ATI Proctor Study - PN Mental Health
(UNIT 1 &2)
Psychosocial History - answer Determine the client's perception of own health, beliefs
about illness and wellness
Mental Status Examination (MSE ) - answer-Level of conscious
-Physical appearance
-Behavior
-Cognitive and intellectual abilities (countdown or/and includes writing)
Memory for MSE - answer-IMMEDIATE: ask client to repeat series of numbers or a list
of objects
-RECENT: ask client to recall recent event or purpose of appointment or admission
-REMOTE: ask client state fact from past (ex. mothers birthday)
HEADSSS standardized assessment tool - answer-Home:
-Education/employment
-Activities
-Drug and Substance abuse
-Sexuality
-Suicide/depression
-Safety
Q1. A nurse is discussing mental status examinations with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - answer- To check the cognitive ability, i should ask the
client to count backwards by seven
-To check affect, I should observe the client's facial expression
-To check language ability, I should instruct the client to write a sentence.
A nurse is contributing to a plan of care for a client who has a mental health disorder.
Which of the following actions should the nurse include as psychobiological
intervention? - answer-Monitor the client for adverse effects of medications
A nurse in an outpatient mental health clinic is preparing to assist with an initial client
interview. When conducting the interview, which of the following actions should the
nurse identify as the priority? - answer-Identify the client's perception of their mental
health status
((Data collection is priority))
, Diagnostic and Statistical Manual of Mental Disorders (DSM) - answer- establish
diagnostic criteria for mental health disorder
-used by nurses to plan, implement and evaluate care for client's who have mental
health disorder
-identifies expected findings for mental health disorder
Ethical issues - answer-Beneficence
-Autonomy
-Justice
-Fidelity
-Veracity
Beneficence - answerDoing good; charity
ex) nurse helps newly admitted client with psychotic disorder feel safe in the
environment
Autonomy - answerClient's right to make their own decision.
- client must accept consequence of decision and respect decision of others
ex)nurse helps gives options for client and they choose
Justice - answerfair and equal treatment for all
ex) clients are treated equally
Fidelity - answerLoyalty and faithfulness to client and to one's duty
ex)Nurse remains with client that ask nurse to be present when they talk to guardian for
first time in years
Veracity - answerHonesty
ex) Nurse tells truth about questions ask about how client is doing.
When can healthcare professional break confidentiality? - answer-Duty to warn and
protect third party
-report of child and vulnerable adult abuse
Types of Mental Health admissions - answer-Informal admission
-voluntary admission
-temporary emergency admission
-involuntary admission
Informal admission - answer- The least restrictive form of admission for treatment.
- The client does not pose a substantial threat to self or others.
- The client is free to leave the hospital at any time, even against medical advice.
Voluntary admission - answer-Inpatient care sought by a patient or patient's guardian
through a written application to the facility.
(UNIT 1 &2)
Psychosocial History - answer Determine the client's perception of own health, beliefs
about illness and wellness
Mental Status Examination (MSE ) - answer-Level of conscious
-Physical appearance
-Behavior
-Cognitive and intellectual abilities (countdown or/and includes writing)
Memory for MSE - answer-IMMEDIATE: ask client to repeat series of numbers or a list
of objects
-RECENT: ask client to recall recent event or purpose of appointment or admission
-REMOTE: ask client state fact from past (ex. mothers birthday)
HEADSSS standardized assessment tool - answer-Home:
-Education/employment
-Activities
-Drug and Substance abuse
-Sexuality
-Suicide/depression
-Safety
Q1. A nurse is discussing mental status examinations with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - answer- To check the cognitive ability, i should ask the
client to count backwards by seven
-To check affect, I should observe the client's facial expression
-To check language ability, I should instruct the client to write a sentence.
A nurse is contributing to a plan of care for a client who has a mental health disorder.
Which of the following actions should the nurse include as psychobiological
intervention? - answer-Monitor the client for adverse effects of medications
A nurse in an outpatient mental health clinic is preparing to assist with an initial client
interview. When conducting the interview, which of the following actions should the
nurse identify as the priority? - answer-Identify the client's perception of their mental
health status
((Data collection is priority))
, Diagnostic and Statistical Manual of Mental Disorders (DSM) - answer- establish
diagnostic criteria for mental health disorder
-used by nurses to plan, implement and evaluate care for client's who have mental
health disorder
-identifies expected findings for mental health disorder
Ethical issues - answer-Beneficence
-Autonomy
-Justice
-Fidelity
-Veracity
Beneficence - answerDoing good; charity
ex) nurse helps newly admitted client with psychotic disorder feel safe in the
environment
Autonomy - answerClient's right to make their own decision.
- client must accept consequence of decision and respect decision of others
ex)nurse helps gives options for client and they choose
Justice - answerfair and equal treatment for all
ex) clients are treated equally
Fidelity - answerLoyalty and faithfulness to client and to one's duty
ex)Nurse remains with client that ask nurse to be present when they talk to guardian for
first time in years
Veracity - answerHonesty
ex) Nurse tells truth about questions ask about how client is doing.
When can healthcare professional break confidentiality? - answer-Duty to warn and
protect third party
-report of child and vulnerable adult abuse
Types of Mental Health admissions - answer-Informal admission
-voluntary admission
-temporary emergency admission
-involuntary admission
Informal admission - answer- The least restrictive form of admission for treatment.
- The client does not pose a substantial threat to self or others.
- The client is free to leave the hospital at any time, even against medical advice.
Voluntary admission - answer-Inpatient care sought by a patient or patient's guardian
through a written application to the facility.
