ATI Mental Health Flashcards 2022
Levels of Consciousness
• Alert
• Patient is Responsive, Opens Eyes Spontaneously, and Answers Questions Appropriately
• Lethargic
• Patient Can Open Eyes & Respond to Questions, But Falls Asleep Quickly
• Obtunded
• Patient Responds to Light...
Alert
Patient is Responsive, Opens Eyes Spontaneously, and
Answers Questions Appropriately
Lethargic
Patient Can Open Eyes & Respond to Questions, But Falls
Asleep Quickly
Obtunded
Patient Responds to Light Shaking, But is Confused & Slow to
Respond
Stuporous
Patient Barely Responds to Painful Stimuli (Like Sternal Rub)
Comatose
Patient is Unresponsive & Abnormal Posturing May Be
Present
Decorticate
Arms Flexed & Inwardly Rotated, Legs Extended & Inwardly
Rotated
Decerebrate
Head Arched Back, Arms & Legs Extended
Nursing Ethical Principles
Autonomy
, Patient has the right to make his/her own decisions, even if
not in their best interest
Beneficence
Do what is Best for the Patient (Do Good)
Fidelity
Keep Your Promises
Justice
Provide Fairness in Care & Allocation of Resources
Nonmaleficence
Do No Harm
Veracity
Tell the Truth
Patient Rights
Refusal of Treatment
Even Pts Who Are Involuntarily Admitted Have the Right to Refuse
Treatment
Confidentiality
HIPPA States Health Info Cannot be Released W/O the Pt’s
Permission
If Someone Calls to Get an Update, Suggest They Reach Out
to the Pt’s Family Regarding the Pt’s Condition
If You Overhear a Convo in the Elevator, Take Immediate
Action to Stop the Violation
Mandatory Reporting
, Nurses are Required to Report Suspicion of Abuse, and
to Warn/Protect 3rd Parties Who are at Risk for Harm
Informed Consent
Provider Responsibilities
Communicate Purpose of Procedure, & Complete Description
of Procedure in Pt’s Primary Language (Use Interpreter)
Explain Risk v. Benefits
Describe Other Options
RN Responsibilities
Make sure Provider Gave the Pt the Above Information
Ensure Pt is Competent to Give Consent (Adult or
Emancipated Minor, Not Impaired)
Have Pt Sign Consent
Notify Provider if Pt Has More Questions or Doesn’t
Understand Any of the Info
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