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Mental health PN ATI questions and answers graded A+

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Mental health PN ATI questions and
answers graded A+

Mood - correct answer ✔✔ provides information about the emotion that a client is feeling.



Affect - correct answer ✔✔ an objective expression of mood, such as flat affect or lack of facial
expression.



Alert - correct answer ✔✔ client is responsive and able to fully respond by opening her eyes
and attending to a normal tone of voice and speech. She answers questions spontaneously and
appropriately



lethargic - correct answer ✔✔ the client is able to open her eyes and respond but is drowsy and
falls asleep readily.



Stuporous - correct answer ✔✔ The client requires vigorous or painful stimuli (pinching a
tendon or rubbing the sternum) to elicit a brief response. She might not be able to respond
verbally.



Comatose - correct answer ✔✔ the client is unconscious and does not respond to painful
stimuli



decorticate rigidity - correct answer ✔✔ flexion and internal rotation of upper extremity joints
and legs



decerebrate rigidity - correct answer ✔✔ neck and elbow extension, with wrists and fingers
flexed

,immediate memory - correct answer ✔✔ the ability to hold something in mind for just a few
seconds



recent memory - correct answer ✔✔ -The ability to recall events of the past few days



remote memory - correct answer ✔✔ very long-term recall, such as birth date, mother's
maiden name



Confabulation - correct answer ✔✔ the act of filling in memory gaps



What does MMSE stand for? - correct answer ✔✔ mini mental status exam



Glasgow Coma Scale - correct answer ✔✔ This examination is used to obtain baseline data of a
client's level of consciousness and for ongoing evaluation. Eye, verbal, and motor response is
checked and a number value based on response is assigned. Highest possible value is 15,
indicates awake and responsive, a score of 8 or less indicates that the client is in a coma



Mentally healthy children and adolescence.... - correct answer ✔✔ trust others, view the world
as safe, accurately interpret their environments. master development tasks, and use
appropriate coping skills



Things to look for when using the HEADSSS psychosocial interview to evaluate risk factors in an
adolescent. - correct answer ✔✔ Home environment, (what are the relationships like at home)

education/employment, (how is their performance in school or work)

activities, (does the client participate in sports or other activities?)

drug and substance use,

sexuality,

suicide/depression, (is the client at risk for self harm?)

savagery (is the client exposed to abuse in the home or violence in his neigborhood?)

, What is the DSM-5? - correct answer ✔✔ Diagnostic and Statistical Manual of Mental Disorders,
5th edition



What is the DSM-5 used for? - correct answer ✔✔ diagnostic tool used to identify mental health
diagnosis



What do nurses use the DSM-5 for? - correct answer ✔✔ identify diagnosis and diagnosis
criteria to guide data collection, to identify nursing diagnoses, and to assist in the planning,
implementation, and evaluation of care.



Counseling - correct answer ✔✔ - using therapeutic communication skills

- assisting with problem solving

- crisis intervention

- stress management



milieu therapy - correct answer ✔✔ -orienting the client to the physical setting

-identifying rules and boundaries of the setting

-ensuring a safe environment for the client

-assisting the client to participate in appropriate activities



promotion of self-care activities - correct answer ✔✔ Offering assistance with self-care tasks



Allowing time for the client to complete self-care tasks



Setting incentives to promote client self-care

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