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Exam (elaborations)

ATI Mental Health Questions And Answers

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  • ATI Mental Health Proctor
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  • ATI Mental Health Proctor

If client has Alzheimer's disease and frequent outbursts of aggression ~ limit client's choices; maintain eye contact, a comfortable posture, w/arms and hands relaxed; avoid touching client and stand 1 to 2 armlengths from client when interacting; promote expression of feelings and reminiscen...

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  • August 7, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI Mental Health Proctor
  • ATI Mental Health Proctor
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ATI Mental Health Questions
And Answers

Spiritual practices related to death for *Muslims*


✓~ -turn client on right side to face Mecca;

-when death occurs, body must be covered at all times and it is preferred that

only workers of same sex touch the client




Erikson's Stages of Growth and Development


✓~ Trust vs Mistrust [birth to 1 yr];

Autonomy vs Shame and Doubt [1-3 yrs];


Initiative vs Guilt [3-6 yrs];


Industry vs Inferiority [6-12 yrs];


Identity vs Role Confusion [12-20 yrs];


Intimacy vs Isolation [20-35 yrs];


Generativity vs Stagnation [35-65 yrs];


Integrity vs Despair [65 yr to death]

,Priority for PTSD client


✓~ safety; making the client feel safe




DNR vs Living Will


✓~ DNR is a *medical* document the HCP creates - a living will is a

*legal* document the client creates; DNR can be included in a living will but it

can be totally separate; if DNR w/o a living will, the family can have a say-so

about resuscitation efforts




ADHD - Teaching for Parents


✓~ -Model positive behaviors;

-Verbal instruction combined w/visual cues;


-Structured activities should be planned for the AM;


-Use charts to assist w/organization




Electroconvulsive therapy (ECT)

, ✓~ -lithium and MAOIs should be discontinued 2 weeks prior to

procedure;

-atropine is given IM 30 min prior to procedure to decrease secretions;


-succinylcholine immediately following admin of -anesthesia prior to procedure

to prevent muscle contractions and fractures




ECT - What to monitor *during* therapy


✓~ -respiratory rate and effort;

-BP;


-duration of seizure [typical is 25-60 seconds; seizures greater than 90 seconds

are treated w/diazepam [Valium]




Phases of a therapeutic nurse-client relationship


✓~ *PREINTERACTION* - before contact w/client; RN focuses on own

preconceived ideas, stereotypes, etc.;

*ORIENTATION/INTRODUCTORY* - establish acceptance, trust, boundaries;

identify expectations and time frame; define goals; discuss and prepare for

termination and separation of relationship;

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