VATI Mental Health Assessment
Study online at https://quizlet.com/_ekzcht
1. A nurse is planning care for a client following a suicide attempt. Which of
the following interventions should the nurse include in the plan?: Provide the
client with plastic eating utensils.
2. A nurse is performing an admission assessment for a client who appears
withdrawn and fearful. Which of the following actions should the nurse take
first?: Inform the client that this admission is confidential.
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?: You're afraid you have caused
physical injury to yourself?
4. A nurse is caring for a client following a fire that destroyed her home
and killed one of 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?: Have you thought of harming yourself?
5. A nurse is checking laboratory values for a hospitalized young adult client
who has bipolar disorder and is taking lithium. Which of the following values is
the priority for the nurse to report to the provider?: Serum creatinine 2.1 mg/dL
6. A nurse is providing information to a client who is seeking voluntary ad-
mission to a mental health facility. Which of the following information should
the nurse include?: You will still need to give informed consent for treatment after
admission.
7. A nurse is developing a plan of care for an adolescent client who has con-
duct disorder. Which of the following interventions should the nurse include
in the plan?: Initiate a behavioral contract with the client.
8. 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 w/ provider and blames the provider for their father's death. Which of
the following defense mechanisms is the family using?: Displacement
9. A nurse in an acute care facility is providing teaching for the adult child of an
older adult client who is admitted with a UTI 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?: I expect that my father will
no longer be confused when he is discharged.
10. A nurse is caring for a client who is experiencing a manic episode. Which
of the following actions should the nurse take first?: Encourage the client to rest
each hour
11. 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: Move
1/8
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others away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
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 information should
the nurse include?: Record the client's behavior every 15mins while in restraints.
13. A nurse is assessing a client who has bulimia nervosa. Which of the
following findings should the nurse expect?: Dental caries
14. 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?: Limit
outdoor exercise during hot weather.
15. A nurse on a mental health unit is conducting a one-on-one session with a
client who suddenly becomes silent. Which of the following responses should
the nurse make?: I've noticed you have become quiets. Please share with me what
you are thinking.
16. A nurse is caring for a client who appears extremely agitated and believes
that pacing the floor a specific number of times is necessary or "something
terrible" will happen. Which of the following responses should the nurse
make?: It must be hard for you to have to pace the floor. Let's talk about your
feelings.
17. A nurse is discussing therapeutic communication with a group of newly
licensed nurses. Which of the following phrases should the nurse use as an
example of offering general leads?: And after that?
18. A nurse in a community program for clients who experience partner vi-
olence is planning secondary prevention strategies. Which of the following
interventions should the nurse plan to include?: Coordinating community re-
sources for a hospitalized client.
19. A nurse is caring for an adult client who was involuntarily admitted fol-
lowing a suicide attempt. The nurse receives a call from the client's spouse
asking for a status report. Which of the following responses should the nurse
make?: I cannot discuss your spouse's health information with you without his
consent.
20. A nurse is planning to teach a group of clients about techniques to change
unwanted behaviors. Which of the following techniques is the nurse using
when she acts out different scenarios and has clients respond by practicing
new behaviors?: Role Playing.
2/8
Study online at https://quizlet.com/_ekzcht
1. A nurse is planning care for a client following a suicide attempt. Which of
the following interventions should the nurse include in the plan?: Provide the
client with plastic eating utensils.
2. A nurse is performing an admission assessment for a client who appears
withdrawn and fearful. Which of the following actions should the nurse take
first?: Inform the client that this admission is confidential.
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?: You're afraid you have caused
physical injury to yourself?
4. A nurse is caring for a client following a fire that destroyed her home
and killed one of 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?: Have you thought of harming yourself?
5. A nurse is checking laboratory values for a hospitalized young adult client
who has bipolar disorder and is taking lithium. Which of the following values is
the priority for the nurse to report to the provider?: Serum creatinine 2.1 mg/dL
6. A nurse is providing information to a client who is seeking voluntary ad-
mission to a mental health facility. Which of the following information should
the nurse include?: You will still need to give informed consent for treatment after
admission.
7. A nurse is developing a plan of care for an adolescent client who has con-
duct disorder. Which of the following interventions should the nurse include
in the plan?: Initiate a behavioral contract with the client.
8. 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 w/ provider and blames the provider for their father's death. Which of
the following defense mechanisms is the family using?: Displacement
9. A nurse in an acute care facility is providing teaching for the adult child of an
older adult client who is admitted with a UTI 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?: I expect that my father will
no longer be confused when he is discharged.
10. A nurse is caring for a client who is experiencing a manic episode. Which
of the following actions should the nurse take first?: Encourage the client to rest
each hour
11. 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: Move
1/8
, VATI Mental Health Assessment
Study online at https://quizlet.com/_ekzcht
others away from the client.
Offer the client a PRN dose of lorazepam.
Ask the client open ended questions about the behavior.
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 information should
the nurse include?: Record the client's behavior every 15mins while in restraints.
13. A nurse is assessing a client who has bulimia nervosa. Which of the
following findings should the nurse expect?: Dental caries
14. 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?: Limit
outdoor exercise during hot weather.
15. A nurse on a mental health unit is conducting a one-on-one session with a
client who suddenly becomes silent. Which of the following responses should
the nurse make?: I've noticed you have become quiets. Please share with me what
you are thinking.
16. A nurse is caring for a client who appears extremely agitated and believes
that pacing the floor a specific number of times is necessary or "something
terrible" will happen. Which of the following responses should the nurse
make?: It must be hard for you to have to pace the floor. Let's talk about your
feelings.
17. A nurse is discussing therapeutic communication with a group of newly
licensed nurses. Which of the following phrases should the nurse use as an
example of offering general leads?: And after that?
18. A nurse in a community program for clients who experience partner vi-
olence is planning secondary prevention strategies. Which of the following
interventions should the nurse plan to include?: Coordinating community re-
sources for a hospitalized client.
19. A nurse is caring for an adult client who was involuntarily admitted fol-
lowing a suicide attempt. The nurse receives a call from the client's spouse
asking for a status report. Which of the following responses should the nurse
make?: I cannot discuss your spouse's health information with you without his
consent.
20. A nurse is planning to teach a group of clients about techniques to change
unwanted behaviors. Which of the following techniques is the nurse using
when she acts out different scenarios and has clients respond by practicing
new behaviors?: Role Playing.
2/8
