VATI PN Mental Health Assessment with Verified Answers and Rationale |Latest 2024/ 2025.
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VATI PN Mental Health Assessment
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VATI PN Mental Health Assessment
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following findings should the nurse report to the provider immediately? The client sleeps about 2 hr per night.
Bipolar disorder is a complex mood disorder characterized by cycles of depression and mani...
VATI PN Mental Health Assessment with
Verified Answers and Rationale 2025.
A nurse is caring for a client who is in the manic phase of bipolar
disorder. Which of the following findings should the nurse report to the
provider immediately? The client sleeps about 2 hr per night.
Bipolar disorder is a complex mood disorder characterized by cycles of
depression and mania. In the manic state, clients have boundless
energy and neglect physical needs such as sleep. The greatest risk to the
client is physical exhaustion, which could result in death. The nurse
should immediately report this finding to the provider.
A nurse is caring for a client who says, "I quit taking my lithium. I did not
like the way I felt on that drug." Which of the following responses
should the nurse make? "How do you feel when you take the
medication?"
encouraging the client to describe their perception of the medication's
adverse effects. This is a therapeutic communication technique in which
the nurse asks an open-ended question to obtain further information
from the client. The nurse is also
,A nurse is preparing to collect data from a client who has delirium.
Which of the following findings should the nurse expect?
Disorientation that fluctuates
Disorientation that fluctuates is an expected finding for a client who has
delirium. Other expected findings include an inability to focus and
disorganized thinking. The client might also be either hyperactive,
hypoactive, or a combination of the two.
A nurse is caring for a client who is obese and states, "I need to lose
weight to be attractive again." Which of the following actions should
the nurse take first to promote positive self-esteem? Ask the client
how they feel about their weight and appearance.
The first action the nurse should take when using the nursing process is
to collect data from the client. By identifying the client's feelings about
their weight and appearance, the nurse can determine the client's
specific concerns and provide interventions that meet the client's
individual needs.
A nurse is assisting with planning care for a client who is in the manic
phase of bipolar disorder. Which of the following actions is the priority
for the nurse to include in the plan? Offer frequent high-calorie
fluids throughout the day.
, The priority action the nurse should take when using Maslow's
hierarchy of needs is to meet the client's physiological need for food
and fluids. The priority nursing action is to frequently.offer the client
high-calorie fluids to prevent dehydration and ensure the client's caloric
is adequate to meet intake physical needs.
A nurse is reinforcing teaching with a client who has bipolar disorder
and a new prescription for valproic acid. Which of the following
manifestations should the nurse instruct the client to report to the
provider as an adverse effect of this medication? Abdominal pain
The nurse should instruct the client that abdominal pain can indicate
hepatoxicity or pancreatitis, both adverse effects of valproic acid;
therefore, the client should report this to the provider.
A nurse is establishing a therapeutic relationship with a client who has
generalized anxiety disorder. Which of the following actions should the
nurse take first? Explain confidentiality guidelines to the client.
Evidence-based practice indicates that the nurse should first begin a
therapeutic relationship with the orientation phase. During this phase,
the nurse should explain the guidelines for confidentiality. This initial
step in developing a therapeutic relationship builds trust between the
client and the nurse.
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