RN VATI MENTAL HEALTH PROCTORED 2023 FORM A, B & C ACTUAL EXA
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
1. A nurse is planning care Provide the client with plastic eating utensils.
for a client following a
suicide attempt. Which -The client can use glass dishes and metal silverware to cause self
of the following interven- harm, therefore, the nurse should arrange for the client to have only
tions should the nurse in- plastic products on their meal tray.
clude in the plan?
2. A nurse is performing an Inform the client that this admission is confidential.
admission assessment for
a client who appears with- -According to evidence-based practice, the nurse should first inform
drawn and fearful. Which the client about confidentiality during the orientation phase of the
of the following actions nurse client relationship. This action establishes trust between the
should the nurse take client and the nurse, which in turn decreases the client's anxiety level.
first?
3. A nurse is caring for You're afraid you have caused physical injury to yourself?
an adolescent client who
has anorexia nervosa. The -Repeating the main idea of what the client has said, which will allow
client states, "Have I done for clarification of any misunderstanding on the part of the client or
any permanent damage the nurse.
to my body?" Which of
the following responses
should the nurse make?
4. A nurse is caring for a Have you thought of harming yourself?
client following a fire that
destroyed her home and -The greatest risk to this client is self harm due to the loss of her child
killed one of her children. and home, therefore, the first question the nurse should ask a client
The client is crying and who is having a personal crisis is to determine if the client has suicidal
does not make eye con- ideation. If so, the nurse should take action to protect the client from
tact with the nurse. Which self harm.
, RN VATI MENTAL HEALTH PROCTORED 2023 FORM A, B & C ACTUAL EXA
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
of the following questions
should the nurse ask first?
5. A nurse is checking labo- Serum creatinine 2.1 mg/dL
ratory values for a hospi-
talized young adult client -Reference range of 0.5-1.2 mg/dL.
who has bipolar disor- The greatest risk to this client is decreased kidney function, which can
der and is taking lithi- cause an increase in the client's lithium level; therefore, this value is
um. Which of the follow- the priority for the nurse to report to the provider. The clients lithium
ing values is the priority dosage might need to be modified based on this lab value. The cause
for the nurse to report to of increased serum creatinine include dehydration as well as renal
the provider? disorders. Lithium is contraindicated for clients who have severe renal
disease, cardiac disease, or severe dehydration.
6. A nurse is providing infor- You will still need to give informed consent for treatment after admis-
mation to a client who is sion.
seeking voluntary admis-
sion to a mental health -A client who seeks voluntary admission to a mental health facility
facility. Which of the fol- has the same rights as clients receiving any other kind of health care.
lowing information should The client will still need to give informed consent for treatment and
the nurse include? therapies, such as electroconvulsive therapy.
7. A nurse is developing a Initiate a behavioral contract with the client.
plan of care for an ado-
lescent client who has -A client who has conduct disorder can demonstrate patterns of
conduct disorder. Which behavior that are aggressive, disrespectful of others rights, and can
of the following interven- lead to injury of others. A behavioral contract helps to develop trust
tions should the nurse in- between the client and the nurse and emphasizes the client's respon-
clude in the plan? sibility to commit to work on changes in behavior.
8. A hospice nurse is talking Displacement
with the family of a client
, RN VATI MENTAL HEALTH PROCTORED 2023 FORM A, B & C ACTUAL EXA
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
who recently died from -When this family member uses displacement, they are transferring
cancer following a series their feelings of anger to the provider so they do not have to cope
of chemotherapy treat- with their own feelings of sadness and loss.
ment. One of the adult
children is angry with the
provider and blames the
provider for their father's
death. Which of the follow-
ing defense mechanisms
is the family member us-
ing?
9. A nurse in an acute care I expect that my father will no longer be confused when he is dis-
facility is providing teach- charged.
ing for the adult child of
an older adult client who
is admitted with a uri-
nary tract infection and
delirium. The client has
been living independently
at home. Which of the fol-
lowing statements by the
adult child demonstrates
the teaching has been ef-
fective?
10. A nurse is caring for a Encourage the client to rest each hour.
client who is experiencing
a manic episode. Which -The greatest risk to this client is injury from exhaustion due to the
of the following actions manic phase, therefore, the priority action the nurse should take is to
encourage the client to rest for 3-5mins every hour.
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
1. A nurse is planning care Provide the client with plastic eating utensils.
for a client following a
suicide attempt. Which -The client can use glass dishes and metal silverware to cause self
of the following interven- harm, therefore, the nurse should arrange for the client to have only
tions should the nurse in- plastic products on their meal tray.
clude in the plan?
2. A nurse is performing an Inform the client that this admission is confidential.
admission assessment for
a client who appears with- -According to evidence-based practice, the nurse should first inform
drawn and fearful. Which the client about confidentiality during the orientation phase of the
of the following actions nurse client relationship. This action establishes trust between the
should the nurse take client and the nurse, which in turn decreases the client's anxiety level.
first?
3. A nurse is caring for You're afraid you have caused physical injury to yourself?
an adolescent client who
has anorexia nervosa. The -Repeating the main idea of what the client has said, which will allow
client states, "Have I done for clarification of any misunderstanding on the part of the client or
any permanent damage the nurse.
to my body?" Which of
the following responses
should the nurse make?
4. A nurse is caring for a Have you thought of harming yourself?
client following a fire that
destroyed her home and -The greatest risk to this client is self harm due to the loss of her child
killed one of her children. and home, therefore, the first question the nurse should ask a client
The client is crying and who is having a personal crisis is to determine if the client has suicidal
does not make eye con- ideation. If so, the nurse should take action to protect the client from
tact with the nurse. Which self harm.
, RN VATI MENTAL HEALTH PROCTORED 2023 FORM A, B & C ACTUAL EXA
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
of the following questions
should the nurse ask first?
5. A nurse is checking labo- Serum creatinine 2.1 mg/dL
ratory values for a hospi-
talized young adult client -Reference range of 0.5-1.2 mg/dL.
who has bipolar disor- The greatest risk to this client is decreased kidney function, which can
der and is taking lithi- cause an increase in the client's lithium level; therefore, this value is
um. Which of the follow- the priority for the nurse to report to the provider. The clients lithium
ing values is the priority dosage might need to be modified based on this lab value. The cause
for the nurse to report to of increased serum creatinine include dehydration as well as renal
the provider? disorders. Lithium is contraindicated for clients who have severe renal
disease, cardiac disease, or severe dehydration.
6. A nurse is providing infor- You will still need to give informed consent for treatment after admis-
mation to a client who is sion.
seeking voluntary admis-
sion to a mental health -A client who seeks voluntary admission to a mental health facility
facility. Which of the fol- has the same rights as clients receiving any other kind of health care.
lowing information should The client will still need to give informed consent for treatment and
the nurse include? therapies, such as electroconvulsive therapy.
7. A nurse is developing a Initiate a behavioral contract with the client.
plan of care for an ado-
lescent client who has -A client who has conduct disorder can demonstrate patterns of
conduct disorder. Which behavior that are aggressive, disrespectful of others rights, and can
of the following interven- lead to injury of others. A behavioral contract helps to develop trust
tions should the nurse in- between the client and the nurse and emphasizes the client's respon-
clude in the plan? sibility to commit to work on changes in behavior.
8. A hospice nurse is talking Displacement
with the family of a client
, RN VATI MENTAL HEALTH PROCTORED 2023 FORM A, B & C ACTUAL EXA
EACH FORM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWE
Study online at https://quizlet.com/_gdplxs
who recently died from -When this family member uses displacement, they are transferring
cancer following a series their feelings of anger to the provider so they do not have to cope
of chemotherapy treat- with their own feelings of sadness and loss.
ment. One of the adult
children is angry with the
provider and blames the
provider for their father's
death. Which of the follow-
ing defense mechanisms
is the family member us-
ing?
9. A nurse in an acute care I expect that my father will no longer be confused when he is dis-
facility is providing teach- charged.
ing for the adult child of
an older adult client who
is admitted with a uri-
nary tract infection and
delirium. The client has
been living independently
at home. Which of the fol-
lowing statements by the
adult child demonstrates
the teaching has been ef-
fective?
10. A nurse is caring for a Encourage the client to rest each hour.
client who is experiencing
a manic episode. Which -The greatest risk to this client is injury from exhaustion due to the
of the following actions manic phase, therefore, the priority action the nurse should take is to
encourage the client to rest for 3-5mins every hour.
