ATI Course Guides d'étude, Notes de cours & Résumés

Level of Consciousness: Alert Correct Answer - -responsive -able to fully respond by opening eyes & attending to normal tone of voice & speech -answers questions spontaneously & appropriately Level of Consciousness: Lethargic Correct Answer - -able to open eyes & respond but is drowsy -falls asleep readily Level of Consciousness: Stuporous Correct Answer - -patient requires vigorous or painful stimuli to elicit a brief response -might not be able to respond verbally Level of Conscio...

Always assess clients in holistic manner. Each will a require an ongoing assessment Correct Answer - observation, interviewing, physical examination, and collaboration Psychosocial history Correct Answer - perception of own health, beliefs about illness and wellness. Activity/leisure activities, how they pass their time. Use of substance abuse or disorder. Stress level and coping abilities like coping strategies, support systems. Cultural beliefs and practices, and spiritual beliefs. Menta...

risk factors for depression Correct Answer - COPD conduct disorder - destructive manner Correct Answer - reduce stimuli ethical justice Correct Answer - adequate time with verbally abusive plans for depressive disorders - understanding of teaching Correct Answer - update as manifestations change withdrawn & fearful Correct Answer - admission is confidential PTSD anxiety reduction Correct Answer - guided imagery diazepam 7.5mg for alcohol withdrawal Correct Answer - 1.5mL 12h...

RN is admitting client who has a alcohol use disorder. Which of the following statements by the client indicates that the client is using denial as a defense mechanism? A. I put in extra hours at work so I won't think about drinking B. I know that wine is good for my heart, so that's why I drink some each evening C. I make up for my drinking by taking my partner on nice vacations D. I am able to go to work every day, so I don't have a problem Correct Answer - A. I put in extra hours at ...

Borderline Personality Disorder Correct Answer - High risk for self-harm or suicide. "Cutters" Agoraphobia Correct Answer - Clients avoid being outside and have impaired ability to work or perform duties. Acute Dystonia Correct Answer - Side effect of Thorazine. Severe spasms of tongue, neck, and back. Requires rapid treatment. Treat with anticholinergic agents. Akathisia Correct Answer - Inability to sit or stand still, continual pacing and agitation. Manage symptoms with beta2-adren...

Which is not an organization that set up the provision of care for clients in a mental health care setting? 1. American Nurses Association (ANA) 2. American Psychiatric Nurses Association 3. National Mental Health Nursing Association 4. International Society of Psychiatric Mental Health Nurses Correct Answer - 3 In addition to the nursing process, which aspects of the holistic approach should nurses working in mental health settings use (select all that apply): 1. biological 2. social ...

1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should continue this medication if you develop muscle rigidity". b. "You will experience weight loss while taking this medication." c. "You will notice your symptoms improve within 24 hours of taking this medication." d. "You should increase your consumption of complex carbohydrates." Correct Answer -...

A nurse enters a clients room and observes that the client is agitated and pacing rapidly. the client looks at the nurse and says back off leave me alone. which of the following statements should the nurse make? Correct Answer - I demand that you come down now your behavior is unacceptable I will close the door to provide privacy and you can tell me what is bothering you I will give you space if you calm down tell me what is causing you to feel so tense*** I will leave you alone for a...

It is important to ask this during assessment? Correct Answer - - Perception of own health/beliefs about illness and wellness - how the client passes time - use of substances/disorders - cultural beliefs and practices -spiritual bliefs Mental Status Exam (MSE) Correct Answer - used to describe LOC -alert -lethargy -stupor -coma MSE what is alert? Correct Answer - client is responsive and answers questions spontaneously and appropriately MSE what is lethargy? Correct Answer - ope...

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client? Correct Answer - Respiratory depression A nurse in a mental health facility is planning to promote the development of a theraputic relationship with a newly admitted client. Which of the following actions should the nurse plan to take? Correct Answer - Identify professional boundaries during the initial interaction Incor...