ATI Mental Health - Post-Assessment Assignment questions with answers

ATI Mental Health - Post-Assessment Assignment questions with answers How do delirium and dementia differ in onset and outcome? -Correct Answer-Delirium occurs rapidly over a short period of time (hours or days) while the onset of dementia occurs gradually with deterioration of function over months or years. Delirium is reversible if diagnosis and treatment are prompt while the outcome of dementia is irreversible and progressive.(Mental health RM chapter 17) A nurse is caring for a client with a depressive disorder. What are some examples of therapeutic communication the nurse should use when communicating with this client? -Correct Answer-Relate therapeutically to the client who is unable or unwilling to communicate. Make time to be with the client, even if he does not speak. Make observations rather than asking direct questions, which can cause anxiety in the client. For example, the nurse might say, "I noticed that you attended the unit group meeting today," rather than asking, "Did you enjoy the group meeting?" Give directions in simple, concrete sentences because a client who has depression can have difficulty focusing on and comprehending long sentences. Give the client sufficient time to respond when holding a conversation due to a possible delayed response time.(Mental Health RM Chp 13) What are risk factors for suicide? -Correct Answer-Those at highest risk for suicide include adolescent, young adult, and older adult males; and persons who have comorbid mental illness, such as depressive disorders, anxiety disorders, substance use disorder, schizophrenia, eating disorders, bipolar disorder, and personality disorders. Untreated depression increases the risk of suicide in the older adult client. Other risk factors for the older adult client include loss of employment and finances, feelings of isolation, powerlessness, prior attempts at suicide (older adult clients are more likely to succeed), change in functional ability, alcohol or other substance dependency, and loss of loved ones.(Mental Health RM Chp 30) What are the phases of the cycle of violence that can occur between domestic partners and what may take place during each of these phases? -Correct Answer-Tension-building phase - The abuser has minor episodes of anger and can be verbally abusive and responsible for some minor physical violence. The victim is tense during this stage and tends to accept the blame for what is happening. Acute battering phase - The tension becomes too much to bear and serious abuse takes place. The victim can try to cover up the injury or can get help. Honeymoon phase - The situation is defused for awhile after the violent episode. The abuser becomes loving, promises to change, and is sorry for the behavior. The victim wants to believe this and hopes for a change. Eventually, the cycle begins again. Periods of escalation and de-escalation usually continue, with shorter and shorter periods of time between the two. Emotions for the abuser and victim, such as fear or anger, increase in intensity. Repeated episodes of violence lead to feelings of powerlessness.(Mental health RM chapter 32) A nurse suspects a client may be experiencing acute mania. What characteristics are likely to be present during a manic episode? -Correct Answer-Clients with bipolar disorders may experience episodes of acute mania when stressors occur, when medications may need to be adjusted or during times of illness. Signs and symptoms of acute mania may include: labile mood with euphoria Agitation and irritability Restlessness Dislike of interf