ATI - Mental Health Proctored Exam Study Guide 1
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Social Science Psychology Clinical Psychology
ATI - Mental Health Proctored Exam Study Guide
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RBT Terms DR POWELL WITNESS AB
76 terms 15 terms Te
alyssalsmith2 Preview Archita6 Preview
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?
Alert
The client is able to open their eyes and respond but is drowsy and falls
asleep readily. What is the level of consciousness?
Lethargic
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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?
Stuporous
The client is unconscious and does not respond to painful stimuli. What is
the level of consciousness?
Comatose
How to test a client's immediate memory
Ask the client to repeat a series of numbers or a list of objects
How to test a client's recent memory
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
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
Ask the client to count backward from 100 in sevens
How to assess a client's ability to think abstractly
Ask the client to interpret something complex such as, "A bird in the hand is worth two in the
bush."
Glasgow coma scale
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
Includes disorders classified as severe and persistent mental illnesses; clients often have
difficulty with ADLs; can be chronic or recurrent
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A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications.
D. Monitoring for adverse effects of medications is an example of a psychobiological
intervention. Systematic desensitization is cognitive and behavioral. Teaching coping
mechanisms is a counseling or health teaching. Assessing for comorbid conditions is health
promotion and maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
B. Assessment is the priority action. Identifying the client's perception of her mental health
status provides important information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous.
When assessing the client, which of the following findings should the
nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
A. A client who is stuporous requires vigorous or painful stimuli to elicit a response. B & C
occur with comatose patients.
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A nurse is planning a peer group discussion about the DSM-5. Which of
the following information is appropriate to include in the discussion?
(Select all that apply)
A. The DSM-5 includes client education handouts for mental health
disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C. The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental
health disorders.
E. The DSM-5 indicates expected assessment findings of mental health
disorders.
B, D, & E.
The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and identifies
expected findings for mental health disorders. The DSM-5 does not contain client education
handouts or recommended pharmacological treatment.
Fidelity
Loyalty and faithfulness to the client and to one's duty
Requirements for restraining a patient
Provider must prescribe the restraint in writing; time limits are based on age, 4 hr for adults, 2
hr for ages 9-17, 1 hr for age 8 and younger; must be reviewed every 24 hr; documentation
must be done every 15-30 min
Altruism
Dealing with anxiety by reaching out to others
Sublimation
Dealing with unacceptable feelings or impulses by unconsciously substituting acceptable
forms of expression
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Social Science Psychology Clinical Psychology
ATI - Mental Health Proctored Exam Study Guide
Mary_obrien5 Top creator on Quizlet
Save
Flashcard sets Study guides Practice tests
RBT Terms DR POWELL WITNESS AB
76 terms 15 terms Te
alyssalsmith2 Preview Archita6 Preview
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?
Alert
The client is able to open their eyes and respond but is drowsy and falls
asleep readily. What is the level of consciousness?
Lethargic
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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?
Stuporous
The client is unconscious and does not respond to painful stimuli. What is
the level of consciousness?
Comatose
How to test a client's immediate memory
Ask the client to repeat a series of numbers or a list of objects
How to test a client's recent memory
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
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
Ask the client to count backward from 100 in sevens
How to assess a client's ability to think abstractly
Ask the client to interpret something complex such as, "A bird in the hand is worth two in the
bush."
Glasgow coma scale
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
Includes disorders classified as severe and persistent mental illnesses; clients often have
difficulty with ADLs; can be chronic or recurrent
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A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications.
D. Monitoring for adverse effects of medications is an example of a psychobiological
intervention. Systematic desensitization is cognitive and behavioral. Teaching coping
mechanisms is a counseling or health teaching. Assessing for comorbid conditions is health
promotion and maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
B. Assessment is the priority action. Identifying the client's perception of her mental health
status provides important information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous.
When assessing the client, which of the following findings should the
nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
A. A client who is stuporous requires vigorous or painful stimuli to elicit a response. B & C
occur with comatose patients.
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A nurse is planning a peer group discussion about the DSM-5. Which of
the following information is appropriate to include in the discussion?
(Select all that apply)
A. The DSM-5 includes client education handouts for mental health
disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C. The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental
health disorders.
E. The DSM-5 indicates expected assessment findings of mental health
disorders.
B, D, & E.
The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and identifies
expected findings for mental health disorders. The DSM-5 does not contain client education
handouts or recommended pharmacological treatment.
Fidelity
Loyalty and faithfulness to the client and to one's duty
Requirements for restraining a patient
Provider must prescribe the restraint in writing; time limits are based on age, 4 hr for adults, 2
hr for ages 9-17, 1 hr for age 8 and younger; must be reviewed every 24 hr; documentation
must be done every 15-30 min
Altruism
Dealing with anxiety by reaching out to others
Sublimation
Dealing with unacceptable feelings or impulses by unconsciously substituting acceptable
forms of expression
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