ATI Mental Health Questions
And Answers
Spiritual practices related to death for *Muslims*
✓~ -turn client on right side to face Mecca;
-when death occurs, body must be covered at all times and it is preferred that
only workers of same sex touch the client
Erikson's Stages of Growth and Development
✓~ Trust vs Mistrust [birth to 1 yr];
Autonomy vs Shame and Doubt [1-3 yrs];
Initiative vs Guilt [3-6 yrs];
Industry vs Inferiority [6-12 yrs];
Identity vs Role Confusion [12-20 yrs];
Intimacy vs Isolation [20-35 yrs];
Generativity vs Stagnation [35-65 yrs];
Integrity vs Despair [65 yr to death]
,Priority for PTSD client
✓~ safety; making the client feel safe
DNR vs Living Will
✓~ DNR is a *medical* document the HCP creates - a living will is a
*legal* document the client creates; DNR can be included in a living will but it
can be totally separate; if DNR w/o a living will, the family can have a say-so
about resuscitation efforts
ADHD - Teaching for Parents
✓~ -Model positive behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
Electroconvulsive therapy (ECT)
, ✓~ -lithium and MAOIs should be discontinued 2 weeks prior to
procedure;
-atropine is given IM 30 min prior to procedure to decrease secretions;
-succinylcholine immediately following admin of -anesthesia prior to procedure
to prevent muscle contractions and fractures
ECT - What to monitor *during* therapy
✓~ -respiratory rate and effort;
-BP;
-duration of seizure [typical is 25-60 seconds; seizures greater than 90 seconds
are treated w/diazepam [Valium]
Phases of a therapeutic nurse-client relationship
✓~ *PREINTERACTION* - before contact w/client; RN focuses on own
preconceived ideas, stereotypes, etc.;
*ORIENTATION/INTRODUCTORY* - establish acceptance, trust, boundaries;
identify expectations and time frame; define goals; discuss and prepare for
termination and separation of relationship;
And Answers
Spiritual practices related to death for *Muslims*
✓~ -turn client on right side to face Mecca;
-when death occurs, body must be covered at all times and it is preferred that
only workers of same sex touch the client
Erikson's Stages of Growth and Development
✓~ Trust vs Mistrust [birth to 1 yr];
Autonomy vs Shame and Doubt [1-3 yrs];
Initiative vs Guilt [3-6 yrs];
Industry vs Inferiority [6-12 yrs];
Identity vs Role Confusion [12-20 yrs];
Intimacy vs Isolation [20-35 yrs];
Generativity vs Stagnation [35-65 yrs];
Integrity vs Despair [65 yr to death]
,Priority for PTSD client
✓~ safety; making the client feel safe
DNR vs Living Will
✓~ DNR is a *medical* document the HCP creates - a living will is a
*legal* document the client creates; DNR can be included in a living will but it
can be totally separate; if DNR w/o a living will, the family can have a say-so
about resuscitation efforts
ADHD - Teaching for Parents
✓~ -Model positive behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
Electroconvulsive therapy (ECT)
, ✓~ -lithium and MAOIs should be discontinued 2 weeks prior to
procedure;
-atropine is given IM 30 min prior to procedure to decrease secretions;
-succinylcholine immediately following admin of -anesthesia prior to procedure
to prevent muscle contractions and fractures
ECT - What to monitor *during* therapy
✓~ -respiratory rate and effort;
-BP;
-duration of seizure [typical is 25-60 seconds; seizures greater than 90 seconds
are treated w/diazepam [Valium]
Phases of a therapeutic nurse-client relationship
✓~ *PREINTERACTION* - before contact w/client; RN focuses on own
preconceived ideas, stereotypes, etc.;
*ORIENTATION/INTRODUCTORY* - establish acceptance, trust, boundaries;
identify expectations and time frame; define goals; discuss and prepare for
termination and separation of relationship;
