ATI CMS EXAM KINS REVIEW - MENTAL HEALTH
UPDATED 2023 (100% Correct answers)
GRADED A+
LOC - ALERT (Correct Answer) - ✅✅ patient is responsive
opens eyes spontaneously
answers questions appropriately
LOC - LETHARGIC (Correct Answer) - ✅✅ patient can open eyes and
respond to questions
falls asleep easily
LOC - OBTUNDED (Correct Answer) - ✅✅ patient responds to light
shaking
is confused
slow to respond
LOC - STUPOROUS (Correct Answer) - ✅✅ patient barely responds to
painful stimuli
*example*
rubbing sternum
,LOC - COMATOSE (Correct Answer) - ✅✅ patient is unresponsive
abnormal posturing may be present
DECORTICATE POSTURING (Correct Answer) - ✅✅ arms flexed/internally
rotated
legs extended/internally rotated
DECEREBRATE POSTURING (Correct Answer) - ✅✅ head arched back
arms/legs extended
AUTONOMY (Correct Answer) - ✅✅ patient has the right to make their
own decisions even if not in their best interest
BENEFICENCE (Correct Answer) - ✅✅ do what is best for the patient
*do good*
FIDELITY (Correct Answer) - ✅✅ keep your promises
loyalty/faithfulness
JUSTICE (Correct Answer) - ✅✅ provide fairness in care and
allocation of resources
,NONMALEFICENCE (Correct Answer) - ✅✅ do no harm
VERACITY (Correct Answer) - ✅✅ tell the truth
PATIENT RIGHTS - REFUSAL OF TREATMENT (Correct Answer) - ✅✅ even
patients who are involuntarily admitted have the right to refuse
treatment
PATIENT RIGHTS - CONFIDENTIALITY (Correct Answer) - ✅✅ HIPAA states
that health information cannot be released without patient's
permission
client's right to privacy continues even after death
CONFIDENTIALITY - NURSING ACTIONS (Correct Answer) - ✅✅ if someone
calls to get an update, suggest they reach out to the patient's family
if you overhear a conversation in a public space, take action to stop
the violation
PATIENT RIGHTS - MANDATORY REPORTING (Correct Answer) - ✅✅ nurses
are required to report suspicion of abuse
warn/protect third parties who are at risk for harm
INFORMED CONSENT - PROVIDER RESPONSIBILITIES (Correct Answer) - ✅✅
communicate purpose of procedure
, provide a complete description of procedure in patient's primary
language (use interpreter if needed)
explain risks vs. benefits
describe other options to treat condition
INFORMED CONSENT - NURSE/RN RESPONSIBILITIES (Correct Answer) - ✅✅
make sure provider gave patient appropriate information regarding
procedure
ensure that patient is competent to give informed consent
have patient sign consent document
notify provider if patient has more questions or doesn't understand
information provided
RESTRAINTS - TYPES (Correct Answer) - ✅✅ *Physical*
- vest
- belt
- mitten
*Chemical*
- sedative Rx
- antipsychotic Rx
UPDATED 2023 (100% Correct answers)
GRADED A+
LOC - ALERT (Correct Answer) - ✅✅ patient is responsive
opens eyes spontaneously
answers questions appropriately
LOC - LETHARGIC (Correct Answer) - ✅✅ patient can open eyes and
respond to questions
falls asleep easily
LOC - OBTUNDED (Correct Answer) - ✅✅ patient responds to light
shaking
is confused
slow to respond
LOC - STUPOROUS (Correct Answer) - ✅✅ patient barely responds to
painful stimuli
*example*
rubbing sternum
,LOC - COMATOSE (Correct Answer) - ✅✅ patient is unresponsive
abnormal posturing may be present
DECORTICATE POSTURING (Correct Answer) - ✅✅ arms flexed/internally
rotated
legs extended/internally rotated
DECEREBRATE POSTURING (Correct Answer) - ✅✅ head arched back
arms/legs extended
AUTONOMY (Correct Answer) - ✅✅ patient has the right to make their
own decisions even if not in their best interest
BENEFICENCE (Correct Answer) - ✅✅ do what is best for the patient
*do good*
FIDELITY (Correct Answer) - ✅✅ keep your promises
loyalty/faithfulness
JUSTICE (Correct Answer) - ✅✅ provide fairness in care and
allocation of resources
,NONMALEFICENCE (Correct Answer) - ✅✅ do no harm
VERACITY (Correct Answer) - ✅✅ tell the truth
PATIENT RIGHTS - REFUSAL OF TREATMENT (Correct Answer) - ✅✅ even
patients who are involuntarily admitted have the right to refuse
treatment
PATIENT RIGHTS - CONFIDENTIALITY (Correct Answer) - ✅✅ HIPAA states
that health information cannot be released without patient's
permission
client's right to privacy continues even after death
CONFIDENTIALITY - NURSING ACTIONS (Correct Answer) - ✅✅ if someone
calls to get an update, suggest they reach out to the patient's family
if you overhear a conversation in a public space, take action to stop
the violation
PATIENT RIGHTS - MANDATORY REPORTING (Correct Answer) - ✅✅ nurses
are required to report suspicion of abuse
warn/protect third parties who are at risk for harm
INFORMED CONSENT - PROVIDER RESPONSIBILITIES (Correct Answer) - ✅✅
communicate purpose of procedure
, provide a complete description of procedure in patient's primary
language (use interpreter if needed)
explain risks vs. benefits
describe other options to treat condition
INFORMED CONSENT - NURSE/RN RESPONSIBILITIES (Correct Answer) - ✅✅
make sure provider gave patient appropriate information regarding
procedure
ensure that patient is competent to give informed consent
have patient sign consent document
notify provider if patient has more questions or doesn't understand
information provided
RESTRAINTS - TYPES (Correct Answer) - ✅✅ *Physical*
- vest
- belt
- mitten
*Chemical*
- sedative Rx
- antipsychotic Rx
