VATI PN
Mental Health
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each Exam has 50 Mental Health questions
• PN/LPN focused content
• Exam-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN Mental Health (V1) ........................................8
VATI PN Mental Health (V2) ......................................34
VATI PN Mental Health (V3) ......................................70
VATI PN Mental Health (V1, V2 & V3)
PREVIEW QUESTIONS
QUESTION 3
A nurse is collecting data from a client who has histrionic personality disorder.
Which finding should the nurse expect?
A) Grandiose thinking
B) Seductive behaviors
C) Callousness toward others
D) Preoccupation with orderliness
ANSWER: B) Seductive behaviors
RATIONALE: A client who has histrionic personality disorder displays seductive
behaviors as a response to stress. A client who has narcissistic personality disorder
exhibits grandiose thinking. A client who has antisocial personality disorder exhibits
callousness toward others. A client who has obsessive-compulsive personality disorder
is preoccupied with orderliness.
QUESTION 4
A nurse is caring for a Native American client who is terminally ill and exhibiting
signs of impending death. Which nursing action is most appropriate?
,A) Maintain direct eye contact to facilitate communication
B) Offer to make arrangements for a Shaman to visit the client
C) Ensure a Jewish rabbi performs last rites
D) Arrange for immediate post-mortem bathing by nursing staff
ANSWER: B) Offer to make arrangements for a Shaman to visit the client
RATIONALE: Native American clients may use healers that work with providers to
provide care. The Shaman may use a variety of methods in his or her healing practices.
Native Americans avoid prolonged or direct eye contact as a sign of respect. Clients
who practice Judaism believe that the body should not be left unattended until after the
funeral. Clients who practice Islam believe that an individual from the client's mosque
should perform bathing rituals after death.
QUESTION 13
A nurse is collecting data from a client who is beginning to take alprazolam.
Which findings should the nurse identify as contraindications to this medication?
(Select all that apply.)
A) Alcohol use disorder
B) History of depression
C) Acute narrow-angle glaucoma
D) Pregnancy
E) Mild anxiety disorder
ANSWERS: A, C, D
RATIONALE:
• Benzodiazepines are contraindicated in clients who have alcohol use disorder
due to the risk for central nervous system depression and respiratory arrest.
• Acute narrow-angle glaucoma is a contraindication.
• Pregnancy is a contraindication due to risk of fetal harm.
• Depression and mild anxiety are indications, not contraindications.
QUESTION 34
A client presents with feelings of lack of control, distress, and anxiety. Recently
diagnosed with hypertension. Denies purging or excessive exercise. Has been
taking over-the-counter antacids for a few months but still has frequent episodes
, of heartburn. Has occasional diarrhea and constipation. BMI 35; Height 5 feet 10
inches; Weight 110.2 kg (243 lb). The client states, "I love to eat and will eat
anything! I eat a Thanksgiving-sized meal at least four times a week - it's what
my family does!" The client indicates that family seem to be embarrassed by
amount of food consumed, so the client eats alone most of the time. The nurse
should identify this as:
A) Anorexia nervosa
B) Bulimia nervosa
C) Binge eating disorder
D) Avoidant/restrictive food intake disorder
ANSWER: C) Binge eating disorder
RATIONALE: The nurse should encourage the client to journal foods consumed
at each meal and ensure client has consulted with a dietitian regarding food
preferences along with nutritional values because the client is most likely
experiencing binge eating disorder. The nurse should monitor bowel elimination
patterns and weekly weights because this can determine the client's adherence
to the treatment plan.
QUESTION 22
A nurse is caring for a client who is experiencing mania and is placed in
seclusion due to escalating behavior. Which of the following actions should the
nurse take?
A) Request that the provider assess the client within 8 hours
B) Discontinue the seclusion if the client requests it
C) Check the client's physical needs every 15 minutes while in seclusion
D) Request a PRN prescription for future seclusion
ANSWER: C
RATIONALE: Assess and document the client's physical, comfort, and safety needs
every 15 minutes. Assessing and documenting at such frequent intervals minimizes the
risk of injury to the client and provides a legal record of the care the client is receiving.
QUESTION 23
A nurse is assisting in obtaining informed consent from a client who is scheduled
for Vagus nerve stimulation. Which of the following actions should the nurse take
to act as a client advocate?
Mental Health
(3 Version Exams Prep)
(NGN- STYLE QUESTIONS & CASE “SCENARIO S ”)
Answers with detailed Rationale
What You’ll Get:
➢ Each Exam has 50 Mental Health questions
• PN/LPN focused content
• Exam-style questions
• Answer explanations (rationales)
• Clear, organized format for easy studying
• Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study purposes only.
,Table of Contents
VATI PN Mental Health (V1) ........................................8
VATI PN Mental Health (V2) ......................................34
VATI PN Mental Health (V3) ......................................70
VATI PN Mental Health (V1, V2 & V3)
PREVIEW QUESTIONS
QUESTION 3
A nurse is collecting data from a client who has histrionic personality disorder.
Which finding should the nurse expect?
A) Grandiose thinking
B) Seductive behaviors
C) Callousness toward others
D) Preoccupation with orderliness
ANSWER: B) Seductive behaviors
RATIONALE: A client who has histrionic personality disorder displays seductive
behaviors as a response to stress. A client who has narcissistic personality disorder
exhibits grandiose thinking. A client who has antisocial personality disorder exhibits
callousness toward others. A client who has obsessive-compulsive personality disorder
is preoccupied with orderliness.
QUESTION 4
A nurse is caring for a Native American client who is terminally ill and exhibiting
signs of impending death. Which nursing action is most appropriate?
,A) Maintain direct eye contact to facilitate communication
B) Offer to make arrangements for a Shaman to visit the client
C) Ensure a Jewish rabbi performs last rites
D) Arrange for immediate post-mortem bathing by nursing staff
ANSWER: B) Offer to make arrangements for a Shaman to visit the client
RATIONALE: Native American clients may use healers that work with providers to
provide care. The Shaman may use a variety of methods in his or her healing practices.
Native Americans avoid prolonged or direct eye contact as a sign of respect. Clients
who practice Judaism believe that the body should not be left unattended until after the
funeral. Clients who practice Islam believe that an individual from the client's mosque
should perform bathing rituals after death.
QUESTION 13
A nurse is collecting data from a client who is beginning to take alprazolam.
Which findings should the nurse identify as contraindications to this medication?
(Select all that apply.)
A) Alcohol use disorder
B) History of depression
C) Acute narrow-angle glaucoma
D) Pregnancy
E) Mild anxiety disorder
ANSWERS: A, C, D
RATIONALE:
• Benzodiazepines are contraindicated in clients who have alcohol use disorder
due to the risk for central nervous system depression and respiratory arrest.
• Acute narrow-angle glaucoma is a contraindication.
• Pregnancy is a contraindication due to risk of fetal harm.
• Depression and mild anxiety are indications, not contraindications.
QUESTION 34
A client presents with feelings of lack of control, distress, and anxiety. Recently
diagnosed with hypertension. Denies purging or excessive exercise. Has been
taking over-the-counter antacids for a few months but still has frequent episodes
, of heartburn. Has occasional diarrhea and constipation. BMI 35; Height 5 feet 10
inches; Weight 110.2 kg (243 lb). The client states, "I love to eat and will eat
anything! I eat a Thanksgiving-sized meal at least four times a week - it's what
my family does!" The client indicates that family seem to be embarrassed by
amount of food consumed, so the client eats alone most of the time. The nurse
should identify this as:
A) Anorexia nervosa
B) Bulimia nervosa
C) Binge eating disorder
D) Avoidant/restrictive food intake disorder
ANSWER: C) Binge eating disorder
RATIONALE: The nurse should encourage the client to journal foods consumed
at each meal and ensure client has consulted with a dietitian regarding food
preferences along with nutritional values because the client is most likely
experiencing binge eating disorder. The nurse should monitor bowel elimination
patterns and weekly weights because this can determine the client's adherence
to the treatment plan.
QUESTION 22
A nurse is caring for a client who is experiencing mania and is placed in
seclusion due to escalating behavior. Which of the following actions should the
nurse take?
A) Request that the provider assess the client within 8 hours
B) Discontinue the seclusion if the client requests it
C) Check the client's physical needs every 15 minutes while in seclusion
D) Request a PRN prescription for future seclusion
ANSWER: C
RATIONALE: Assess and document the client's physical, comfort, and safety needs
every 15 minutes. Assessing and documenting at such frequent intervals minimizes the
risk of injury to the client and provides a legal record of the care the client is receiving.
QUESTION 23
A nurse is assisting in obtaining informed consent from a client who is scheduled
for Vagus nerve stimulation. Which of the following actions should the nurse take
to act as a client advocate?
