MENTAL HEALTH PN ATI 2025/2026
EXAM
Mood - ANSWER-provides information about the emotion that a client
is feeling.
Affect - ANSWER-an objective expression of mood, such as flat affect
or lack of facial expression.
Alert - 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 - ANSWER-the client is able to open her eyes and respond but
is drowsy and falls asleep readily.
Stuporous - 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 - ANSWER-the client is unconscious and does not respond to
painful stimuli
,decorticate rigidity - ANSWER-flexion and internal rotation of upper
extremity joints and legs
decerebrate rigidity - ANSWER-neck and elbow extension, with wrists
and fingers flexed
immediate memory - ANSWER-the ability to hold something in mind
for just a few seconds
recent memory - ANSWER--The ability to recall events of the past few
days
remote memory - ANSWER-very long-term recall, such as birth date,
mother's maiden name
Confabulation - ANSWER-the act of filling in memory gaps
What does MMSE stand for? - ANSWER-mini mental status exam
Glasgow Coma Scale - 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.... - 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. - 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? - ANSWER-Diagnostic and Statistical Manual of
Mental Disorders, 5th edition
What is the DSM-5 used for? - ANSWER-diagnostic tool used to
identify mental health diagnosis
, What do nurses use the DSM-5 for? - 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 - ANSWER-- using therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
milieu therapy - 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 - ANSWER-Offering assistance with
self-care tasks
Allowing time for the client to complete self-care tasks
Setting incentives to promote client self-care
Psychobiological interventions - ANSWER--administering prescribed
medications,
EXAM
Mood - ANSWER-provides information about the emotion that a client
is feeling.
Affect - ANSWER-an objective expression of mood, such as flat affect
or lack of facial expression.
Alert - 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 - ANSWER-the client is able to open her eyes and respond but
is drowsy and falls asleep readily.
Stuporous - 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 - ANSWER-the client is unconscious and does not respond to
painful stimuli
,decorticate rigidity - ANSWER-flexion and internal rotation of upper
extremity joints and legs
decerebrate rigidity - ANSWER-neck and elbow extension, with wrists
and fingers flexed
immediate memory - ANSWER-the ability to hold something in mind
for just a few seconds
recent memory - ANSWER--The ability to recall events of the past few
days
remote memory - ANSWER-very long-term recall, such as birth date,
mother's maiden name
Confabulation - ANSWER-the act of filling in memory gaps
What does MMSE stand for? - ANSWER-mini mental status exam
Glasgow Coma Scale - 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.... - 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. - 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? - ANSWER-Diagnostic and Statistical Manual of
Mental Disorders, 5th edition
What is the DSM-5 used for? - ANSWER-diagnostic tool used to
identify mental health diagnosis
, What do nurses use the DSM-5 for? - 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 - ANSWER-- using therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
milieu therapy - 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 - ANSWER-Offering assistance with
self-care tasks
Allowing time for the client to complete self-care tasks
Setting incentives to promote client self-care
Psychobiological interventions - ANSWER--administering prescribed
medications,
