Page 1 of 149
CHAMBERLAIN MASTERY POST VATI EXAM
Download now
Chamberlain
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
They cover broad content in this areas,, Adult Health
Maternal/Newborn
Pediatrics
, Page 2 of 149
Mental Health
Pharmacology
Fundamentals
Leadership/Management
NCLEX-style clinical judgment and prioritization
Mental Health Exam
A nurse discovers a client's suicide note that details the time, place, and
means to commit suicide. What should be the priority nursing intervention and
the rationale for this action?
A. Administering lorazepam (Ativan) prn, because the client is angry about the
discovery of the note
B. Establishing room restrictions, because the client's threat is an attempt to
manipulate the staff
C. Placing this client on one-to-one suicide precautions, because the more
specific the plan, the more likely the client will attempt suicide
D. Calling an emergency treatment team meeting, because the client's threat
must be addressed
ANS: C
The priority nursing action should be to place this client on one-to-one suicide
precautions, because the more specific the plan, the more likely the client will
attempt suicide. The appropriate nursing diagnosis for this client would be risk for
suicide.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
During the planning of care for a suicidal client, which correctly written
outcome should be a nurse's first priority?
, Page 3 of 149
A. The client will not physically harm self.
B. The client will express hope for the future by day 3.
C. The client will establish a trusting relationship with the nurse.
D. The client will remain safe during the hospital stay.
ANS: D
The nurse's priority should be that the client will remain safe during the hospital stay.
Client safety should always be the nurse's priority. The "A" answer choice is
incorrectly written. Correctly written outcomes must be client focused, measurable,
and realistic and contain a time frame. Without a time frame, an outcome cannot be
correctly evaluated.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Planning
| Client Need: Safe and Effective Care Environment
A client diagnosed with major depressive disorder with psychotic features
hears voices commanding self-harm. The client refuses to commit to
developing a plan for safety. What should be the nurse's priority intervention
at this time?
A. Obtaining an order for locked seclusion until client is no longer suicidal
B. Conducting 15-minute checks to ensure safety
C. Placing the client on one-to-one observation while monitoring suicidal
ideations
D. Encouraging client to express feelings related to suicide
ANS: C
The nurse's priority intervention when a client hears voices commanding self-harm is
to place the client on one-to-one observation while continuing to monitor suicidal
ideation.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
A client with a history of three suicide attempts has been taking fluoxetine
(Prozac) for 1 month. The client suddenly presents with a bright affect, rates
mood at 9/10, and is much more communicative. Which action should be the
nurse's priority at this time?
, Page 4 of 149
A. Give the client off-unit privileges as positive reinforcement.
B. Encourage the client to share mood improvement in group.
C. Increase frequency of client observation.
D. Request that the psychiatrist reevaluate the current medication protocol.
ANS: C
The nurse should be aware that a sudden increase in mood rating and change in
affect could indicate that the client is at risk for suicide and client observation should
be more frequent. Suicide risk may occur early during treatment with
antidepressants. The return of energy may bring about an increased ability to act out
self-destructive behaviors prior to attaining the full therapeutic effect of the
antidepressant medication.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
A nurse recently admitted a client to an inpatient unit after a suicide attempt. A
health-care provider orders amitriptyline (Elavil) for the client. Which
intervention related to this medication should be initiated to maintain this
client's safety upon discharge?
A. Provide a 6-month supply of Elavil to ensure long-term compliance.
B. Provide a 1-week supply of Elavil with refills contingent on follow-up
appointments.
C. Provide a pill dispenser as a memory aid.
D. Provide education regarding the avoidance of foods containing tyramine.
ANS: B
The health-care provider should provide a 1-week supply of Elavil with refills
contingent on follow-up appointments as an appropriate intervention to maintain the
client's safety. Tricyclic antidepressants have a narrow therapeutic range and can be
used in overdose to commit suicide. Distributing limited amounts of the medication
decreases this potential.
KEY: Cognitive Level: Application | Integrated Processes: Communication and
Documentation | Client Need: Safe and Effective Care Environment: Management of
Care
CHAMBERLAIN MASTERY POST VATI EXAM
Download now
Chamberlain
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
They cover broad content in this areas,, Adult Health
Maternal/Newborn
Pediatrics
, Page 2 of 149
Mental Health
Pharmacology
Fundamentals
Leadership/Management
NCLEX-style clinical judgment and prioritization
Mental Health Exam
A nurse discovers a client's suicide note that details the time, place, and
means to commit suicide. What should be the priority nursing intervention and
the rationale for this action?
A. Administering lorazepam (Ativan) prn, because the client is angry about the
discovery of the note
B. Establishing room restrictions, because the client's threat is an attempt to
manipulate the staff
C. Placing this client on one-to-one suicide precautions, because the more
specific the plan, the more likely the client will attempt suicide
D. Calling an emergency treatment team meeting, because the client's threat
must be addressed
ANS: C
The priority nursing action should be to place this client on one-to-one suicide
precautions, because the more specific the plan, the more likely the client will
attempt suicide. The appropriate nursing diagnosis for this client would be risk for
suicide.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
During the planning of care for a suicidal client, which correctly written
outcome should be a nurse's first priority?
, Page 3 of 149
A. The client will not physically harm self.
B. The client will express hope for the future by day 3.
C. The client will establish a trusting relationship with the nurse.
D. The client will remain safe during the hospital stay.
ANS: D
The nurse's priority should be that the client will remain safe during the hospital stay.
Client safety should always be the nurse's priority. The "A" answer choice is
incorrectly written. Correctly written outcomes must be client focused, measurable,
and realistic and contain a time frame. Without a time frame, an outcome cannot be
correctly evaluated.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Planning
| Client Need: Safe and Effective Care Environment
A client diagnosed with major depressive disorder with psychotic features
hears voices commanding self-harm. The client refuses to commit to
developing a plan for safety. What should be the nurse's priority intervention
at this time?
A. Obtaining an order for locked seclusion until client is no longer suicidal
B. Conducting 15-minute checks to ensure safety
C. Placing the client on one-to-one observation while monitoring suicidal
ideations
D. Encouraging client to express feelings related to suicide
ANS: C
The nurse's priority intervention when a client hears voices commanding self-harm is
to place the client on one-to-one observation while continuing to monitor suicidal
ideation.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
A client with a history of three suicide attempts has been taking fluoxetine
(Prozac) for 1 month. The client suddenly presents with a bright affect, rates
mood at 9/10, and is much more communicative. Which action should be the
nurse's priority at this time?
, Page 4 of 149
A. Give the client off-unit privileges as positive reinforcement.
B. Encourage the client to share mood improvement in group.
C. Increase frequency of client observation.
D. Request that the psychiatrist reevaluate the current medication protocol.
ANS: C
The nurse should be aware that a sudden increase in mood rating and change in
affect could indicate that the client is at risk for suicide and client observation should
be more frequent. Suicide risk may occur early during treatment with
antidepressants. The return of energy may bring about an increased ability to act out
self-destructive behaviors prior to attaining the full therapeutic effect of the
antidepressant medication.
KEY: Cognitive Level: Analysis | Integrated Processes: Nursing Process:
Implementation | Client Need: Safe and Effective Care Environment: Management of
Care
A nurse recently admitted a client to an inpatient unit after a suicide attempt. A
health-care provider orders amitriptyline (Elavil) for the client. Which
intervention related to this medication should be initiated to maintain this
client's safety upon discharge?
A. Provide a 6-month supply of Elavil to ensure long-term compliance.
B. Provide a 1-week supply of Elavil with refills contingent on follow-up
appointments.
C. Provide a pill dispenser as a memory aid.
D. Provide education regarding the avoidance of foods containing tyramine.
ANS: B
The health-care provider should provide a 1-week supply of Elavil with refills
contingent on follow-up appointments as an appropriate intervention to maintain the
client's safety. Tricyclic antidepressants have a narrow therapeutic range and can be
used in overdose to commit suicide. Distributing limited amounts of the medication
decreases this potential.
KEY: Cognitive Level: Application | Integrated Processes: Communication and
Documentation | Client Need: Safe and Effective Care Environment: Management of
Care
