VATI Mental Health (GRADED A) Questions and Answers | Complete solution | 100 out of 100 | 100% CORRECT

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VATI Mental Health Assessment 1. A nurse is planning care for a client following a suicide attempt. • Provide the client with plastic eating utensils 2. A nurse is performing an admission assessm... ent for a client who appears withdrawn and fearful. • Inform the client that this admission is confidential 3. A nurse is caring for an adolescent client who has anorexia nervosa. • “You’re afraid you have caused physical injury to yourself? 4. A nurse is caring for a client following a fire that destroyed her home and killed on of her children. • Have you thought of harming yourself? 5. A nurse is checking laboratory values for a hospitalized young adult client who has bipolar disorder and is taking lithium. • Serum creatinine 2.1 6. A nurse is providing information to a client who is seeking voluntary admission to a mental health facility. • You will still need to give informed consent for treatments after admission 7. A nurse is developing a plan of care for an adolescent client who has conduct disorder. • Initiate a behavioral contract with the client 8. A hospice nurse is talking with the family of a client who recently died from cancer following a series of chemotherapy treatments. • Displacement 9. 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 • I expect that my father will no longer be confused when he is discharged 10. A nurse is caring for a client who is experiencing a manic episode. • Encourage the client to rest each hour 11. A nurse is leading a medication education group for several clients. (select all that apply) • Move others away from the client • Offer the client a PRN dose of Lorazepam • Ask the client open-ended questions about the behavior 12. A charge nurse is planning an in-service for a group of newly licensed nurses about the use of restraints. • Record the client’s behavior every 15 minutes while in restraints 13. A nurse is assessing a client who has bulimia nervosa. • Dental caries 14. A nurse is providing teaching to a client who has bipolar and has been taking lithium for 4 months. • Limit outdoor exercise during hot weather. 15. A nurse on a mental health unit is conduction one-on-one session with a client who suddenly becomes silent. • I’ve notices you have become quiet. Please share with me what you are thinking 16. A nurse is caring for a client who appears extremely agitated and believes that pacing the floor a specific number of times is necessary or “something terrible will happen” • It must be hard for you to have to pace the floor. Let’s talk about your feelings 17. A nurse is discussing therapeutic communication with a group of newly licensed nurses • And after that? 18. A nurse in a community program for clients who experience partner violence is planning secondary prevention strategies. • Coordinating community resources for a hospitalized client 19. A nurse is caring for an adult client who was involuntarily admitted following a suicide attempt. • I cannot discuss your spouse’s health information with you without his consent. 20. A nurse is planning to teach a group of clients about techniques to change unwanted behaviors. • Role playing 21. A home health nurse is caring for a new client who has hoarding disorder that involves food. • Assist the client with completing the hoarding scale self-report 22. A nurse is caring for a client who is experiencing mania and is place in seclusion due to escalating behavior. • Check the client’s physical needs every 15 min while in seclusion 23. A nurse is assisting in obtaining informed consent from a client who is scheduled for Vagus nerve stimulation • Ensure the client signs the form voluntarily 24. A nurse is caring for a client who has a depressive disorder and recently started taking a selective serotonin reuptake inhibitor. • Hyperpyrexia 25. A nurse is assessing a group of clients in a community health clinic. Select all that apply • A 7 yr old • A 2 yr old • An 80 yr old 26. A nurse is providing dietary teaching to a client who has a prescription for tranylcypromine. • Avocados 27. A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. • Tachycardia 28. A nurse in a mental health clinic is assessing a client who has dependent personality disorder. • Avoids self-responsibility 29. A nurse is planning care for a client who is withdrawing from alcohol • Diazepam 30. A charge nurse is conducting an in-service for a group of newly licensed nurses about risk factor for child maltreatment. • A child who was born with a cleft lip and palate 31. A nurse in an acute mental health facility is caring for a client who has generalized anxiety disorder and suddenly begins pacing • Walk with the client while setting physical limits in her behavior 32. A nurse is caring for a client who has schizophrenia and is exhibiting violent behavior • Request that the provider see the client within 1 hr. 33. A nurse in a mental health facility is caring for a client who has frequent episodes of aggressive and violent behavior. (select all that apply) • Uses profanity • Clenches and unclenches the jaw • Maintains intense eye contact • Paces the floor 34. A nurse is assigning tasks to a licensed practical nurse and an AP. • Remain with the client who has anorexia nervosa following a meal 35. Med math • 15 ml 36. A nurse in an emergency department is preparing to discharge a client who has severe hypertension and requires detoxification for an alcohol use disorder • A residential rehabilitation programs 37. A nurse in an outpatient mental health facility is assessing a family unit that consists of grandparents, parents • Genogram 38. A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone • It does not cause physical dependence 39. A nurse is creating a plan of care for a client who has posttraumatic stress disorder (PTSD) • Assign the same staff to care for the client 40. A nurse in a mental health clinic received a phone call from a client who has a mental health and lives and home. • Case manager 41. A nurse is reviewing a laboratory report of a client who is taking olanzapine • Fasting blood glucose 140 42. A charge nurse on a mental health unit is discussing legal issue with a newly licensed nurse. • If a client threatens to seriously harm someone, the provider should notify that person of threat 43. A nurse in an acute care mental health facility is preparing a client for discharge. • Make appropriate referrals 44. A home health nurse is providing education for the family of a client who has dementia. • Limit fluid intake after the client’s evening meal 45. A nurse is assessing a client who has bipolar disorder and is experiencing mania. • The client refuses to drink fluids 46. A nurse is caring for a client who has bipolar disorder and is taking carbamazepine. • Ataxia 47. A nurse in an emergency department is caring for a school-age child who has lacerations and bruises inflicted by his mother • Your child will be privately interviewed about the incident 48. A nurse is counseling a client who has alcohol use disorder and has chosen to enter a treatment program. • Outpatient treatment program 49. A nurse is providing morning care for a client who has Alzheimer’s disease and has frequent outbursts of aggression. • Limit the client’s choices 50. A nurse is caring for a client who has schizophrenia and is experiencing frequent delusions • Identify the client’s feelings underlying the delusions 51. A nurse is caring for a client whose partner died 3 years ago. • Chronic grief 52. A nurse is planning care to assist a client with smoking cessation • Bupropion 53. A nurse is discussing resources with the case manager of a client who has schizophrenia and heart failure. • Patient-centered medical home 54. A nurse in an acute mental health facility is assessing a newly admitted client who has schizophrenia • Command hallucinations 55. A nurse is teaching a client about biofeedback therapy. • This therapy will help me recognize changes in my blood pressure 56. A nurse is assessing a client who is experiencing mild anxiety • Sharpened perceptions 57. A nurse is performing a mental status examination of a client • What did you have for dinner last night? 58. A nurse is creating a plan of care for a newly admitted client who has anorexia nervosa • Weigh the client daily after first voiding 59. A nurse is assessing a client for substance use disorder. Yawning, pupillary dilation • Heroin 60. A nurse in an emergency department is assessing an older adult client who was brought in by a family member. Select all that apply • Change in LOC • Decreased attention span • Hallucinations [Show More]

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