RN VATI Mental Health 2026 Assessment with 80 Real Exam Questions
and Correct Answers Including Detailed Rationales
A nurse is providing information to a client who is seeking
voluntary admission to a mental health facility. Which of the
following information should the nurse include? - ANSWER
-
>You will still need to give informed consent for treatment after
admission.
-A client who seeks voluntary admission to a mental health facility
has the same rights as clients receiving any other kind of health
care. The client will still need to give informed consent for
treatment and therapies, such as electroconvulsive therapy.
A nurse is developing a plan of care for an adolescent client who
has conduct disorder.
Which of the following interventions should the nurse include in
the plan? - ANSWER - >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
responsibility to commit to work on changes in behavior.
,A hospice nurse is talking with the family of a client who recently
died from cancer following a series of chemotherapy treatment.
One of the adult children is angry with the provider and blames
the provider for their father's death. Which of the following
defense mechanisms is the family member using? - ANSWER -
>Displacement
-When this family member uses displacement, they are
transferring their feelings of anger to the provider so they do not
have to cope with their own feelings of sadness and loss.
A nurse in an acute care facility is providing teaching for the adult
child of an older adult client who is admitted with a urinary tract
infection and delirium. The client has been living independently at
home. Which of the following statements by the adult child
demonstrates the teaching has been effective? - ANSWER - >I
expect that my father will no longer be confused when he is
discharged.
A nurse is caring for a client who is experiencing a manic episode.
Which of the following actions should the nurse take first? -
ANSWER - >Encourage the client to rest each hour.
-The greatest risk to this client is injury from exhaustion due to the
manic phase, therefore, the priority action the nurse should take is
to encourage the client to rest for 3-5mins every hour.
,A nurse is leading a medication education group for several
clients. A client who is sometimes violent becomes angry and
actions should the nurse take? SATA - ANSWER - >Move others
begins yelling at others in the group. Which of the following
away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
-A large personal space should be maintained around the client
who is angry. If the client's behavior continues to escalate, the
nurse should move others away from the client for their safety. -
Antianxiety medication can be used in conjunction with de-
escalation techniques to prevent a violent episode.
-Communication technique is nonthreatening and encourages the
client to express their feelings.
A charge nurse is planning an in-service for a group of newly
licensed nurses about the use of restraints. Which of the following
information should the nurse include? - ANSWER - >Record the
client's behavior every 15mins while in restraints.
-Complete a written record of the client's behavior every 15mins in
the client's medical record while in restraints. The client should be
, considered for reintegration when they are able to follow
commands and exhibit self-control of behavior.
A nurse is assessing a client who has bulimia nervosa. Which of
the following findings should the nurse expect? - ANSWER
-
>Dental caries
-Have dental caries and tooth erosion due to excessive exposure
to stomach acid from frequent vomiting.
A nurse is providing teaching to a client who has bipolar disorder
and has been taking lithium for 4 months. The client's serum
lithium levels are within the therapeutic range. Which of the
following instructions should the nurse include to promote the
maintenance of the therapeutic lithium level? - ANSWER - >Limit
outdoor exercise during hot weather. -Spending time outdoors
during hot weather, especially if exercising, promoting
dehydration and sodium loss through diuresis, which can increase
lithium levels. Whenever the client exercises, develops diarrhea,
vomits, or has any circumstance that can cause dehydration,
fluids and electrolytes must be replaced promptly.
A nurse is planning care for a client following a suicide attempt.
Which of the following interventions should the nurse include in
the plan? - ANSWER - >Provide the client with plastic eating
utensils.
and Correct Answers Including Detailed Rationales
A nurse is providing information to a client who is seeking
voluntary admission to a mental health facility. Which of the
following information should the nurse include? - ANSWER
-
>You will still need to give informed consent for treatment after
admission.
-A client who seeks voluntary admission to a mental health facility
has the same rights as clients receiving any other kind of health
care. The client will still need to give informed consent for
treatment and therapies, such as electroconvulsive therapy.
A nurse is developing a plan of care for an adolescent client who
has conduct disorder.
Which of the following interventions should the nurse include in
the plan? - ANSWER - >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
responsibility to commit to work on changes in behavior.
,A hospice nurse is talking with the family of a client who recently
died from cancer following a series of chemotherapy treatment.
One of the adult children is angry with the provider and blames
the provider for their father's death. Which of the following
defense mechanisms is the family member using? - ANSWER -
>Displacement
-When this family member uses displacement, they are
transferring their feelings of anger to the provider so they do not
have to cope with their own feelings of sadness and loss.
A nurse in an acute care facility is providing teaching for the adult
child of an older adult client who is admitted with a urinary tract
infection and delirium. The client has been living independently at
home. Which of the following statements by the adult child
demonstrates the teaching has been effective? - ANSWER - >I
expect that my father will no longer be confused when he is
discharged.
A nurse is caring for a client who is experiencing a manic episode.
Which of the following actions should the nurse take first? -
ANSWER - >Encourage the client to rest each hour.
-The greatest risk to this client is injury from exhaustion due to the
manic phase, therefore, the priority action the nurse should take is
to encourage the client to rest for 3-5mins every hour.
,A nurse is leading a medication education group for several
clients. A client who is sometimes violent becomes angry and
actions should the nurse take? SATA - ANSWER - >Move others
begins yelling at others in the group. Which of the following
away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
-A large personal space should be maintained around the client
who is angry. If the client's behavior continues to escalate, the
nurse should move others away from the client for their safety. -
Antianxiety medication can be used in conjunction with de-
escalation techniques to prevent a violent episode.
-Communication technique is nonthreatening and encourages the
client to express their feelings.
A charge nurse is planning an in-service for a group of newly
licensed nurses about the use of restraints. Which of the following
information should the nurse include? - ANSWER - >Record the
client's behavior every 15mins while in restraints.
-Complete a written record of the client's behavior every 15mins in
the client's medical record while in restraints. The client should be
, considered for reintegration when they are able to follow
commands and exhibit self-control of behavior.
A nurse is assessing a client who has bulimia nervosa. Which of
the following findings should the nurse expect? - ANSWER
-
>Dental caries
-Have dental caries and tooth erosion due to excessive exposure
to stomach acid from frequent vomiting.
A nurse is providing teaching to a client who has bipolar disorder
and has been taking lithium for 4 months. The client's serum
lithium levels are within the therapeutic range. Which of the
following instructions should the nurse include to promote the
maintenance of the therapeutic lithium level? - ANSWER - >Limit
outdoor exercise during hot weather. -Spending time outdoors
during hot weather, especially if exercising, promoting
dehydration and sodium loss through diuresis, which can increase
lithium levels. Whenever the client exercises, develops diarrhea,
vomits, or has any circumstance that can cause dehydration,
fluids and electrolytes must be replaced promptly.
A nurse is planning care for a client following a suicide attempt.
Which of the following interventions should the nurse include in
the plan? - ANSWER - >Provide the client with plastic eating
utensils.
