ATI RN Mental Health Proctored Exam | With Human Case
Analysis ,100% Correct Answers | Solution A+.
Cluster C Personality Disorders (Anxious, fearful, traits. Insecurity and inadequacy) -
CORRECT ANSWERS-Avoidant: characterized by social inhibition and avoidance of all
situations that require interpersonal contact, despite wanting close relationships, due to
extreme fear of rejection; often very anxious in social situations. Fear of abandonment
Dependent: characterized by extreme dependency in a close relationship with an urgent
search to find a replacement when one relationship ends
Obsessive-Compulsive: characterized by perfectionism with a focus on orderliness and
control of the extent that the individual may not be able to accomplish a given task
Paranoid: characterized by distrust and suspiciousness toward others based on
unfounded beliefs that others want to harm, exploit or deceive the person
Schizoid: characterized by emotional detachment, disinterest in close relationships and
indifference to praise or criticism; often uncooperative
Schizotypal: characterized by odd beliefs lead to interpersonal difficulties, an eccentric
appearance and magical thinking or perceptual distortions that are not clear delusions
or hallucinations
Cluster B Personality Disorders (Dramatic, Emotional, or Erratic traits) - CORRECT
ANSWERS-Antisocial: characterized by disregard for others with exploitation, repeated
unlawful actions, deceit, and failure to accept personal responsibility
Borderline: characterized by instability of affect, identity, and relationships as well as
splitting behaviors, manipulation, impulsiveness, and fear of abandonment; often tries
self-injury and may be suicidal
Histrionic: characterized by emotional attention-seeking behavior, in which the person
needs to be the center of attention; often seductive and flirtatious
Narcissistic: characterized by arrogance, grandiose views of self-importance, the need
for constant admiration
Confabulation - CORRECT ANSWERS-Seen with cognitive disorders
Client may make up stories when questioned about events or activities that she does
not remember
,Perseveration: - CORRECT ANSWERS-Client avoids answering questions by repeating
phrases or behaviors
(Grandpa Mose!)
Delirium Meds - CORRECT ANSWERS-Antipsychotics or antianxiety meds may be
used
Neurocognitive Disorder Meds - CORRECT ANSWERS-Medications such as Donepezil
(Aricept), Rivastigmine (Exelon) and Galantamine (Razadyne) increase actetylcholine at
cholinergic synapses by inhbiting its breakdown by acetylcholinterase, which increases
the availability of acteylcholine at neurotransmitter receptor sites in the CNS
Adverse effects: nausea & diarrhea which in occur in about 10% of patients
Bradycardia
Medication approved for moderate stages of alzheimers - CORRECT ANSWERS-
Memantine (Namenda)
Delirium expected findings - CORRECT ANSWERS-Family report of personality
changes
Hallucinations
Restlessness
Severity Scale for substance use disorder - CORRECT ANSWERS-0-1=no diagnosis of
substance abuse
2-3=mild substance abuse
4-5=moderate substance abuse
6 or more= severe substance abuse
Common defense mechanism with substance abuse - CORRECT ANSWERS-Denial
Nicotine Withdrawal med - CORRECT ANSWERS-Bupropion (Zyban)
Anorexia - CORRECT ANSWERS-Voluntary refusal to eat
Body weight less than 85% of expected normal weight for individual)
Restricting Type: individual drastically restricts food intake and does not binge or purge
Binge-eating/purging type: engages in binge-eating or purging behaviors
Binge Eating Disorder - CORRECT ANSWERS-Client recurrently eat large quantities of
food over a short period of time without the use of compensatory behaviors associated
with bulimia nervosa
Weight gain increases risk for:
-diabetes
-HTN
,-Cancer
Overgeneralization - CORRECT ANSWERS-"Other girls don't like me because I'm fat"
"All or Nothing" Thinking - CORRECT ANSWERS-"If I eat any dessert, I will gain 50 lbs"
Wernicke-Korsakoff Expected Finding - CORRECT ANSWERS-Confusion
Heroin Intoxication Expected Finding - CORRECT ANSWERS-Respiratory Depression
Reaction of Terminal Cancer Diagnosis - CORRECT ANSWERS-Denial
Valproic Acid Teaching - CORRECT ANSWERS-Teach the need to regularly monitor
liver function levels due to the risk of hepatotoxicity
When should Donapezil be taken? - CORRECT ANSWERS-Bedtime to reduce the risks
for injury due to bradycardia and syncope
Methadone is indicated for TX of.... - CORRECT ANSWERS-Opiate use disorder
Phenelzine---Finding to report - CORRECT ANSWERS-Elevated BP: increases risk for
hypertensive crisis
This is an MAOI!
Acute Main---Priority Goal - CORRECT ANSWERS-Maintain adequate hydration
Binge-eating expected finding - CORRECT ANSWERS-Abdominal pain
Stage 4 Alzheimers expected finding - CORRECT ANSWERS-Client is able to identify
the names of family members
Restricting type anorexia expected finding - CORRECT ANSWERS-Decreased caloric
intake due to excessive fear of weight gain
ECT Potential Complications - CORRECT ANSWERS-Cardiac arryhthmia
Cocaine intoxication expected finding - CORRECT ANSWERS-Dilated pupils
Benzo---finding that would indicate questioning the provider - CORRECT ANSWERS-
Hypotension
Alcohol Withdrawal Medication - CORRECT ANSWERS-Disulfram
, Can give____________with lithium - CORRECT ANSWERS-Valproic Acid
Both treat bipolar
Common adverse effect of Buspirone - CORRECT ANSWERS-Dizziness
Confusion develops...... - CORRECT ANSWERS-SLOWLY with alzheimers
What food type to avoid with Disulfram - CORRECT ANSWERS-Pure vanilla extract
Conduct Disorder expected finding - CORRECT ANSWERS-Aggressive behavior
toward others
Heroin withdrawal expected findings - CORRECT ANSWERS-Muscle aches
Alcohol withdrawal expected findings - CORRECT ANSWERS-Insomnia and
restlessness
Mematine is used to treat - CORRECT ANSWERS-Severe alzheimers
ADHD teaching - CORRECT ANSWERS-Ignore child's attention seeking behaviors that
are not dangerous
Rape-Trauma Syndrome finding - CORRECT ANSWERS-Report of intense guilt
Medication that is given during alcohol detox - CORRECT ANSWERS-Diazepam
ECT expected findings - CORRECT ANSWERS-Memory loss
Nausea
Tachycardia
ECT is given for - CORRECT ANSWERS-Bipolar with rapid cycling
Vagus Nerve Stimulation adverse effects - CORRECT ANSWERS-Voice changes
Dysphagia
Neck pain
Modeling - CORRECT ANSWERS-Allows client to see a demonstration of appropriate
behaviors in a stressful situation. The goal is that the client will imitate the behaviors
Systemic Desentization - CORRECT ANSWERS-Begins with mastering of relaxation
techniques. Then a client is exposed to increasing levels of anxiety-producing stimulus.
Flooding - CORRECT ANSWERS-Exposing the client to a great deal of undesirable
stimulus in an attempt to turn off anxiety response.
Most useful for phobias
Analysis ,100% Correct Answers | Solution A+.
Cluster C Personality Disorders (Anxious, fearful, traits. Insecurity and inadequacy) -
CORRECT ANSWERS-Avoidant: characterized by social inhibition and avoidance of all
situations that require interpersonal contact, despite wanting close relationships, due to
extreme fear of rejection; often very anxious in social situations. Fear of abandonment
Dependent: characterized by extreme dependency in a close relationship with an urgent
search to find a replacement when one relationship ends
Obsessive-Compulsive: characterized by perfectionism with a focus on orderliness and
control of the extent that the individual may not be able to accomplish a given task
Paranoid: characterized by distrust and suspiciousness toward others based on
unfounded beliefs that others want to harm, exploit or deceive the person
Schizoid: characterized by emotional detachment, disinterest in close relationships and
indifference to praise or criticism; often uncooperative
Schizotypal: characterized by odd beliefs lead to interpersonal difficulties, an eccentric
appearance and magical thinking or perceptual distortions that are not clear delusions
or hallucinations
Cluster B Personality Disorders (Dramatic, Emotional, or Erratic traits) - CORRECT
ANSWERS-Antisocial: characterized by disregard for others with exploitation, repeated
unlawful actions, deceit, and failure to accept personal responsibility
Borderline: characterized by instability of affect, identity, and relationships as well as
splitting behaviors, manipulation, impulsiveness, and fear of abandonment; often tries
self-injury and may be suicidal
Histrionic: characterized by emotional attention-seeking behavior, in which the person
needs to be the center of attention; often seductive and flirtatious
Narcissistic: characterized by arrogance, grandiose views of self-importance, the need
for constant admiration
Confabulation - CORRECT ANSWERS-Seen with cognitive disorders
Client may make up stories when questioned about events or activities that she does
not remember
,Perseveration: - CORRECT ANSWERS-Client avoids answering questions by repeating
phrases or behaviors
(Grandpa Mose!)
Delirium Meds - CORRECT ANSWERS-Antipsychotics or antianxiety meds may be
used
Neurocognitive Disorder Meds - CORRECT ANSWERS-Medications such as Donepezil
(Aricept), Rivastigmine (Exelon) and Galantamine (Razadyne) increase actetylcholine at
cholinergic synapses by inhbiting its breakdown by acetylcholinterase, which increases
the availability of acteylcholine at neurotransmitter receptor sites in the CNS
Adverse effects: nausea & diarrhea which in occur in about 10% of patients
Bradycardia
Medication approved for moderate stages of alzheimers - CORRECT ANSWERS-
Memantine (Namenda)
Delirium expected findings - CORRECT ANSWERS-Family report of personality
changes
Hallucinations
Restlessness
Severity Scale for substance use disorder - CORRECT ANSWERS-0-1=no diagnosis of
substance abuse
2-3=mild substance abuse
4-5=moderate substance abuse
6 or more= severe substance abuse
Common defense mechanism with substance abuse - CORRECT ANSWERS-Denial
Nicotine Withdrawal med - CORRECT ANSWERS-Bupropion (Zyban)
Anorexia - CORRECT ANSWERS-Voluntary refusal to eat
Body weight less than 85% of expected normal weight for individual)
Restricting Type: individual drastically restricts food intake and does not binge or purge
Binge-eating/purging type: engages in binge-eating or purging behaviors
Binge Eating Disorder - CORRECT ANSWERS-Client recurrently eat large quantities of
food over a short period of time without the use of compensatory behaviors associated
with bulimia nervosa
Weight gain increases risk for:
-diabetes
-HTN
,-Cancer
Overgeneralization - CORRECT ANSWERS-"Other girls don't like me because I'm fat"
"All or Nothing" Thinking - CORRECT ANSWERS-"If I eat any dessert, I will gain 50 lbs"
Wernicke-Korsakoff Expected Finding - CORRECT ANSWERS-Confusion
Heroin Intoxication Expected Finding - CORRECT ANSWERS-Respiratory Depression
Reaction of Terminal Cancer Diagnosis - CORRECT ANSWERS-Denial
Valproic Acid Teaching - CORRECT ANSWERS-Teach the need to regularly monitor
liver function levels due to the risk of hepatotoxicity
When should Donapezil be taken? - CORRECT ANSWERS-Bedtime to reduce the risks
for injury due to bradycardia and syncope
Methadone is indicated for TX of.... - CORRECT ANSWERS-Opiate use disorder
Phenelzine---Finding to report - CORRECT ANSWERS-Elevated BP: increases risk for
hypertensive crisis
This is an MAOI!
Acute Main---Priority Goal - CORRECT ANSWERS-Maintain adequate hydration
Binge-eating expected finding - CORRECT ANSWERS-Abdominal pain
Stage 4 Alzheimers expected finding - CORRECT ANSWERS-Client is able to identify
the names of family members
Restricting type anorexia expected finding - CORRECT ANSWERS-Decreased caloric
intake due to excessive fear of weight gain
ECT Potential Complications - CORRECT ANSWERS-Cardiac arryhthmia
Cocaine intoxication expected finding - CORRECT ANSWERS-Dilated pupils
Benzo---finding that would indicate questioning the provider - CORRECT ANSWERS-
Hypotension
Alcohol Withdrawal Medication - CORRECT ANSWERS-Disulfram
, Can give____________with lithium - CORRECT ANSWERS-Valproic Acid
Both treat bipolar
Common adverse effect of Buspirone - CORRECT ANSWERS-Dizziness
Confusion develops...... - CORRECT ANSWERS-SLOWLY with alzheimers
What food type to avoid with Disulfram - CORRECT ANSWERS-Pure vanilla extract
Conduct Disorder expected finding - CORRECT ANSWERS-Aggressive behavior
toward others
Heroin withdrawal expected findings - CORRECT ANSWERS-Muscle aches
Alcohol withdrawal expected findings - CORRECT ANSWERS-Insomnia and
restlessness
Mematine is used to treat - CORRECT ANSWERS-Severe alzheimers
ADHD teaching - CORRECT ANSWERS-Ignore child's attention seeking behaviors that
are not dangerous
Rape-Trauma Syndrome finding - CORRECT ANSWERS-Report of intense guilt
Medication that is given during alcohol detox - CORRECT ANSWERS-Diazepam
ECT expected findings - CORRECT ANSWERS-Memory loss
Nausea
Tachycardia
ECT is given for - CORRECT ANSWERS-Bipolar with rapid cycling
Vagus Nerve Stimulation adverse effects - CORRECT ANSWERS-Voice changes
Dysphagia
Neck pain
Modeling - CORRECT ANSWERS-Allows client to see a demonstration of appropriate
behaviors in a stressful situation. The goal is that the client will imitate the behaviors
Systemic Desentization - CORRECT ANSWERS-Begins with mastering of relaxation
techniques. Then a client is exposed to increasing levels of anxiety-producing stimulus.
Flooding - CORRECT ANSWERS-Exposing the client to a great deal of undesirable
stimulus in an attempt to turn off anxiety response.
Most useful for phobias
