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MENTAL HEALTH RN VATI MENTAL HEALTH RN VATI ASSESSMENT, Exams of Psychiatry

Johns Hopkins University (JHU)Psychiatry

RN VATI MENTAL HEALTH RN VATI MENTAL HEALTH 2019 ASSESSMENT QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS BRAND NEW 2025

Typology: Exams

2024/2025

Available from 07/14/2025

Prof.-Judith-Bass
Prof.-Judith-Bass šŸ‡ŗšŸ‡ø

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RN VATI MENTAL HEALTH RN VATI MENTAL HEALTH 2019
ASSESSMENT QUESTIONS WITH COMPLETE SOLUTIONS
GUARANTEED PASS BRAND NEW 2025
A nurse is planning care for a client following a suicide attempt.
Which of the following interventions should the nurse include in
the plan? - ANSWER - >Provide the client with plastic eating
utensils.
-The client can use glass dishes and metal silverware to cause
self harm, therefore, the nurse should arrange 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appears withdrawn and fearful. Which of the following actions
should the nurse take first? - ANSWER - >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 establishes trust
between the client and the nurse, which in turn decreases the
client's anxiety level.
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Download MENTAL HEALTH RN VATI MENTAL HEALTH RN VATI ASSESSMENT and more Exams Psychiatry in PDF only on Docsity!

RN VATI MENTAL HEALTH RN VATI MENTAL HEALTH 2019

ASSESSMENT QUESTIONS WITH COMPLETE SOLUTIONS

GUARANTEED PASS BRAND NEW 2025

A nurse is planning care for a client following a suicide attempt. Which of the following interventions should the nurse include in the plan? - ANSWER - >Provide the client with plastic eating utensils.

  • The client can use glass dishes and metal silverware to cause self harm, therefore, the nurse should arrange 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 A nurse is performing an admission assessment for a client who appears withdrawn and fearful. Which of the following actions should the nurse take first? - ANSWER - >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 establishes trust between the client and the nurse, which in turn decreases the client's anxiety 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 responses should the nurse make? - ANSWER - >You're afraid you have caused physical injury to yourself?

  • Repeating the main idea of what the client has said, which will allow for clarification of any misunderstanding 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 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? - ANSWER - >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.

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? - ANSWER - >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? - ANSWER -

    Displacement

  • When this family member uses displacement, they are transferring their feelings of anger to 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? - ANSWER - >I expect that my father will no longer 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? - ANSWER - >Encourage the client to rest each 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 rest for 3 - 5mins every hour. A nurse is leading a medication education group for several clients. A client who is sometimes violent becomes angry and begins yelling at others in the group. Which of the following

A nurse is assessing a client who has bulimia nervosa. Which of the following findings should the nurse expect? - ANSWER -

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 range. Which of the following instructions should the nurse include to promote the maintenance of the therapeutic lithium level? - ANSWER - >Limit outdoor exercise during hot weather. - 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 that can 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? - ANSWER - >I've

noticed you have become quiets. Please share with me what you are thinking.

  • Making observation about the clients feelings, which encourages the client to discuss their thoughts, and facilitates further communication with the nurse. 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. Which of the following responses should the nurse make? - ANSWER - >It must be hard for you to have to pace the floor. Let's talk about your feelings.
  • Making observations and offering a general lead, which allows clients to notice their behavior and discuss their feelings with the nurse. The client is displaying obsessivecompulsive behavior. Clients who have this disorder are aware that their behavior is excessive but are unable to stop the behavior. A nurse is discussing therapeutic communication with a group of newly licensed nurses. Which of the following phrases should the
  • HIPAA protects a client privacy regardless of admission status. The client can approve individuals with whom the nurse can share information. Releasing protected health information without permission from the client is an invasion of privacy and a HIPAA violation. A nurse is planning to teach a group of clients about techniques to change unwanted behaviors. Which of the following techniques is the nurse using when she acts out different scenarios and has clients respond by practicing new behaviors? - ANSWER - >Role Playing.
  • The nurse can assign specific roles to clients and develop scripts for them to use when acting out different situations. This allows clients to see how their behavior affects others and gives them an opportunity to practice new behaviors. A home health nurse is caring for a new client who has hoarding disorder that involves food. Which of the following actions should the nurse take first? - ANSWER - >Assist the client with completing the Hoarding Scale Self Report.
  • Asking the client to complete the report provides data about the severity of the clients hoarding behavior. A nurse is caring for a client who is experiencing mania and is placed in seclusion due to escalating behavior. Which of the following actions should the nurse take? - ANSWER - >Check the client's physical needs every 15mins while in seclusion.
  • Assess and document the client's physical, comfort, and safety needs every 15mins. Assessing and documenting at such frequent intervals minimizes the risk of injury to the client and provides a legal record of the care the client is receiving. A nurse is assisting in obtaining informed consent from a client who is scheduled for Vagus nerve stimulation. Which of the following actions should the nurse take to act as a client advocate? - ANSWER - >Ensure the client signs the form voluntarily.
  • The nurse acts a client advocate by ensuring that the client gives consent voluntarily, appears competent to provide consent, and has received information about the purpose, alternatives, risks, and benefits of the procedure.

regarding injuries that do not match the presentation of an injury are suspicious and must be reported to the appropriate agency. A spiral fracture is most likely to be caused by an adult twisting a child's limb with their hands, rather than by a fall from a swing.

  • The nurse must report suspicious assessment data in vulnerable older adults as well as children. Perineal bruising is not expected in an older adult who has dementia and should be reported. A nurse is providing dietary teaching to a client who has a prescription for tranylcypromine. The nurse should instruct the client to avoid which of the following foods while taking this medication? - ANSWER - >Avocados
  • High tyramine content, which promotes the release of norepinephrine from sympathetic neurons. Consuming avocados while taking tranylcypromine can result in a hypertensive crisis due to massive vasoconstriction and excessive stimulation of the heart. Tyramine levels are highest in very ripe avocados. A nurse is planning care for a client who is taking benztropine to reduce extrapyramidal manifestations developed secondary to taking an antipsychotic medication. For which of the following adverse effects of benztropine should the nurse monitor? -

ANSWER>>Tachycardia

  • At risk for palpitations and tachycardia caused by anticholinergic toxicity. Common adverse effects associated with anticholinergic medications include dry mouth, blurred vision, urinary retention, constipation, photophobia, and tachycardia. Benztropine is commonly prescribed for clients who take antipsychotic agents and who are experiencing extrapyramidal effects, such as Pseudoparkinsonism with tremors, shuffling gait, and drooling or dystonia with painful contractions of the jaw or neck. A nurse in a mental health clinic is assessing a client who has dependent personality disorder. Which of the following findings should the nurse expect? - ANSWER - >Avoids self responsibility.
  • Has a great need to be taken care of, which leads to fears of separation, difficulty making decisions, and avoidance of taking responsibility for most aspects of life. A nurse is planning care for a client who is withdrawing from alcohol. Which of the following medications should the nurse plan to administer during the acute phase of alcohol withdrawal? - ANSWER - >Diazepam
  • The client is experiencing panic level anxiety and might display unsafe behavior during this time. The nurse should stay with the client and allow her to walk around to decrease tension and anxiety. A nurse is caring for a client who has schizophrenia and is exhibiting violent behavior. After staff members place the client in restraints, which of the following actions should the nurse take? - ANSWER - >Request that the provider see the client within 1hr.
  • Notify the clients provider of the need for restraints and request that the provider assess the client within 1hr. A nurse in a mental health facility is caring for a client who has frequent episodes of aggressive and violent behavior. The nurse should identify which of the following findings as indications that the client is at risk for imminent violence? SATA - ANSWER -

    Uses profanity to express emotions. Clenches and unclenches the jaw. Maintains intense eye contact. Paces the floor.

  • Increase in profanity can be a manifestation of escalating behavior, which can signal a violent episode. Some clients speak more loudly when they become angry, while others become very quiet or speak more softly.
  • As behavior escalates toward violence, the nurse might observe the client clenching and unclenching the jaw or fist, or standing with a rigid posture.
  • Maintaining intense eye contact or suddenly avoiding eye contact are manifestations associated with imminent violence.
  • Client who becomes more active or restless and paces often around the unit is at a high risk for becoming violent. A nurse is assigning tasks to a licensed practical nurse and an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? - ANSWER - >Remain with a client who has anorexia nervosa following a meal.
  • At risk for purging following a meal. It is within the range of function of the AP to remain with the client following the meal to ensure the client complies with the plan of care and does not purge.

A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. The nurse should identify that which of the following outcomes is an advantage of buspirone? - ANSWER

  • It does not cause physical dependence.

  • Unlike other antianxiety agents, buspirone is not a CNS depressant. It does not cause physical or psychological dependence and does not produce tolerance. Buspirone might also be prescribed for clients who have other types of anxiety disorders, such as obsessive-compulsive disorder. A nurse is creating a plan of care for a client who has posttraumatic stress disorder (PTSD). Which of the following interventions should the nurse include in the plan? - ANSWER -

Assign the same staff to care for the client.

  • Client who has PTSD can be suspicious of others in their environment and assigning the same staff will facilitate a trusting relationship. A nurse in a mental health clinic receives a phone call from a client who has a mental health disorder and lives at home. The

client reports they cannot afford to refill their prescription for an antipsychotic medication and requests assistance. Which of the following members of the client's health care team should the nurse notify? - ANSWER>>Case Manager

  • A case manager or social worker coordinates care for a client who has a mental health disorder, including sources of financial aid. They can provide care in the client's home, school, or place of employment. This care can include medication monitoring and guidance with community services. A nurse is reviewing a laboratory report of a client who is taking olanzapine. Which of the following laboratory values should the nurse report to the provider? - ANSWER - >Fasting blood glucose 140 mg/dL.
  • Olanzapine is an atypical antipsychotic medication prescribed for the treatment of schizophrenia. An adverse effect is hyperglycemia. The expected reference range for fasting glucose is 74-106 mg/dL.