Ati Cms Mental Health Review Exam With Correct Answers Latest Updated 2023

ATI CMS MENTAL HEALTH REVIEW EXAM WITH CORRECT ANSWERS LATEST UPDATED 2023 LOC - ALERT (Correct Answer) - patient is responsive opens eyes spontaneously answers questions appropriately LOC - LETHARGIC (Correct Answer) - patient can open eyesand respond to questions falls asleep easily LOC - OBTUNDED (Correct Answer) - patient responds to light shaking is confused slow to respond LOC - STUPOROUS (Correct Answer) - patient barely respondsto painful stimuli *example* rubbing sternum LOC - COMATOSE (Correct Answer) - patient is unresponsive abnormal posturing may be present DECORTICATE POSTURING (Correct Answer) - arms flexed/internally rotated legs extended/internally rotated DECEREBRATE POSTURING (Correct Answer) - head arched back arms/legs extended AUTONOMY (Correct Answer) - patient has the right to make their own decisions even if not in their best interest BENEFICENCE (Correct Answer) - do what is best for the patient *do good* FIDELITY (Correct Answer) - keep your promises loyalty/faithfulness JUSTICE (Correct Answer) - provide fairness in care and allocation of resources NONMALEFICENCE (Correct Answer) - do no harm VERACITY (Correct Answer) - tell the truth PATIENT RIGHTS - REFUSAL OF TREATMENT (Correct Answer) - even patients who are involuntarily admitted have the right to refuse treatment PATIENT RIGHTS - CONFIDENTIALITY (Correct Answer) - HIPAA states that health information cannot be released without patient's permission client's right to privacy continues even after death CONFIDENTIALITY - NURSING ACTIONS (Correct Answer) - if someone calls to get an update, suggest they reach out to the patient's family if you overhear a conversation in a public space, take action to stop the violation PATIENT RIGHTS - MANDATORY REPORTING (Correct Answer) - nurses are required to report suspicion of abuse warn/protect third parties who are at risk for harm INFORMED CONSENT - PROVIDER RESPONSIBILITIES (Correct Answer) - communicate purpose of procedure provide a complete description of procedure in patient's primary language (use interpreter if needed) explain risks vs. benefits describe other options to treat condition INFORMED CONSENT - NURSE/RN RESPONSIBILITIES (Correct Answer) - make sure provider gave patient appropriate informationregarding procedure ensure that patient is competent to give informed consent have patient sign consent document notify provider if patient has more questions or doesn't understand information provided RESTRAINTS - TYPES (Correct Answer) - *Physical* - vest - belt - mitten Chemical - sedative Rx - antipsychotic Rx RESTRAINTS - ALTERNATIVES (Correct Answer) - provide verbal interventions diversions calm/quiet environment RESTRAINTS - PRESCRIPTIONS (Correct Answer) - MUST BE IN WRITING prescription must be rewritten every 24 hours in an emergency situation, a nurse may use restraints, but must obtain a written prescription per facility policy (usually within 15-30 minutes) RESTRAINTS - TIME LIMITS (Correct Answer) - Adults 4 hours Ages 9 - 17 2 hours *Ages 8 and Under* 1 hour RESTRAINTS - DOCUMENTATION (Correct Answer) - complete every 15-30 minutes *include the following:* - precipitating event - alternative interventions attempted - time treatment began - medication(s) administered - patient assessment (current behavior, VS, pain) - patient care provided (food, toileting