RN VATI Mental Health Assessment |Questions with Verified Answers and Rationale |Latest 2024/2025.
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RN VATI Mental Health
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RN VATI Mental Health
A nurse is providing teaching about levels of anxiety to a group of clients who have anxiety disorders. Which of the following statements should the nurse include? Moderate anxiety causes HA and insomnia.
-Somatic manifestations begin during moderate anxiety. Clients can experience urinary fre...
RN VATI Mental Health Assessment |Questions
with Verified Answers and Rationale 2025.
A nurse is providing teaching about levels of anxiety to a group of
clients who have anxiety disorders. Which of the following statements
should the nurse include? Moderate anxiety causes HA and
insomnia.
-Somatic manifestations begin during moderate anxiety. Clients can
experience urinary frequency, muscle tension, HA and insomnia. If
anxiety progresses to severe levels, somatic manifestations worsen and
can include chest pain, dizziness, and diaphoresis.
A nurse in an acute care mental health facility is preparing a client for
discharge. Which of the following tasks should the nurse include in the
termination phase of the nurse-client relationship? Make
appropriate referrals.
-During the termination phase of the nurse-client relationship, the
nurse should make referrals to appropriate agencies for the client to
contact if they need help in the future. It is also necessary for the nurse
to collaborate with the client's case manager prior to making referrals
to ensure continuity of care for the client.
,A nurse is providing morning care for a client who has Alzheimer's
disease and has frequent outbursts of aggression. Which of the
following actions should the nurse take? Limit the client's choices.
-Asking the client to choose between three or four options can lead to
anxiety and agitation; Therefore, if the client is capable of making
choices, the nurse should limit choices to no more than two at a time,
such as making decisions about eating and getting dressed.
A home health nurse is providing education for the family of a client
who has dementia. Which of the following interventions should the
nurse recommend? Limit fluid intake after the client's evening
meal.
-Educate the family to limit the client's fluid intake after the evening
meal around 1800. The family should offer the client fluids every 2hrs
during the day to prevent dehydration, but to minimize nighttime
incontinence, they should limit or restrict fluid intake after 1800.
A nurse is assessing a client who has bipolar disorder and is
experiencing mania. Which of the following findings is the priority for
the nurse to report to the provider? The client refuses to drink
fluids.
-Severe dehydration can cause cardiac arrhythmias due to fluid and
electrolyte imbalances. The nurse should continue to offer the client
,fluids at least once per hour, and encourage the client to drink the fluids
using a clean and calm tone.
A nurse is caring for a client following a fire that destroyed her home
and killed one of her children. The client is crying and does not make
eye contact with the nurse. Which of the following questions should the
nurse ask first? Have you thought of harming yourself?
-The greatest risk to this client is self harm due to the loss of her child
and home, therefore, the first question the nurse should ask a client
who is having a personal crisis is to determine if the client has suicidal
ideation. If so, the nurse should take action to protect the client from
self harm.
A nurse is checking laboratory values for a hospitalized young adult
client who has bipolar disorder and is taking lithium. Which of the
following values is the priority for the nurse to report to the provider?
Serum creatinine 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
cause an increase in the client's lithium level; therefore, this value is the
priority for the nurse to report to the provider. The clients lithium
dosage might need to be modified based on this lab value. The cause of
increased serum creatinine include dehydration as well as renal
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 to a mental health facility. Which of the following
information should the nurse include? You will still need to give
informed consent for treatment after admission.
-A client who seeks voluntary admission to a mental health facility has
the same rights as clients receiving 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
conduct disorder. Which of the following interventions should the nurse
include in the plan? Initiate a behavioral contract with the client.
-A client who has conduct disorder can demonstrate patterns of
behavior that are aggressive, disrespectful 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 the client's
responsibility 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 the provider and blames the provider for
their father's death. Which of the following defense mechanisms is the
family member using? Displacement
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