RN VATI MENTAL HEALTH PROCTORED 2025-2026 FORM
A, B & C ACTUAL EXAM EACH FORM CONTAINS 70
QUESTIONS AND CORRECT DETAILED ANSWERS
A |nurse |is |planning |care |for |a |client |following |a |suicide |attempt. |Which |of |the |following |
interventions |should |the |nurse |include |in |the |plan? |- |CORRECT |ANSWER✔✔-Provide |the |client
|with |plastic |eating |utensils.
-The |client |can |use |glass |dishes |and |metal |silverware |to |cause |self |harm, |therefore, |the |nurse |
should |arrange |for |the |client |to |have |only |plastic |products |on |their |meal |tray.
A |nurse |is |performing |an |admission |assessment |for |a |client |who |appears |withdrawn |and |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? |- |CORRECT |ANSWER✔✔-
Inform |the |client |that |this |admission |is |confidential.
-According |to |evidence-based |practice, |the |nurse |should |first |inform |the |client |about |
confidentiality |during |the |orientation |phase |of |the |nurse |client |relationship. |This |action |
establishes |trust |between |the |client |and |the |nurse, |which |in |turn |decreases |the |client's |
anxiety |level.
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? |- |CORRECT |ANSWER✔✔-You're |afraid |you |have |caused |physical |injury |to |
yourself?
-Repeating |the |main |idea |of |what |the |client |has |said, |which |will |allow |for |clarification |of |any |
misunderstanding |on |the |part |of |the |client |or |the |nurse.
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? |- |CORRECT |ANSWER✔✔-Have |you |thought |of |
harming |yourself?
-The |greatest |risk |to |this |client |is |self |harm |due |to |the |loss |of |her |child |and |home, |therefore, |
the |first |question |the |nurse |should |ask |a |client |who |is |having |a |personal |crisis |is |to |determine |
if |the |client |has |suicidal |ideation. |If |so, |the |nurse |should |take |action |to |protect |the |client |from |
self |harm.
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? |- |CORRECT |ANSWER✔✔-Serum |creatinine |2.1 |mg/dL
-Reference |range |of |0.5-1.2 |mg/dL.
The |greatest |risk |to |this |client |is |decreased |kidney |function, |which |can |cause |an |increase |in |
the |client's |lithium |level; |therefore, |this |value |is |the |priority |for |the |nurse |to |report |to |the |
provider. |The |clients |lithium |dosage |might |need |to |be |modified |based |on |this |lab |value. |The |
cause |of |increased |serum |creatinine |include |dehydration |as |well |as |renal |disorders. |Lithium |is |
contraindicated |for |clients |who |have |severe |renal |disease, |cardiac |disease, |or |severe |
dehydration.
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? |- |CORRECT |
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? |- |CORRECT |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? |- |CORRECT |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? |- |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.
A, B & C ACTUAL EXAM EACH FORM CONTAINS 70
QUESTIONS AND CORRECT DETAILED ANSWERS
A |nurse |is |planning |care |for |a |client |following |a |suicide |attempt. |Which |of |the |following |
interventions |should |the |nurse |include |in |the |plan? |- |CORRECT |ANSWER✔✔-Provide |the |client
|with |plastic |eating |utensils.
-The |client |can |use |glass |dishes |and |metal |silverware |to |cause |self |harm, |therefore, |the |nurse |
should |arrange |for |the |client |to |have |only |plastic |products |on |their |meal |tray.
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? |- |CORRECT |ANSWER✔✔-
Inform |the |client |that |this |admission |is |confidential.
-According |to |evidence-based |practice, |the |nurse |should |first |inform |the |client |about |
confidentiality |during |the |orientation |phase |of |the |nurse |client |relationship. |This |action |
establishes |trust |between |the |client |and |the |nurse, |which |in |turn |decreases |the |client's |
anxiety |level.
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? |- |CORRECT |ANSWER✔✔-You're |afraid |you |have |caused |physical |injury |to |
yourself?
-Repeating |the |main |idea |of |what |the |client |has |said, |which |will |allow |for |clarification |of |any |
misunderstanding |on |the |part |of |the |client |or |the |nurse.
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? |- |CORRECT |ANSWER✔✔-Have |you |thought |of |
harming |yourself?
-The |greatest |risk |to |this |client |is |self |harm |due |to |the |loss |of |her |child |and |home, |therefore, |
the |first |question |the |nurse |should |ask |a |client |who |is |having |a |personal |crisis |is |to |determine |
if |the |client |has |suicidal |ideation. |If |so, |the |nurse |should |take |action |to |protect |the |client |from |
self |harm.
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? |- |CORRECT |ANSWER✔✔-Serum |creatinine |2.1 |mg/dL
-Reference |range |of |0.5-1.2 |mg/dL.
The |greatest |risk |to |this |client |is |decreased |kidney |function, |which |can |cause |an |increase |in |
the |client's |lithium |level; |therefore, |this |value |is |the |priority |for |the |nurse |to |report |to |the |
provider. |The |clients |lithium |dosage |might |need |to |be |modified |based |on |this |lab |value. |The |
cause |of |increased |serum |creatinine |include |dehydration |as |well |as |renal |disorders. |Lithium |is |
contraindicated |for |clients |who |have |severe |renal |disease, |cardiac |disease, |or |severe |
dehydration.
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? |- |CORRECT |
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? |- |CORRECT |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? |- |CORRECT |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? |- |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.
