.
tions should the
nurse in- clude in the
plan? Inform the client that this admission is confidential.
2. A nurse is performing
an admission
assessment for
a client who appears with- -According to evidence-based practice, the nurse should
first inform
drawn and fearful. home and killed one of her
Which of the following children. The client is crying and
actions should the does not make eye con- tact with
nurse take first? the nurse. Which
3. A nurse is caring for
an adolescent client
who has anorexia
nervosa. The client
states, "Have I done
any permanent
damage to my body?"
Which of the following
responses should the
nurse make?
4. A nurse is caring for a
client following a fire
that destroyed her
, VATI Mental Health Practice Review Test.
the client about confidentiality during
the orientation phase of the nurse
client relationship. This action
establishes trust between the client
and the nurse, which in turn decreases
the client's anxiety level.
You're afraid you have caused physical
injury to yourself?
-Repeating the main idea of what the
client has said, which will allow for
clarification of any misunderstanding
on the part of the client or the
nurse.
Have you thought of harming yourself?
-The greatest risk to this client is self
harm due to the loss of her child and
home, therefore, the first question the
nurse should ask a client who is having
a personal crisis is to determine if the
client has suicidal ideation. If so, the
nurse should take action to protect the
client from self harm.
, VATI Mental Health Practice Review Test.
of the following
questions should the
nurse ask first?
Serum creatinine 2.1 mg/dL
5. A nurse is checking
labo- ratory values for -Reference range of 0.5-1.2 mg/dL.
a hospi- talized young The greatest risk to this client is decreased kidney function,
adult client who has which can cause an increase in the client's lithium level;
bipolar disor- der therefore, this value is the priority for the nurse to report to
and is taking lithi- the provider. The clients lithium dosage might need to be
um. Which of the modified based on this lab value. The cause of increased
follow- ing values is serum creatinine include dehydration as well as renal
the priority for the disorders. Lithium is contraindicated for clients who have
nurse to report to severe renal disease, cardiac disease, or severe
the provider? dehydration.
You will still need to give informed consent for treatment
6. A nurse is providing after admis- sion.
infor- mation to a
client who is seeking -A client who seeks voluntary admission to a mental health
voluntary admis- sion facility has the same rights as clients receiving any other
to a mental health kind of health care.
facility. Which of the
fol-
lowing information should The client will still need to give informed consent for
treatment and
the nurse include? interven- tions should the nurse in-
clude in the plan?
7. A nurse is developing
a plan of care for an 8. A hospice nurse is talking with the
ado- lescent client family of a client who recently died
who has conduct from
disorder. Which of
the following
, VATI Mental Health Practice Review Test.
therapies, such as
electroconvulsive
therapy. Initiate a
behavioral contract
with the client.
-A client who has conduct disorder can
demonstrate patterns of
behavior that are aggressive,
disrespectful of others rights, and
can lead to injury of others. A
behavioral contract helps to develop
trust between the client and the nurse
and emphasizes the client's respon-
sibility to commit to work on changes
in behavior.
Displacement
-When this family member uses
displacement, they are transferring
