ATI Mental Health Proctored Final Exam .

ATI Mental Health Proctored Final Exam .The client is responsive and able to fully respond by opening their eyes and attending to a normal tone of voice and speech. What is the level of consciousness? - Answer Alert The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is the level of consciousness? - Answer Lethargic The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief response. They might not be able to respond verbally. What is the level of consciousness? - Answer Stuporous The client is unconscious and does not respond to painful stimuli. What is the level of consciousness? - Answer Comatose How to test a client's immediate memory - Answer Ask the client to repeat a series of numbers or a list of objects How to test a client's recent memory - Answer Ask the client to recall recent events, such as visitors from the current day, or the purpose of the current mental health appointment or admission How to test a client's remote memory - Answer Ask the client to state a fact from his past that is verifiable, such as his birth date or his mother's maiden name How to assess a client's ability to calculate - Answer Ask the client to count backward from 100 in sevens How to assess a client's ability to think abstractly - Answer Ask the client to interpret something complex such as, "A bird in the hand is worth two in the bush." Glasgow coma scale - Answer Used to obtain a baseline assessment of a client's level of consciousness; highest score is 15 and indicates that the client is awake and responding appropriately; a score of 7 or less indicates that the client is in a coma Serious mental illness - Answer Includes disorders classified as severe and persistent mental illnesses; clients often have difficulty with ADLs; can be chronic or recurrent A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens."