ATI Course Guides d'étude, Notes de cours & Résumés

Levels of consciousness Correct Answer - Alert, Lethargic, Obtunded, Stuporous, Comatose, Decorticate, Decerebrate Alert Correct Answer - patient is responsive, opens eyes spontaneously and answers questions appropriately Lethargic Correct Answer - Patient can ope his/her eyes and respond to questions, but falls asleep easily Obtunded Correct Answer - Patient responds to light shaking, but is confused and slow to respond Stuporous Correct Answer - Patient barely responds to painful s...

Traits of mental health Correct Answer - Good relationships Thinking rationally Function in roles of your life Self-esteem Mental Illness Correct Answer - Depressed and unable to function in roles Lack of interest Unkempt, easily observable traits Change in behavior Cannot always think rationally BIG range (different levels of anxiety) Resilience Correct Answer - Ability to "bounce back" Effected by support systems for that person/their personality Diathesis-stress model Co...

A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? A. Do not administer the lorazepam B. Request a prescription for IV lorazepam C. Request that another nurse attempt to administer the lorazepam D. Place the lorazepam in the cl...

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to invite the client to clarify feelings? Correct Answer - "You feel like you have the support needed to be successful." A nurse is participating in developing a policy to improve access to community mental health resources. Which of the following professional roles does this activity describe? Correct Answer - Social Role A nu...

Mild anxiety Correct Answer - Restlessness, increased motivation, irritablity Moderate anxiety Correct Answer - agitation, muscle tightness Severe anxiety Correct Answer - inability to function, ritualistic behavior, unresponsive Panic anxiety Correct Answer - distorted perception, loss of rational thought, immobility Panic disorder Correct Answer - recurrent panic attacks, episodes lasting 15-30 min 4+ of following symptoms: palpitations, SOB, choking/smothering sensation, chest...

A nurse in mental health facility observes a client who is experiencing panic level of anxiety. Which of the following actions should the nurse take first? Correct Answer - Accompany the client to a quiet room. (Greatest risk for this client is injury due to severe anxiety. Therefore, first action nurse should take is to stay with client and bring him to a room with minimal stimuli.) A nurse is obtaining a history and physical on a client who presents to the emergency department of a mental h...

During the data collection phase each encounter with the client involves what? Correct Answer - An ongoing data collection. Do they have peer and family support? What should we determine when obtaining a psychosocial history from a client? Correct Answer - -Determine the clients use of substances, and any history of a substance use disorder -Determine the client stress level and coping abilities, such as usual coping strategies and support system What do we need to identify and remember a...

Set standards of care for mental health patients Correct Answer - American Nurses Association, the American Psychiatric Nurses Association, the International Society of Psychiatric-Mental Health Nurses holistic Correct Answer - mental health nurses should use the nursing process, as well as a ________ approach to care for clients in mental health settings. The various methods used to identify factors that impact the mental well being of clients Correct Answer - observation, interiewing, ph...

Level of Consciousness: Alert Correct Answer - -responsive -able to fully respond by opening eyes & attending to normal tone of voice & speech -answers questions spontaneously & appropriately Level of Consciousness: Lethargic Correct Answer - -able to open eyes & respond but is drowsy -falls asleep readily Level of Consciousness: Stuporous Correct Answer - -patient requires vigorous or painful stimuli to elicit a brief response -might not be able to respond verbally Level of Conscio...

Always assess clients in holistic manner. Each will a require an ongoing assessment Correct Answer - observation, interviewing, physical examination, and collaboration Psychosocial history Correct Answer - perception of own health, beliefs about illness and wellness. Activity/leisure activities, how they pass their time. Use of substance abuse or disorder. Stress level and coping abilities like coping strategies, support systems. Cultural beliefs and practices, and spiritual beliefs. Menta...