MENTAL HEALTH CMS ATI EXAM WITH ACCURATE
EXAM QUESTIONS AND 100% CORRECT ANSWERS/ ATI
MENTAL HEALTH CMS EXAM ACTUAL EXAM /ALREADY
GRADED A+
Bipolar - mania interventions - ANSWER: use firm calm approach;
provide frequent high-calorie foods;
maintain low-level of stimuli; - no group therapy;
provide frequent rest periods;
use short statements - no long explainations
Borderline personality disorder - ANSWER: pervasive pattern of unstable
interpersonal relationships and impulsivity or recklessness
Dissociative disorders - ANSWER: feature disruption or breakdown of memory,
identity, or perception
Depersonalization - ANSWER: rapid-onset; client's experience of the self or
perception of the reality of the self or environment is changed
Dissociative amnesia - ANSWER: results in a sudden identity disturbance owing to
client's inability to recall significant info
Dissociative fugue - ANSWER: results in an identity and memory disturbance
manifested by sudden travel away from home or work environment along
w/confusion about personal identity; Walter in Breaking Bad faked a fugue state
Dissociative identity disorder
[previously known as multiple personality disorder] - ANSWER: 2 or more distinct
personalities, each with its own behavior and attitudes; host is not aware of alters;
*SIGNS*: depression, loss of time, unremembered behaviors, use of different voices
Hypochondriasis - ANSWER: exaggerated preoccupation w/physical health;
symptoms not based on organic disorders of pathology
Somatoform disorders - ANSWER: presence of physical symptoms that suggest a
medical condition w/o organic basis for a medical condition; may unconsciously be
used for secondary gains such as increased attention or decreased responsibility
OCD vs psychotic disorder - ANSWER: With OCD the client is aware that the behavior
is irrational or unnecessary; whereas with psychotic disorders they are unaware
somatization disorder - ANSWER: client manifests physical complaints that suggest
physical disorders w/o a disease or physical basis to to account for them;
,characterized by unconscious *repression* of the anxiety feelings which are then
manifested as a physical illness
Malingering vs somatic symptom disorder - ANSWER: Malingering involves
consciously fabricating symptoms for personal gain; in somatic symptom disorders
clients believe their symptoms are real and they feel real to them despite negative
results from diagnostic tests; symptoms serve to unconsciouly reduce anxiety - RN
should convey understanding that the physical symptoms are real to the client and
not try to convince them otherwise
Separation anxiety - ANSWER: normal between ages 8 months and 3 yrs; three
stages: protest, despair, detachment; diagnosed as a disorder in children over age of
6 - child experiences panic or excessive worrying about losing primary caregiver -
interferes w/school
Confabulation - ANSWER: Filling in gaps in memory by fabrication
Denial - ANSWER: refusal to accept or acknowledge an unbearable condition or the
reality of a situation; e.g., spending money on vacation and other luxuries despite
being near bankruptcy
Dissociation - ANSWER: subconsciously the mind forgets or removes itself from a
painful situation or memory to protect from recognizing full effects of a traumatic
event
Projection - ANSWER: unconscious blaming of one's own unacceptable attributes or
thoughts on someone else
Reaction formation - ANSWER: keeps unacceptable emotions out of awareness by
acting out behaviors opposite to what one really feels
Repression - ANSWER: *unconscious* exclusion of emotionally painful or anxiety-
provoking thoughts and feelings from awareness; e.g., a client is unable to recall the
circumstances of her son's death; often used w/somatization disorders
Sublimation - ANSWER: redirecting of unacceptable feelings or behaviors into an
acceptable channel; e.g., an aggressive youth becoming a boxer
Supression - ANSWER: *conscious* exclusion of unacceptable thoughts and feelings
from awareness; e.g., homosexuals suppress feelings for years for fear of not being
accepted if they "come out"
Undoing - ANSWER: exhibiting acceptable behavior to make up for or negate
unacceptable behavior; e.g., taking a kid out for ice cream after losing your temper
and slapping him
, Defense mechanisms commonly used for *OCD* - ANSWER: repression,
displacement, and undoing
Defense mechanisms commonly used for *phobias* - ANSWER: repression and
displacement
*ADDICTIONS* - ANSWER:
Bulimia nervosa - ANSWER: normal weight range; thoughts are dominated by
concerns of weight gain; binge-purge; frequent vomiting causes metabolic alkalosis,
hypertrophy of parotid glands, puffy cheeks, and edema; hypotension due to
dehydration; brittle hair and hair loss due to malnutrition
Elder abuse - ANSWER: can include physical or sexual abuse, abandonment, neglect,
or exploitation (misuse of funds);
delays in seeking healthcare can be a sign of abuse
*PSYCH MEDS* - ANSWER:
SSRIs - Selective Serotonin Reuptake Inhibitors; - ANSWER: end in [pram], [ine]
citalopram [Celexa];
escitalopram [Lexapro];
fluoxetine [Prozac];
paroxetine [Paxil]
SSRI Side Effects - ANSWER: *BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
R - Reproductive/Sexual dysfunction
I - Insomnia;
Serotonin syndrome symptoms - ANSWER: hypertension, tachycardia;
myoclonic jerking, tremors;
nausea, diarrhea, sweating, hyperthermia;
agitation, confusion
SNRIs - Serotonin-Norepinephrine Reuptake Inhibitors;
For treatment of depression, fibromyalgia, and generalized anxiety disorder -
ANSWER: venlafaxine [Effexor];
duloxetine [Cymbalta];
desvenlafaxine [Pristiq];
EXAM QUESTIONS AND 100% CORRECT ANSWERS/ ATI
MENTAL HEALTH CMS EXAM ACTUAL EXAM /ALREADY
GRADED A+
Bipolar - mania interventions - ANSWER: use firm calm approach;
provide frequent high-calorie foods;
maintain low-level of stimuli; - no group therapy;
provide frequent rest periods;
use short statements - no long explainations
Borderline personality disorder - ANSWER: pervasive pattern of unstable
interpersonal relationships and impulsivity or recklessness
Dissociative disorders - ANSWER: feature disruption or breakdown of memory,
identity, or perception
Depersonalization - ANSWER: rapid-onset; client's experience of the self or
perception of the reality of the self or environment is changed
Dissociative amnesia - ANSWER: results in a sudden identity disturbance owing to
client's inability to recall significant info
Dissociative fugue - ANSWER: results in an identity and memory disturbance
manifested by sudden travel away from home or work environment along
w/confusion about personal identity; Walter in Breaking Bad faked a fugue state
Dissociative identity disorder
[previously known as multiple personality disorder] - ANSWER: 2 or more distinct
personalities, each with its own behavior and attitudes; host is not aware of alters;
*SIGNS*: depression, loss of time, unremembered behaviors, use of different voices
Hypochondriasis - ANSWER: exaggerated preoccupation w/physical health;
symptoms not based on organic disorders of pathology
Somatoform disorders - ANSWER: presence of physical symptoms that suggest a
medical condition w/o organic basis for a medical condition; may unconsciously be
used for secondary gains such as increased attention or decreased responsibility
OCD vs psychotic disorder - ANSWER: With OCD the client is aware that the behavior
is irrational or unnecessary; whereas with psychotic disorders they are unaware
somatization disorder - ANSWER: client manifests physical complaints that suggest
physical disorders w/o a disease or physical basis to to account for them;
,characterized by unconscious *repression* of the anxiety feelings which are then
manifested as a physical illness
Malingering vs somatic symptom disorder - ANSWER: Malingering involves
consciously fabricating symptoms for personal gain; in somatic symptom disorders
clients believe their symptoms are real and they feel real to them despite negative
results from diagnostic tests; symptoms serve to unconsciouly reduce anxiety - RN
should convey understanding that the physical symptoms are real to the client and
not try to convince them otherwise
Separation anxiety - ANSWER: normal between ages 8 months and 3 yrs; three
stages: protest, despair, detachment; diagnosed as a disorder in children over age of
6 - child experiences panic or excessive worrying about losing primary caregiver -
interferes w/school
Confabulation - ANSWER: Filling in gaps in memory by fabrication
Denial - ANSWER: refusal to accept or acknowledge an unbearable condition or the
reality of a situation; e.g., spending money on vacation and other luxuries despite
being near bankruptcy
Dissociation - ANSWER: subconsciously the mind forgets or removes itself from a
painful situation or memory to protect from recognizing full effects of a traumatic
event
Projection - ANSWER: unconscious blaming of one's own unacceptable attributes or
thoughts on someone else
Reaction formation - ANSWER: keeps unacceptable emotions out of awareness by
acting out behaviors opposite to what one really feels
Repression - ANSWER: *unconscious* exclusion of emotionally painful or anxiety-
provoking thoughts and feelings from awareness; e.g., a client is unable to recall the
circumstances of her son's death; often used w/somatization disorders
Sublimation - ANSWER: redirecting of unacceptable feelings or behaviors into an
acceptable channel; e.g., an aggressive youth becoming a boxer
Supression - ANSWER: *conscious* exclusion of unacceptable thoughts and feelings
from awareness; e.g., homosexuals suppress feelings for years for fear of not being
accepted if they "come out"
Undoing - ANSWER: exhibiting acceptable behavior to make up for or negate
unacceptable behavior; e.g., taking a kid out for ice cream after losing your temper
and slapping him
, Defense mechanisms commonly used for *OCD* - ANSWER: repression,
displacement, and undoing
Defense mechanisms commonly used for *phobias* - ANSWER: repression and
displacement
*ADDICTIONS* - ANSWER:
Bulimia nervosa - ANSWER: normal weight range; thoughts are dominated by
concerns of weight gain; binge-purge; frequent vomiting causes metabolic alkalosis,
hypertrophy of parotid glands, puffy cheeks, and edema; hypotension due to
dehydration; brittle hair and hair loss due to malnutrition
Elder abuse - ANSWER: can include physical or sexual abuse, abandonment, neglect,
or exploitation (misuse of funds);
delays in seeking healthcare can be a sign of abuse
*PSYCH MEDS* - ANSWER:
SSRIs - Selective Serotonin Reuptake Inhibitors; - ANSWER: end in [pram], [ine]
citalopram [Celexa];
escitalopram [Lexapro];
fluoxetine [Prozac];
paroxetine [Paxil]
SSRI Side Effects - ANSWER: *BAD SSRI*
B - Body weight increase;
A - Anxiety/Agitation;
D - Dizziness; Dry mouth
S - Serotonin syndrome;
S - Stimulated CNS;
R - Reproductive/Sexual dysfunction
I - Insomnia;
Serotonin syndrome symptoms - ANSWER: hypertension, tachycardia;
myoclonic jerking, tremors;
nausea, diarrhea, sweating, hyperthermia;
agitation, confusion
SNRIs - Serotonin-Norepinephrine Reuptake Inhibitors;
For treatment of depression, fibromyalgia, and generalized anxiety disorder -
ANSWER: venlafaxine [Effexor];
duloxetine [Cymbalta];
desvenlafaxine [Pristiq];
