ATI Mental Health Actual Exam Questions With Answers

ATI Mental Health Actual Exam Questions With Answers Spiritual practices related to death for *Muslims* - ANSWER- -turn client on right side to face Mecca; -when death occurs, body must be covered at all times and it is preferred that only workers of same sex touch the client Erikson's Stages of Growth and Development - ANSWER- Trust vs Mistrust [birth to 1 yr]; Autonomy vs Shame and Doubt [1-3 yrs]; Initiative vs Guilt [3-6 yrs]; Industry vs Inferiority [6-12 yrs]; Identity vs Role Confusion [12-20 yrs]; Intimacy vs Isolation [20-35 yrs]; Generativity vs Stagnation [35-65 yrs]; Integrity vs Despair [65 yr to death] Priority for PTSD client - ANSWER- safety; making the client feel safe DNR vs Living Will - ANSWER- DNR is a *medical* document the HCP creates - a living will is a *legal* document the client creates; DNR can be included in a living will but it can be totally separate; if DNR w/o a living will, the family can have a say-so about resuscitation efforts ADHD - Teaching for Parents - ANSWER- -Model positive behaviors; -Verbal instruction combined w/visual cues; -Structured activities should be planned for the AM; -Use charts to assist w/organization Electroconvulsive therapy (ECT) - ANSWER- -lithium and MAOIs should be discontinued 2 weeks prior to procedure; -atropine is given IM 30 min prior to procedure to decrease secretions; -succinylcholine immediately following admin of -anesthesia prior to procedure to prevent muscle contractions and fractures ECT - What to monitor *during* therapy - ANSWER- -respiratory rate and effort; -BP; -duration of seizure [typical is 25-60 seconds; seizures greater than 90 seconds are treated w/diazepam [Valium] Phases of a therapeutic nurse-client relationship - ANSWER- *PREINTERACTION* - before contact w/client; RN focuses on own preconceived ideas, stereotypes, etc.; *ORIENTATION/INTRODUCTORY* - establish acceptance, trust, boundaries; identify expectations and time frame; define goals; discuss and prepare for termination and separation of relationship; *WORKING* - explore, evaluate, and focus on client's problems; encourage independence; *TERMINATION/SEPARATION* - evaluate progress and achievement of goals; identify responses to termination such as anger, distancing, return of symptoms, and dependency; encourage client to express feelings about termination; identify strengths; refer out to community resources Levels of anxiety - ANSWER- *MILD* -associated w/tension of everyday life; alert and perceptual field is increased; can be motivating; *MODERATE* - focus is on immediate concerns; select inattentiveness and perceptual field is narrowed; learning and problem solving still occur; *SEVERE* - feeling that something bad is about to happen; focus is on minute or scattered details; needs direction to focus and perceptual field significantly narrowed; learning and problem solving are impossible; all behavior aimed at relieving anxiety; *PANIC* - associated w/dread and terror and a sense of impending doom; can't communicate or function effectively; if prolonged, panic can lead to exhaustion and death TYPES OF DELUSIONS - ANSWER- Alterations in thought are false fixed beliefs that cannot Be corrected by reasoning and are usually bizarre. ● Ideas of reference: Misconstrues trivial events and Attaches personal significance to them (believes others are talking about him) ● Persecution: Feels singled out for harm by others (being hunted by FBI) ● Grandeur: Believes that she is all powerful and important, like a god ● Somatic delusions: Believes that his body is changing in an unusual way (growing a third arm) ● Jealousy: Believes that her partner is sexually involved with another individual even though there is not any factual basis for this belief ● Being controlled: Believes that a force outside his body is controlling him ● Thought broadcasting: Believes that her thoughts are heard by others ● Thought insertion: Believes that others' thoughts are being inserted into his mind ● Thought withdrawal: Believes that her thoughts have been removed from her mind by an outside agency ● Religiosity: Is obsessed with religious beliefs ● Magical thinking: Believes his actions or thoughts are able to control a situation or affect others (wearing a hat makes him invisible) Delusions/Ideas of reference - ANSWER- falsely believes that insignificant events or objects in the environment have personal meaning or significance; may believe a person on TV or in a book is speaking directly to them w/a personal message Delusional parasitosis - ANSWER- delusion that one is infested w/insects, bacteria, worms, etc. Grandiose delusion - ANSWER- convinced he/she has special powers or abilities or is a famous person Persecutory delusions - ANSWER- idea of one being persecuted, followed, harassed, drugged, or conspired against Antisocial personality disorder - ANSWER- low tolerance for frustration, impulsive, and have no remorse; manipulate and exploit those around them; client can sense negative feelings from the RN which could negatively impact the nurse-patient relationship 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 explanations 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