VATI MENTAL HEALTH EXAM WITH
CORRECT ANSWERS 2025
A nurse is planning care for a client following a suicide attempt. Which of
the following should the nurse include in the plan? ( Correct answers )
interventions
Provide
client with
theplastic eating
utensils.
-The client can use glass dishes and metal silverware to cause self harm,
therefore,
nurse shouldthearrange 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withdrawn
fearful. Which
andof the following actions should the nurse take first? ( Correct
answers )
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 trust between the client and the nurse, which in turn decreases
establishes
anxiety
the client's
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
should the nurse make? ( Correct answers ) You're afraid you have caused
responses
physical
injury to
yourself?
-Repeating the main idea of what the client has said, which will allow for
clarification
any misunderstanding
of 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
her one of The client is crying and does not make eye contact with the
children.
nurse.
of the following
Which questions should the nurse ask first? ( Correct answers )
Have youof harming
thought
yourself?
-The greatest risk to this client is self harm due to the loss of her child
and home,the first question the nurse should ask a client who is having a
therefore,
personal
is crisis if the client has suicidal ideation. If so, the nurse should
to determine
protect
take actionthe client
to from self
harm.
A nurse is checking laboratory values for a hospitalized young adult
client who
bipolar has and is taking lithium. Which of the following values is the
disorder
prioritytofor
nurse the to the provider? ( Correct answers ) Serum creatinine
report
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 causeinan
increase the client's lithium level; therefore, this value is the priority for
the nurse
report to provider. The clients lithium dosage might need to be
to the
modified
this basedThe
lab value. on cause of increased serum creatinine include dehydration
as well
renal as
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
mental to afacility. Which of the following information should the
health
nurse include?
Correct answers( ) You will still need to give informed consent for
treatment after
admissio
n.
-A client who seeks voluntary admission to a mental health facility has the
same
as clients
rightsreceiving 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
Which
conduct ofdisorder.
the following interventions should the nurse include in the
plan? ( Correct
answers ) Initiate a behavioral contract with
the client.
-A client who has conduct disorder can demonstrate patterns of
behavior that
aggressive, disrespectful
are 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
client's responsibility
the 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
provider and the
blames the provider for their father's death. Which of the
following defense
mechanisms is the family member using? ( Correct answers )
Displacement
-When this family member uses displacement, they are transferring their
feelings
anger to of
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 answers ) I
expectwill
father thatno mylonger 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 answers )
Encourage
to rest eachthe client
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 every
3-5mins rest for
hour.
A nurse is leading a medication education group for several clients. A
client who isviolent becomes angry and begins yelling at others in the
sometimes
group.
the Which actions
following of should the nurse take? SATA ( Correct answers )
Move from
away others the
client.
Offer the client a PRN dose of
Ask the client open ended questions about the
lorazepam.
behavior.
-A large personal space should be maintained around the client who is
angry. Ifbehavior
client's the continues to escalate, the nurse should move others
away from
client for their
the
safety.
-Antianxiety medication can be used in conjunction with de-escalation
techniques
prevent a violent
to
episode.
-Communication technique is nonthreatening and encourages the client to
feeling
express their
s.
A charge nurse is planning an in-service for a group of newly licensed nurses
about
use of the
restraints. Which of the following information should the nurse
include? )( Correct
answers Record the client's behavior every 15mins while in
restraints.
-Complete a written record of the client's behavior every 15mins in the
client'swhile
record medical
in restraints. The client should be considered for reintegration
when
are able
theyto follow commands and exhibit self-control of
behavior.
A nurse is assessing a client who has bulimia nervosa. Which of the
following
should thefindings
nurse expect? ( Correct answers ) Dental
caries
-Have dental caries and tooth erosion due to excessive exposure to
stomach acid from
frequent
vomiting.
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
Which of therange.
following instructions should the nurse include to promote the
maintenance
of the therapeutic lithium level? ( Correct answers ) Limit outdoor exercise
during hot
weathe
r.
-Spending time outdoors during hot weather, especially if exercising,
promoting
dehydration and sodium loss through diuresis, which can increase
lithium levels.
Whenever the client exercises, develops diarrhea, vomits, or has any
circumstance
can that
cause dehydration, fluids and electrolytes must be replaced
promptly.
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? (
CORRECT ANSWERS 2025
A nurse is planning care for a client following a suicide attempt. Which of
the following should the nurse include in the plan? ( Correct answers )
interventions
Provide
client with
theplastic eating
utensils.
-The client can use glass dishes and metal silverware to cause self harm,
therefore,
nurse shouldthearrange 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
fearful. Which
andof the following actions should the nurse take first? ( Correct
answers )
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 trust between the client and the nurse, which in turn decreases
establishes
anxiety
the client's
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
should the nurse make? ( Correct answers ) You're afraid you have caused
responses
physical
injury to
yourself?
-Repeating the main idea of what the client has said, which will allow for
clarification
any misunderstanding
of 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
her one of The client is crying and does not make eye contact with the
children.
nurse.
of the following
Which questions should the nurse ask first? ( Correct answers )
Have youof harming
thought
yourself?
-The greatest risk to this client is self harm due to the loss of her child
and home,the first question the nurse should ask a client who is having a
therefore,
personal
is crisis if the client has suicidal ideation. If so, the nurse should
to determine
protect
take actionthe client
to from self
harm.
A nurse is checking laboratory values for a hospitalized young adult
client who
bipolar has and is taking lithium. Which of the following values is the
disorder
prioritytofor
nurse the to the provider? ( Correct answers ) Serum creatinine
report
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 causeinan
increase the client's lithium level; therefore, this value is the priority for
the nurse
report to provider. The clients lithium dosage might need to be
to the
modified
this basedThe
lab value. on cause of increased serum creatinine include dehydration
as well
renal as
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
mental to afacility. Which of the following information should the
health
nurse include?
Correct answers( ) You will still need to give informed consent for
treatment after
admissio
n.
-A client who seeks voluntary admission to a mental health facility has the
same
as clients
rightsreceiving 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
Which
conduct ofdisorder.
the following interventions should the nurse include in the
plan? ( Correct
answers ) Initiate a behavioral contract with
the client.
-A client who has conduct disorder can demonstrate patterns of
behavior that
aggressive, disrespectful
are 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
client's responsibility
the 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
provider and the
blames the provider for their father's death. Which of the
following defense
mechanisms is the family member using? ( Correct answers )
Displacement
-When this family member uses displacement, they are transferring their
feelings
anger to of
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 answers ) I
expectwill
father thatno mylonger 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 answers )
Encourage
to rest eachthe client
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 every
3-5mins rest for
hour.
A nurse is leading a medication education group for several clients. A
client who isviolent becomes angry and begins yelling at others in the
sometimes
group.
the Which actions
following of should the nurse take? SATA ( Correct answers )
Move from
away others the
client.
Offer the client a PRN dose of
Ask the client open ended questions about the
lorazepam.
behavior.
-A large personal space should be maintained around the client who is
angry. Ifbehavior
client's the continues to escalate, the nurse should move others
away from
client for their
the
safety.
-Antianxiety medication can be used in conjunction with de-escalation
techniques
prevent a violent
to
episode.
-Communication technique is nonthreatening and encourages the client to
feeling
express their
s.
A charge nurse is planning an in-service for a group of newly licensed nurses
about
use of the
restraints. Which of the following information should the nurse
include? )( Correct
answers Record the client's behavior every 15mins while in
restraints.
-Complete a written record of the client's behavior every 15mins in the
client'swhile
record medical
in restraints. The client should be considered for reintegration
when
are able
theyto follow commands and exhibit self-control of
behavior.
A nurse is assessing a client who has bulimia nervosa. Which of the
following
should thefindings
nurse expect? ( Correct answers ) Dental
caries
-Have dental caries and tooth erosion due to excessive exposure to
stomach acid from
frequent
vomiting.
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
Which of therange.
following instructions should the nurse include to promote the
maintenance
of the therapeutic lithium level? ( Correct answers ) Limit outdoor exercise
during hot
weathe
r.
-Spending time outdoors during hot weather, especially if exercising,
promoting
dehydration and sodium loss through diuresis, which can increase
lithium levels.
Whenever the client exercises, develops diarrhea, vomits, or has any
circumstance
can that
cause dehydration, fluids and electrolytes must be replaced
promptly.
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? (
