ATI Mental Health Focused Review, ATI Comprehensive NCLEX-RN Review: Mental Health 2024
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Course
ATI MENTAL HEALTH
Institution
ATI MENTAL HEALTH
comorbidities of eating disorders Correct ans - depression, personality disorders, substance use disorder, anxiety
anorexia nervosa Correct ans - persistent energy intake restriction leading to significantly low body weight in context of age, sex, developmental path, and ph...
ATI Mental Health Focused Review, ATI Comprehensive
NCLEX-RN Review: Mental Health, ATI 2016 RN Mental
Health Notes- 359 Questions And Answers – Graded A+
comorbidities of eating disorders Correct ans - depression, personality
disorders, substance use disorder, anxiety
anorexia nervosa Correct ans - persistent energy intake restriction
leading to significantly low body weight in context of age, sex,
developmental path, and physical health
anorexia nervosa types Correct ans - Restricting type - drastically
restricts food intake and does not binge or purge
Binge-eating/purging type - engages in binge eating or purging behaviors
bulimia nervosa Correct ans - recurrently eat large quantities of food
over a short period of time, which can be followed by inappropriate
compensatory behaviors, such as self-induced vomiting to rid the body of the
excess calories
binge eating disorder Correct ans - recurrently eat large quantities of
food over a short period of time without the use of compensatory behaviors
associated with bulimia nervosa
risk factors for eating disorders Correct ans - - occupational choices
that encourage thinness such as modeling
- individual history of being a "picky" eater in childhood
- participation in athletics, especially at the elite level of competition or in a
sport where lean body build is prized or where a specific weight is necessary
nursing history for eating disorder should include... Correct ans - -
client's perception of the issue
- eating habits
- hx of dieting
- methods of weight control
- value attached to specific weight and shape
- interpersonal and social functioning
- difficulty with impulsivity or compulsivity
- family and interpersonal relationships
criteria for acute care treatment of a client with an eating disorder
Correct ans - - rapid weight loss of greater than 30% of body weight over 6
months
,- unsuccessful weight gain in outpatient treatment, failure to adhere to
treatment contract
- vital signs demonstrating HR less than 40/min, systolic BP less than 70,
body temp less than 36 C
- ECG changes
- electrolyte disturbances
- psychiatric criteria (depression, SI, family crisis, psychosis)
Refeeding syndrome Correct ans - a potentially fatal complication that
can occur when fluids, electrolytes, and carbs are introduced to a severely
malnourished client
A nurse is preparing to obtain a nursing history from a client who has a new
diagnosis of anorexia nervosa. Which of the following questions should the
nurse to include in the assessment? (select all that apply.)
A. "What is your relationship like with your family?"
B. "Why do you want to lose weight?"
C. "Would you describe your current eating habits?"
D. "At what weight do you believe you will look better?"
E. "Can you discuss your feelings about your appearance?" Correct ans
- ACE
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss and a current weight of 90 lb. Which of the following
statements indicates the client is experiencing the cognitive distortion of
catastrophizing?
A. "Life isn't worth living if I gain weight."
B. "Don't pretend like you don't know how fat i am."
C. "If i could be skinny, i know i'd be popular."
D. "When i look in the mirror, I see myself as obese." Correct ans - A
A nurse is performing an admission assessment of a client who has bulimia
nervosa with purging behavior. Which of the following is an expected
finding? (select all that apply.)
A. Amenorrhea
B. Hypokalemia
C. Mottling of the skin
D. Slightly elevated body weight
E. Presence of lanugo on the face Correct ans - BD
A nurse on an acute care unit is planning care for a client who has anorexia
nervosa with binge-eating and purging behavior. Which of the following
nursing actions should the nurse include in the client's plan of care?
,A. Allow the client to select preferred meal times.
B. Establish consequences for purging behavior.
C. Provide the client with a high-fat diet at the start of treatment.
D. Implement one-to-one observation during meal times. Correct ans -
D
A nurse is caring for a client who has bulimia nervosa and has stopped
purging behavior. the client tells the nurse that she is afraid she is going to
gain weight. Which of the following response should the nurse make?
A. "Many clients are concerned about their weight. However, the dietitian will
ensure that you don't get too many calories in your diet."
B. "Instead of worrying about your weight, try to focus on other problems at
this time."
C. "I understand you have concerns about your weight, but first, let's talk
about your recent accomplishments."
D. "You are not overweight, and the staff will ensure that you do not gain
weight while you are in the hospital. We know that is important to you."
Correct ans - C
disorders that can appear during childhood and adolescence Correct
ans - - depressive
- anxiety
- trauma/stressor related
- substance use
- feeding and eating
- disruptive, impulse control, and conduct
- neurodevelopmental
- bipolar and related
- schizophrenia spectrum and other psychotic
- non-suicidal self-harm and suicidal behaviors
- impulse control disorders
expected findings of depressive disorders Correct ans - Feelings of
sadness
Loss of appetite
Nonspecific complaints related to health
Engaging in solitary play or work
Changes in appetite, resulting in weight changes
Changes in sleeping patterns
Crying
Loss of energy
Irritability
Aggression
High-risk behavior
, Poor school performance and/or dropping out of school
Feelings of hopelessness about the future
Suicidal ideation or suicide attempts
depressive disorders - risk factors Correct ans - Family history of
depression
Physical or sexual abuse or neglect
Homelessness
Disputes among parents, conflicts with peers or family, and rejection by
peers or family
Bullying, either as the aggressor or victim, including traditional bullying and
cyberbullying behavior
Engaging in high-risk behaviors
Learning disabilities
Chronic illness
Separation anxiety disorder Correct ans - Characterized by excessive
anxiety when a child is separated from or anticipating separation from home
or parents. Can develop into a school phobia or phobia of being left alone.
Depression is also common
Posttraumatic stress disorder Correct ans - PTSD is precipitated by
experiencing, witnessing, or learning of a traumatic event.
Children and adolescents who have PTSD exhibit psychological indications of
anxiety, depression, phobia, or conversion reactions.
If the anxiety resulting from PTSD is displayed externally, it is often
manifested as irritability and aggression with family and friends, poor
academic performance, somatic reports, belief that life will be short, and
difficulty sleeping.
Oppositional defiant disorder Correct ans - Negativity
Disobedience
Hostility
Defiant behaviors (especially toward authority figures)
Stubbornness
Argumentativeness
Limit testing
Unwillingness to compromise
Refusal to accept responsibility for misbehavior
can exhibit low self-esteem, mood lability, and a low frustration threshold
can develop into conduct disorder
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