ATI RN MENTAL HEALTH PROCTORED
EXAM END OF COURSE STUDY GUIDE
LATEST UPDATED ACTUAL TESTED
QUESTIONS AND CORRECT ANSWERS
⩥ Where to refer someone for borderline personality disorder?
Answer: - Limit setting and consistency
- Individual approach
- Client will refrain from self-mutilation
- CBT-Dialectical behavior therapy
⩥ For histrionic/dependent patient being discharged -->
Answer: Need assertive community treatment
⩥ School age children with ADD > intervention = ?
Answer: Calm, firm, respect, use modeling
Get attention before giving directions
Clear limits, consistant
Physical activities
Assist in coping mechanisms and medications
,⩥ Patient with Suicidal Ideation, what do you ask?
Answer: "Do you have a plan"
⩥ Patient states that are going to harm mother in law > ?
Answer: Duty to protect (direct threat) > Notify provider
⩥ Narcissistic Personality Disorder:
Answer: Arrogance, grandiose views of self importance
Need for constant admiration
Lack of empathy for others
Sensitive to critiscism
⩥ Patients states they are being abused > What do you do?
Answer: Help make a safety/ escape plan
⩥ If you suspect abuse, but the physician doesn't ?
Answer: Still report it !!
⩥ Signs of child abuse:
Answer: - Inconsistency in story
- Unusual bruising abdomen, back, buttocks (common to have arms and
legs)
,⩥ Which symptom has the highest priority?
Answer: Command hallucinations always has priority
-- Needs further eval !
⩥ Who is most at risks for abuse?
Answer: Elderly
Under 3 years old
Female
Person leaving relationship
Within family
⩥ Adventitious crisis ?
Answer: FIRE : think tornado, flood, natural disaster
⩥ Older adult PT losses his wife, what will you ask him?
Answer: Do you want to harm yourself?
⩥ Ways to help decrease anxiety ?
Answer: Journaling, identify triggers, open ending questions ,
therapeutic communication, systematic desentize, flooding, thought
stopping, response prevention, relaxtion, modeling
, ⩥ Patient doesn't want anyone knowing they are there, what do you tell
them?
Answer: "I may share info with treatment team"
⩥ Seclusion
Answer: Clients behavior documents not feelings
⩥ Who's at risk for abuse?
Answer: Child with down syndrome (vulnerable population)
⩥ Codependence behavior = ?
Answer: Shouldn't enable patients
-- There must be consequences for actions
⩥ Which is maladaptive grieving?
Answer: Anger
⩥ Risk factors-being dependent on disease:
Answer: - Unexpected death at young age
- Inadequate coping skills
- Pre-existing mental health issue, EX: Depression or substance abuse
EXAM END OF COURSE STUDY GUIDE
LATEST UPDATED ACTUAL TESTED
QUESTIONS AND CORRECT ANSWERS
⩥ Where to refer someone for borderline personality disorder?
Answer: - Limit setting and consistency
- Individual approach
- Client will refrain from self-mutilation
- CBT-Dialectical behavior therapy
⩥ For histrionic/dependent patient being discharged -->
Answer: Need assertive community treatment
⩥ School age children with ADD > intervention = ?
Answer: Calm, firm, respect, use modeling
Get attention before giving directions
Clear limits, consistant
Physical activities
Assist in coping mechanisms and medications
,⩥ Patient with Suicidal Ideation, what do you ask?
Answer: "Do you have a plan"
⩥ Patient states that are going to harm mother in law > ?
Answer: Duty to protect (direct threat) > Notify provider
⩥ Narcissistic Personality Disorder:
Answer: Arrogance, grandiose views of self importance
Need for constant admiration
Lack of empathy for others
Sensitive to critiscism
⩥ Patients states they are being abused > What do you do?
Answer: Help make a safety/ escape plan
⩥ If you suspect abuse, but the physician doesn't ?
Answer: Still report it !!
⩥ Signs of child abuse:
Answer: - Inconsistency in story
- Unusual bruising abdomen, back, buttocks (common to have arms and
legs)
,⩥ Which symptom has the highest priority?
Answer: Command hallucinations always has priority
-- Needs further eval !
⩥ Who is most at risks for abuse?
Answer: Elderly
Under 3 years old
Female
Person leaving relationship
Within family
⩥ Adventitious crisis ?
Answer: FIRE : think tornado, flood, natural disaster
⩥ Older adult PT losses his wife, what will you ask him?
Answer: Do you want to harm yourself?
⩥ Ways to help decrease anxiety ?
Answer: Journaling, identify triggers, open ending questions ,
therapeutic communication, systematic desentize, flooding, thought
stopping, response prevention, relaxtion, modeling
, ⩥ Patient doesn't want anyone knowing they are there, what do you tell
them?
Answer: "I may share info with treatment team"
⩥ Seclusion
Answer: Clients behavior documents not feelings
⩥ Who's at risk for abuse?
Answer: Child with down syndrome (vulnerable population)
⩥ Codependence behavior = ?
Answer: Shouldn't enable patients
-- There must be consequences for actions
⩥ Which is maladaptive grieving?
Answer: Anger
⩥ Risk factors-being dependent on disease:
Answer: - Unexpected death at young age
- Inadequate coping skills
- Pre-existing mental health issue, EX: Depression or substance abuse
