Mental Health Nursing ATI study #LEVEL 3 Questions and Answers

level of consciousness - this is described using the folowing terms, and observed behavior included in documentation, alert, lethargy, stupor, coma, physical appearance, behavior, alert - this LOC is responsive and able to fully respond by opening her eyes and attending to a normal tone of voice and speech. The client answers questions spontaneously and appropriately. lethargy - the client is able to open her eyes and respond but is drowsy and falls asleep readily. stupor - the client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief response. She may not be able to respond verbally. coma - LOC is no response, can be achieved from repeated painful stimuli. decorticate rigidity - flexion and internal rotation of upper extremity joints and legs decerbrate rigidity - neck and elbow extension, wrist and finger flexion mini mental state examination - this examination is used to objectively collect data about a client's cognitive status by evaluating the following, orientation to time and place, attention span and ability to calculate by counting backward by seven, registration and recalling of objects, language, including naming of objects, following of commands, and ability to write glascow coma scale - this examination is used to obtain baseline data of a client's level of consciousness, and for ongoing monitoring. Eye, verbal, and motor response is evaluated, and a number value based on that response is assigned. The highest value possible is 15, which indicates that the client is awake and responding appropriately. A score of 7 or less indicates that the client is in a coma home, education activities drugs sexuality suicide - what is the acronym HEADSS used for in the assessment in an adolescent stand for diagnostic and statistical manual of mental disorders - this is published by the american psychiatric association, is used as a diagnostic tool to identify mental health diagnoses. It is used by mental health professionals for clients who have mental health disorders. tort - this is a wrongful act or injury committed by an entity or person against another person or another person's property. These can be used to decide liability issues, as well as intentional issues that can involve criminal penalties, such as abuse of a client. ethical issues - these are philosophical ideas regarding right and wrong beneficence - this relates to the quality of doing good and can be described as charity autonomy - this refers to the client's right to make her own decisions. But the client must accept the consequences of those decisions. The client also must respect the decisions of others. Justice - This is fair and equal treatment for all. Fidelity - this relates to loyalty and faithfulness to the client and to one's duty. Veracity - This refers to being honest when dealing with a client voluntary commitment - the client or client's guardian chooses commitment to a mental health facility in order to obtain treatment. A voluntarily committed client has the right to refuse medication and treatment involuntary commitment - this is also called civil commitment, where the client enters the mental health facility against her will for an indefinite period of time. the commitment is based on the clien'ts need for treatment, the risk of harm to self or others, or the inability to provide self care. The need for commitment could be determined by a judge of the court or by another agency. The number of physicians which is usually two, , required to certify that the client's condition requires commitment varies from state to state. emergency involuntary commitment - a type of involuntary commitment in which the client is hospitalized to prevent harm to self or others. This is usually temporary. It is usually imposed by primary care providers, mental health providers, or police officers. observational involuntary commitment - this is also called temporary commitment, a type of involuntary commitment in which the client is in need of observation, a diagnosis, and a treatment plan. The time for this type of commitment is controlled by state statute, and varies greatly between states. This can be imposed by a family member, legal guardian, primary care provider, or a mental health provider. Long term involuntary commitment - this is also called formal commitment, a type of commitment that is similar to temporary commitment but must be imposed by the courts. Time of commitment varies, but is usually 60 to 180 days. Sometimes there is no set release date. false imprisonment - confining a client to a specific area, such as a seclusion room, is __________________ if the reason for such confinement is for the convenience of the staff.