VATI Mental Health Comprehensive Predictor 2022/2023

demonstrates the teaching has been effective? - CORRECT 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? - CORRECT 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 begins yelling at others in the group. Which of the following actions should the nurse take? SATA - CORRECT ANSWER Move others 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? - CORRECT ANSWER Record the client's behavior every 15mins while in restraints.