Mental Health ATI mastery
What is part of healthy adolescent behavior - CORRECT ANSWER-Exhibiting a
realistic self-concept
What age group displays an egocentric approach to problem solving - CORRECT
ANSWER-Pre schoolers
What age group demonstrates distrust of others - CORRECT ANSWER-Infants
What is a common characteristic of autism spectrum disorder - CORRECT
ANSWER-Language delays
What disorder is associated with fears of abandonment - CORRECT ANSWER-
Separation anxiety disorder
What places a client with schizo at greatest risk of self-directed injury or harm to
others - CORRECT ANSWER-Command hallucinations
Example of active listening - CORRECT ANSWER-Attention to body language
(identifying verbal and nonverbal communication)
How much percentage of weight loss must occur in order for a pt to be required
hospitalization - CORRECT ANSWER-Over 30% within 6 months
What clinical finding of a pt with anorexia nervosa requires hospitalization -
CORRECT ANSWER-Temp of 96.1 degrees - severe hypothermia due to loss of
SQ tissue or dehydration
How offer should a pt in seclusion be offered food?
( Prescribed haloperidol and seclusion, what should be included in plan of care?)
- CORRECT ANSWER-Every hour
also document behavior every 15-30 min
vitals every 1 to 2 hrs;
keep communication w/client direct and brief;
obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review
Rx every 24 hr
What is an early indication of depression - CORRECT ANSWER-Decreased social
involvement
,Signs of cocaine intoxication - CORRECT ANSWER-Tachycardia, elevated BP,
dilated pupils & agitation
Signs of heroin intoxication - CORRECT ANSWER-Constricted pupils &
decreased BP
Adverse effects of imipramine- for depression - CORRECT ANSWER-Urinary
retention, tinnitus, weight gain & tachycardia, Tricyclic -Anticholergic Effect
Signs of PTSD & Priority action - CORRECT ANSWER-Distressing dreams,
difficulty concentrating & exaggerated startle response, (not delusions and
compulsions).
safety; making the client feel safe
What is a sign of lithium toxicity? Side Effects that cause patients to stop taking
it? - CORRECT ANSWER-Coarse hand tremors- prevents them from doing ADLs.
What lab does a nurse need to evaluate for a pt taking risperidine - CORRECT
ANSWER-Blood glucose- can cause DM to develop
Clinical finding of anorexia nervosa - CORRECT ANSWER-Amenorrhea- what to
look for?
Clinical finding of bulimia - CORRECT ANSWER-Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - CORRECT ANSWER-Increased serum
amylase levels
What lab value would you expect to see in a client with alcoholic cardiomyopathy
- CORRECT ANSWER-Increased CPK- enzyme released when tissue is damaged
Common behavior associated with dependent personality disorder - CORRECT
ANSWER-Needing excessive external input from others to make everyday
decisions
Characteristic of avoidant personality disorder - CORRECT ANSWER-Difficulty
starting new relationships, unless he feels accepted. Are unwilling to get involved
socially unless one feels accepted.
What kind of foods should a pt on tranyclopromine avoid - CORRECT ANSWER-
Foods high in tyramine, such as some cheeses, avocados, and bologna
,Clinical findings of mild anxiety - CORRECT ANSWER-Restlessness, irritability,
nail biting & fidgeting.
Feels restless & irritable before taking exam. what level of anxiety?
Clinical findings of moderate anxiety - CORRECT ANSWER-Tension, palpitations,
increased HR & diaphoresis
Clinical findings of severe anxiety - CORRECT ANSWER-Difficulty sleeping, light
headedness, nausea, tremors & sense of impending doom
Clinical findings of panic anxiety - CORRECT ANSWER-Hyperactivity, severe
tremors & uncoordinated impulsive behavior
Indication of complicated grief - CORRECT ANSWER-Difficulty carrying on
normal activities following a loss. I feel so empty without my wife, its hard to get
up every morning.
What med should be prescribed to a pt experiencing alcohol withdrawals -
CORRECT ANSWER-Chlordiazepoxide
What med should be prescribed to a pt to assist in alcohol abstinence -
CORRECT ANSWER-Disulfiram
Taking tranylcypromine. What is good food choice? - CORRECT ANSWER-
Roasted chicken
Hx of gambling dependence and participates in support group. What is the
purpose of attending the group? - CORRECT ANSWER-Provide assurance that
others have similar problems
Haloperidol what should be reported? - CORRECT ANSWER-Shuffling gait
Autonomy - CORRECT ANSWER-The right of self goverment
Discharged from inpatient detoxification program and plans to attend AA. What
statement indicates understanding of teaching? - CORRECT ANSWER-I will use
peer support to maintain my abstinence
Bereavement support group, one member is silent after several sessions. What
should nurse do To encourage participation? - CORRECT ANSWER-Divide the
group into pairs to discuss topic, then summarize the discussion to the group
Conduct disorder is being destructive , throwing things and kicking others. What
intervention is highest? - CORRECT ANSWER-Use a therapeutic holding
technique.
, Exhibits anger, aggression and violent behavior, what is priority? - CORRECT
ANSWER-Create a large personal space
Borderline personality disorder. Priority care goal? - CORRECT ANSWER-The
client will refrain form self mutilation.
Situational crisis - CORRECT ANSWER-The client recently lost grandparent in a
MVA. unexpected event, changes that results when a person faces an event or
situation that causes a disruption in his or her life.
Code of ethics for RN - CORRECT ANSWER-The right to treatment ensures
individualized care
Suspects abuse for an elderly client - CORRECT ANSWER-Check the client for
other sings and symptoms of abuse
Valproic acid, what should be monitored to determine effectiveness of med? -
CORRECT ANSWER-The client has decreased episode of pressured speech.
Decreased insomnia, grandiose thoughts, and hyperactivitiy.
Bipolar client is bragging and dominating the conversion in group therapy. What
should the nurse do? - CORRECT ANSWER-Tell the client to calm down or he will
be dismissed form the session.
What is expected with chronc stress? - CORRECT ANSWER-Viral infection
Client wants to use herbals instead of pharmaceuticals. What classifications is
the medicine practice? - CORRECT ANSWER-Alternative medicine
Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What
is first priority? - CORRECT ANSWER-Identify the client's nutritional status.
Personality disorder and demonstrates manipulative behavior. What intervention
should be included in plan of care? - CORRECT ANSWER-Institute consequences
for manipulative behavior.
Clint is being d/c to nursing home. States why do I have to go to 'that place'?
What is appropriate nursing response? - CORRECT ANSWER-Did your doctor or
anyone else talk to you about going to the nursing home?
Client sits quietly and calmly after a traumatic assault. What behavior is this? -
CORRECT ANSWER-Denial
What is appropriate to include in plan of care for client with schizophrenia? -
CORRECT ANSWER-Limit the number of questions asked during the assessment.
What is part of healthy adolescent behavior - CORRECT ANSWER-Exhibiting a
realistic self-concept
What age group displays an egocentric approach to problem solving - CORRECT
ANSWER-Pre schoolers
What age group demonstrates distrust of others - CORRECT ANSWER-Infants
What is a common characteristic of autism spectrum disorder - CORRECT
ANSWER-Language delays
What disorder is associated with fears of abandonment - CORRECT ANSWER-
Separation anxiety disorder
What places a client with schizo at greatest risk of self-directed injury or harm to
others - CORRECT ANSWER-Command hallucinations
Example of active listening - CORRECT ANSWER-Attention to body language
(identifying verbal and nonverbal communication)
How much percentage of weight loss must occur in order for a pt to be required
hospitalization - CORRECT ANSWER-Over 30% within 6 months
What clinical finding of a pt with anorexia nervosa requires hospitalization -
CORRECT ANSWER-Temp of 96.1 degrees - severe hypothermia due to loss of
SQ tissue or dehydration
How offer should a pt in seclusion be offered food?
( Prescribed haloperidol and seclusion, what should be included in plan of care?)
- CORRECT ANSWER-Every hour
also document behavior every 15-30 min
vitals every 1 to 2 hrs;
keep communication w/client direct and brief;
obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review
Rx every 24 hr
What is an early indication of depression - CORRECT ANSWER-Decreased social
involvement
,Signs of cocaine intoxication - CORRECT ANSWER-Tachycardia, elevated BP,
dilated pupils & agitation
Signs of heroin intoxication - CORRECT ANSWER-Constricted pupils &
decreased BP
Adverse effects of imipramine- for depression - CORRECT ANSWER-Urinary
retention, tinnitus, weight gain & tachycardia, Tricyclic -Anticholergic Effect
Signs of PTSD & Priority action - CORRECT ANSWER-Distressing dreams,
difficulty concentrating & exaggerated startle response, (not delusions and
compulsions).
safety; making the client feel safe
What is a sign of lithium toxicity? Side Effects that cause patients to stop taking
it? - CORRECT ANSWER-Coarse hand tremors- prevents them from doing ADLs.
What lab does a nurse need to evaluate for a pt taking risperidine - CORRECT
ANSWER-Blood glucose- can cause DM to develop
Clinical finding of anorexia nervosa - CORRECT ANSWER-Amenorrhea- what to
look for?
Clinical finding of bulimia - CORRECT ANSWER-Tooth erosion,
hand calluses,
hypokalemia
What causes parotid gland swelling - CORRECT ANSWER-Increased serum
amylase levels
What lab value would you expect to see in a client with alcoholic cardiomyopathy
- CORRECT ANSWER-Increased CPK- enzyme released when tissue is damaged
Common behavior associated with dependent personality disorder - CORRECT
ANSWER-Needing excessive external input from others to make everyday
decisions
Characteristic of avoidant personality disorder - CORRECT ANSWER-Difficulty
starting new relationships, unless he feels accepted. Are unwilling to get involved
socially unless one feels accepted.
What kind of foods should a pt on tranyclopromine avoid - CORRECT ANSWER-
Foods high in tyramine, such as some cheeses, avocados, and bologna
,Clinical findings of mild anxiety - CORRECT ANSWER-Restlessness, irritability,
nail biting & fidgeting.
Feels restless & irritable before taking exam. what level of anxiety?
Clinical findings of moderate anxiety - CORRECT ANSWER-Tension, palpitations,
increased HR & diaphoresis
Clinical findings of severe anxiety - CORRECT ANSWER-Difficulty sleeping, light
headedness, nausea, tremors & sense of impending doom
Clinical findings of panic anxiety - CORRECT ANSWER-Hyperactivity, severe
tremors & uncoordinated impulsive behavior
Indication of complicated grief - CORRECT ANSWER-Difficulty carrying on
normal activities following a loss. I feel so empty without my wife, its hard to get
up every morning.
What med should be prescribed to a pt experiencing alcohol withdrawals -
CORRECT ANSWER-Chlordiazepoxide
What med should be prescribed to a pt to assist in alcohol abstinence -
CORRECT ANSWER-Disulfiram
Taking tranylcypromine. What is good food choice? - CORRECT ANSWER-
Roasted chicken
Hx of gambling dependence and participates in support group. What is the
purpose of attending the group? - CORRECT ANSWER-Provide assurance that
others have similar problems
Haloperidol what should be reported? - CORRECT ANSWER-Shuffling gait
Autonomy - CORRECT ANSWER-The right of self goverment
Discharged from inpatient detoxification program and plans to attend AA. What
statement indicates understanding of teaching? - CORRECT ANSWER-I will use
peer support to maintain my abstinence
Bereavement support group, one member is silent after several sessions. What
should nurse do To encourage participation? - CORRECT ANSWER-Divide the
group into pairs to discuss topic, then summarize the discussion to the group
Conduct disorder is being destructive , throwing things and kicking others. What
intervention is highest? - CORRECT ANSWER-Use a therapeutic holding
technique.
, Exhibits anger, aggression and violent behavior, what is priority? - CORRECT
ANSWER-Create a large personal space
Borderline personality disorder. Priority care goal? - CORRECT ANSWER-The
client will refrain form self mutilation.
Situational crisis - CORRECT ANSWER-The client recently lost grandparent in a
MVA. unexpected event, changes that results when a person faces an event or
situation that causes a disruption in his or her life.
Code of ethics for RN - CORRECT ANSWER-The right to treatment ensures
individualized care
Suspects abuse for an elderly client - CORRECT ANSWER-Check the client for
other sings and symptoms of abuse
Valproic acid, what should be monitored to determine effectiveness of med? -
CORRECT ANSWER-The client has decreased episode of pressured speech.
Decreased insomnia, grandiose thoughts, and hyperactivitiy.
Bipolar client is bragging and dominating the conversion in group therapy. What
should the nurse do? - CORRECT ANSWER-Tell the client to calm down or he will
be dismissed form the session.
What is expected with chronc stress? - CORRECT ANSWER-Viral infection
Client wants to use herbals instead of pharmaceuticals. What classifications is
the medicine practice? - CORRECT ANSWER-Alternative medicine
Client has lost 25lb in 3 months. She weighs 88lbs and states that she if fat. What
is first priority? - CORRECT ANSWER-Identify the client's nutritional status.
Personality disorder and demonstrates manipulative behavior. What intervention
should be included in plan of care? - CORRECT ANSWER-Institute consequences
for manipulative behavior.
Clint is being d/c to nursing home. States why do I have to go to 'that place'?
What is appropriate nursing response? - CORRECT ANSWER-Did your doctor or
anyone else talk to you about going to the nursing home?
Client sits quietly and calmly after a traumatic assault. What behavior is this? -
CORRECT ANSWER-Denial
What is appropriate to include in plan of care for client with schizophrenia? -
CORRECT ANSWER-Limit the number of questions asked during the assessment.
