ATI - Mental Health Proctored Exam Study Guide with
question and answer 100% correct
Terms in this
set (726)
The client is responsive and able to fully Alert
respond by opening their eyes and
attending to a normal tone of voice and
speech. What is the level of consciousness?
The client is able to open their eyes and Lethargic
respond but is drowsy and falls asleep
readily. What is the level of consciousness?
The client requires vigorous or painful Stuporous
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?
The client is unconscious and does not Comatose
respond to painful stimuli. What is the level
of consciousness?
,How to test a client's immediate memory Ask the client to repeat a series of numbers or a list of objects
How to test a client's recent memory Ask the client to recall recent events, such as visitors from
the current day, or the purpose of the current mental
health
appointment or admission
How to test a client's remote memory 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 Ask the client to count backward from 100 in sevens
How to assess a client's ability to think Ask the client to interpret something complex such as, "A
abstractly bird in the hand is worth two in the bush."
Glasgow coma scale 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 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 D. Monitoring for adverse effects of medications is
a mental health disorder. Which of the an example of a psychobiological intervention.
following actions should the nurse include Systematic
as a psychobiological intervention? desensitization is cognitive and behavioral. Teaching coping
mechanisms is a counseling or health teaching. Assessing for
A. Assist the client with systematic comorbid conditions is health promotion and maintenance.
desensitization therapy.
B. Teach the client appropriate coping
mechanisms.
C. Assess the client for comorbid health
conditions.
D. Monitor the client for adverse effects of
the medications.
A nurse in an outpatient mental health clinic B. Assessment is the priority action. Identifying the client's
is preparing to conduct an initial client perception of her mental health status provides
interview. When conducting the interview, important information about the client's psychosocial
which of the following actions should the history.
nurse identify as the 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.
,A nurse is told during change of shift report A. A client who is stuporous requires vigorous or painful
that a client is stuporous. When stimuli to elicit a response. B & C occur with
assessing the client, which of the comatose patients.
following findings
should the nurse expect?
A. The client arouses briefly in response to a
sternal rub.
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.
A nurse is planning a peer group discussion B, D, & E.
about the DSM-5. Which of the following
information is appropriate to include in the The DSM-5 establishes diagnostic criteria, assists nurses in
discussion? (Select all that apply) planning care, and identifies expected findings for mental
health disorders. The DSM-5 does not contain client
A. The DSM-5 includes client education education handouts or recommended pharmacological
handouts for mental health treatment.
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.
Fidelity Loyalty and faithfulness to the client and to one's duty
Requirements for restraining a patient 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
Altruism Dealing with anxiety by reaching out to others
Sublimation Dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
Suppression Voluntarily denying unpleasant thoughts and feelings
Repression Unconsciously putting unacceptable ideas, thoughts, and
emotions out of awareness
Regression Sudden use of childlike or primitive behaviors that do not
correlate with the person's current developmental level
, Displacement Shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
Reaction formation Overcompensating or demonstrating the opposite behavior of
what is felt
Undoing Performing an act to make up for prior behavior
Rationalization Creating reasonable and acceptable explanations for
unacceptable behavior
Dissociation Creating a temporary compartmentalization or lack of
connection between the person's identity, memory, or how
they perceive the environment
Denial Pretending the truth is not reality to manage the anxiety of
acknowledging what is real
Compensation Emphasizing strengths to make up for weaknesses
Identification Conscious or unconscious assumption of the characteristics of
another individual or group
Intellectualization Separation of emotional and logical facts when analyzing or
coping with a situation or event
Conversion Responding to stress through the unconscious development
of physical manifestations not caused by a physical
illness
Splitting Demonstrating an inability to reconcile negative and positive
attributes of self or others
Projection Attributing one's unacceptable thoughts and feelings onto
another who does not have them
Mild anxiety Occurs in normal experience of everyday living, increases
one's ability to perceive reality, has an identifiable cause
Moderate anxiety Slightly reduced perception and processing of information
occurs and selective inattention can occur, ability to think
clearly is hampered but learning and problem solving can still
occur, may show increased HR and RR
Severe anxiety Perceptual field is greatly reduced with distorted perceptions,
learning and problem solving do not occur, may cause
increased HR and RR
Panic level anxiety Characterized by markedly disturbed behavior, cannot
process what is occurring in the environment and can lose
touch with reality, experiences extreme fight and horror
question and answer 100% correct
Terms in this
set (726)
The client is responsive and able to fully Alert
respond by opening their eyes and
attending to a normal tone of voice and
speech. What is the level of consciousness?
The client is able to open their eyes and Lethargic
respond but is drowsy and falls asleep
readily. What is the level of consciousness?
The client requires vigorous or painful Stuporous
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?
The client is unconscious and does not Comatose
respond to painful stimuli. What is the level
of consciousness?
,How to test a client's immediate memory Ask the client to repeat a series of numbers or a list of objects
How to test a client's recent memory Ask the client to recall recent events, such as visitors from
the current day, or the purpose of the current mental
health
appointment or admission
How to test a client's remote memory 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 Ask the client to count backward from 100 in sevens
How to assess a client's ability to think Ask the client to interpret something complex such as, "A
abstractly bird in the hand is worth two in the bush."
Glasgow coma scale 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 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 D. Monitoring for adverse effects of medications is
a mental health disorder. Which of the an example of a psychobiological intervention.
following actions should the nurse include Systematic
as a psychobiological intervention? desensitization is cognitive and behavioral. Teaching coping
mechanisms is a counseling or health teaching. Assessing for
A. Assist the client with systematic comorbid conditions is health promotion and maintenance.
desensitization therapy.
B. Teach the client appropriate coping
mechanisms.
C. Assess the client for comorbid health
conditions.
D. Monitor the client for adverse effects of
the medications.
A nurse in an outpatient mental health clinic B. Assessment is the priority action. Identifying the client's
is preparing to conduct an initial client perception of her mental health status provides
interview. When conducting the interview, important information about the client's psychosocial
which of the following actions should the history.
nurse identify as the 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.
,A nurse is told during change of shift report A. A client who is stuporous requires vigorous or painful
that a client is stuporous. When stimuli to elicit a response. B & C occur with
assessing the client, which of the comatose patients.
following findings
should the nurse expect?
A. The client arouses briefly in response to a
sternal rub.
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.
A nurse is planning a peer group discussion B, D, & E.
about the DSM-5. Which of the following
information is appropriate to include in the The DSM-5 establishes diagnostic criteria, assists nurses in
discussion? (Select all that apply) planning care, and identifies expected findings for mental
health disorders. The DSM-5 does not contain client
A. The DSM-5 includes client education education handouts or recommended pharmacological
handouts for mental health treatment.
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.
Fidelity Loyalty and faithfulness to the client and to one's duty
Requirements for restraining a patient 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
Altruism Dealing with anxiety by reaching out to others
Sublimation Dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
Suppression Voluntarily denying unpleasant thoughts and feelings
Repression Unconsciously putting unacceptable ideas, thoughts, and
emotions out of awareness
Regression Sudden use of childlike or primitive behaviors that do not
correlate with the person's current developmental level
, Displacement Shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
Reaction formation Overcompensating or demonstrating the opposite behavior of
what is felt
Undoing Performing an act to make up for prior behavior
Rationalization Creating reasonable and acceptable explanations for
unacceptable behavior
Dissociation Creating a temporary compartmentalization or lack of
connection between the person's identity, memory, or how
they perceive the environment
Denial Pretending the truth is not reality to manage the anxiety of
acknowledging what is real
Compensation Emphasizing strengths to make up for weaknesses
Identification Conscious or unconscious assumption of the characteristics of
another individual or group
Intellectualization Separation of emotional and logical facts when analyzing or
coping with a situation or event
Conversion Responding to stress through the unconscious development
of physical manifestations not caused by a physical
illness
Splitting Demonstrating an inability to reconcile negative and positive
attributes of self or others
Projection Attributing one's unacceptable thoughts and feelings onto
another who does not have them
Mild anxiety Occurs in normal experience of everyday living, increases
one's ability to perceive reality, has an identifiable cause
Moderate anxiety Slightly reduced perception and processing of information
occurs and selective inattention can occur, ability to think
clearly is hampered but learning and problem solving can still
occur, may show increased HR and RR
Severe anxiety Perceptual field is greatly reduced with distorted perceptions,
learning and problem solving do not occur, may cause
increased HR and RR
Panic level anxiety Characterized by markedly disturbed behavior, cannot
process what is occurring in the environment and can lose
touch with reality, experiences extreme fight and horror
