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PN VATI MENTAL HEALTH EXAM LATEST EXAM 2025
| ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST VERSION 2025
A nurse is assisting with the care of a client immediately following
electroconvulsive therapy (ECT). Which of the following findings should the nurse
document as an unexpected response to the procedure? - (answers)Irregular
heart rhythm
An irregular heart rhythm is an unexpected response to ECT. During the
procedure, the client's heart can be stressed, which can cause cardiac
abnormalities. especially if the client already has impaired cardiac function. The
nurse should document this finding and notify the charge nurse or the client's
provider.
A nurse is caring for a client who is admitted for alcohol use disorder. The client
states, "I have not had anything to drink for 24 hours." Which the following is the
priority nursing intervention? - (answers)Check the client's vital signs.
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr
after the client has last consumed alcohol and can include tachycardia,
hypertension, and an elevated temperature. Therefore, the first action the nurse
should take when using the airway, breathing, circulation (ABC) approach to client
care is to check the client's vital signs to monitor for signs of abstinence
syndrome.
A nurse is reinforcing teaching with the adult child of a client who is scheduled to
have electroconvulsive therapy (ECT). Which of the following statements should
the nurse make? - (answers)"Your father might experience short-term memory
loss after the procedure."
The nurse should reinforce to the client's child that short-term memory loss is a
common adverse effect of ECT.
A nurse is assisting with planning care for a client who is in the manic phase of
bipolar disorder. Which of the following actions is the priority for the nurse to
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include in the plan? - (answers)Offer frequent high-calorie fluids throughout the
day.
The priority action the nurse should take when using Maslow's hierarchy of needs
is to meet the client's physiological need for food and fluids. The priority nursing
action is to frequently.offer the client high-calorie fluids to prevent dehydration
and ensure the client's caloric is adequate to meet intake physical needs.
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. Which of the following manifestations should the
nurse instruct the client to report to the provider as an adverse effect of this
medication? - (answers)Abdominal pain
The nurse should instruct the client that abdominal pain can indicate hepatoxicity
or pancreatitis, both adverse effects of valproic acid; therefore, the client should
report this to the provider.
A nurse is establishing a therapeutic relationship with a client who has
generalized anxiety disorder. Which of the following actions should the nurse take
first? - (answers)Explain confidentiality guidelines to the client.
Evidence-based practice indicates that the nurse should first begin a therapeutic
relationship with the orientation phase. During this phase, the nurse should
explain the guidelines for confidentiality. This initial step in developing a
therapeutic relationship builds trust between the client and the nurse.
A nurse is interviewing an adolescent client who reports that they were sexually
assaulted. Which of the following actions should the nurse take? - (answers)Move
the client to a private examination room to perform the interview.
The nurse should interview the client in a private room without others present.
Providing privacy in a safe environment will foster trust and promote open
communication between the client and the nurse.
A nurse is caring for a client who is experiencing a severe panic attack. Which of
the following actions should the nurse take during the panic attack? (Select all
that apply.) - (answers)Stay with the client is correct. The nurse should stay with
PN VATI MENTAL HEALTH EXAM LATEST EXAM 2025
| ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST VERSION 2025
A nurse is assisting with the care of a client immediately following
electroconvulsive therapy (ECT). Which of the following findings should the nurse
document as an unexpected response to the procedure? - (answers)Irregular
heart rhythm
An irregular heart rhythm is an unexpected response to ECT. During the
procedure, the client's heart can be stressed, which can cause cardiac
abnormalities. especially if the client already has impaired cardiac function. The
nurse should document this finding and notify the charge nurse or the client's
provider.
A nurse is caring for a client who is admitted for alcohol use disorder. The client
states, "I have not had anything to drink for 24 hours." Which the following is the
priority nursing intervention? - (answers)Check the client's vital signs.
Clients who have alcohol use disorder are at risk for the development of
abstinence syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr
after the client has last consumed alcohol and can include tachycardia,
hypertension, and an elevated temperature. Therefore, the first action the nurse
should take when using the airway, breathing, circulation (ABC) approach to client
care is to check the client's vital signs to monitor for signs of abstinence
syndrome.
A nurse is reinforcing teaching with the adult child of a client who is scheduled to
have electroconvulsive therapy (ECT). Which of the following statements should
the nurse make? - (answers)"Your father might experience short-term memory
loss after the procedure."
The nurse should reinforce to the client's child that short-term memory loss is a
common adverse effect of ECT.
A nurse is assisting with planning care for a client who is in the manic phase of
bipolar disorder. Which of the following actions is the priority for the nurse to
, 2|Page
include in the plan? - (answers)Offer frequent high-calorie fluids throughout the
day.
The priority action the nurse should take when using Maslow's hierarchy of needs
is to meet the client's physiological need for food and fluids. The priority nursing
action is to frequently.offer the client high-calorie fluids to prevent dehydration
and ensure the client's caloric is adequate to meet intake physical needs.
A nurse is reinforcing teaching with a client who has bipolar disorder and a new
prescription for valproic acid. Which of the following manifestations should the
nurse instruct the client to report to the provider as an adverse effect of this
medication? - (answers)Abdominal pain
The nurse should instruct the client that abdominal pain can indicate hepatoxicity
or pancreatitis, both adverse effects of valproic acid; therefore, the client should
report this to the provider.
A nurse is establishing a therapeutic relationship with a client who has
generalized anxiety disorder. Which of the following actions should the nurse take
first? - (answers)Explain confidentiality guidelines to the client.
Evidence-based practice indicates that the nurse should first begin a therapeutic
relationship with the orientation phase. During this phase, the nurse should
explain the guidelines for confidentiality. This initial step in developing a
therapeutic relationship builds trust between the client and the nurse.
A nurse is interviewing an adolescent client who reports that they were sexually
assaulted. Which of the following actions should the nurse take? - (answers)Move
the client to a private examination room to perform the interview.
The nurse should interview the client in a private room without others present.
Providing privacy in a safe environment will foster trust and promote open
communication between the client and the nurse.
A nurse is caring for a client who is experiencing a severe panic attack. Which of
the following actions should the nurse take during the panic attack? (Select all
that apply.) - (answers)Stay with the client is correct. The nurse should stay with
