ATI - Mental Health Proctored Exam Study Guide
The client is responsive and able to fully respond by opening their eyes and attending to a normal tone of voice and speech. What is the level of consciousness? - ANS Alert
...
, A
R
The client is responsive and able to fully respond by opening their eyes and attending to a
normal tone of voice and speech. What is the level of consciousness? - ANS Alert
U
The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is
the level of consciousness? - ANS Lethargic
LA
The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit
a brief response. They might not be able to respond verbally. What is the level of
consciousness? - ANS Stuporous
The client is unconscious and does not respond to painful stimuli. What is the level of
C
consciousness? - ANS Comatose
How to test a client's immediate memory - ANS Ask the client to repeat a series of
numbers or a list of objects
O
How to test a client's recent memory - ANS Ask the client to recall recent events, such as
visitors from the current day, or the purpose of the current mental health appointment or
D
admission
How to test a client's remote memory - ANS Ask the client to state a fact from his past that
is verifiable, such as his birth date or his mother's maiden name
How to assess a client's ability to calculate - ANS Ask the client to count backward from
100 in sevens
How to assess a client's ability to think abstractly - ANS Ask the client to interpret
something complex such as, "A bird in the hand is worth two in the bush."
,Glasgow coma scale - ANS Used to obtain a baseline assessment of a client's level of
consciousness; highest score is 15 and indicates that the client is awake and responding
appropriately; a score of 7 or less indicates that the client is in a coma
Serious mental illness - ANS Includes disorders classified as severe and persistent mental
illnesses; clients often have difficulty with ADLs; can be chronic or recurrent
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?
A
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
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D. Monitor the client for adverse effects of the medications. - ANS D. Monitoring for
adverse effects of medications is an example of a psychobiological intervention. Systematic
desensitization is cognitive and behavioral. Teaching coping mechanisms is a counseling or
health teaching. Assessing for comorbid conditions is health promotion and maintenance.
U
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview.
When conducting the interview, which of the following actions should the nurse identify as the
LA
priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder. - ANS B. Assessment is the
C
priority action. Identifying the client's perception of her mental health status provides important
information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous. When assessing the
O
client, which of the following findings should the nurse expect?
A. The client arouses briefly in response to a sternal rub.
D
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place. - ANS A. A client who is stuporous
requires vigorous or painful stimuli to elicit a response. B & C occur with comatose patients.
A nurse is planning a peer group discussion about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
, C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. - ANS
B, D, & E.
The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and identifies
expected findings for mental health disorders. The DSM-5 does not contain client education
handouts or recommended pharmacological treatment.
Fidelity - ANS Loyalty and faithfulness to the client and to one's duty
A
Requirements for restraining a patient - ANS Provider must prescribe the restraint in
writing; time limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for age 8 and
younger; must be reviewed every 24 hr; documentation must be done every 15-30 min
R
Altruism - ANS Dealing with anxiety by reaching out to others
Sublimation - ANS Dealing with unacceptable feelings or impulses by unconsciously
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substituting acceptable forms of expression
Suppression - ANS Voluntarily denying unpleasant thoughts and feelings
LA
Repression - ANS Unconsciously putting unacceptable ideas, thoughts, and emotions out
of awareness
Regression - ANS Sudden use of childlike or primitive behaviors that do not correlate with
the person's current developmental level
C
Displacement - ANS Shifting feelings related to an object, person, or situation to another
less threatening object, person, or situation
O
Reaction formation - ANS Overcompensating or demonstrating the opposite behavior of
what is felt
D
Undoing - ANS Performing an act to make up for prior behavior
Rationalization - ANS Creating reasonable and acceptable explanations for unacceptable
behavior
Dissociation - ANS Creating a temporary compartmentalization or lack of connection
between the person's identity, memory, or how they perceive the environment
Denial - ANS Pretending the truth is not reality to manage the anxiety of acknowledging
what is real
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