Mental Health ATI, FINAL EXAM-
MENTAL HEALTH (ATI) Questions and
Correct Answers
repeat a series of number or objects Ans: — How would you
assess a client's immediate memory?
recall events such as visitors from the current day, or the purpose
of the current mental health appointment or admission Ans: —
How would you assess a client's Recent memory?
Ask to state a fact from past that is verifiable such as birth date or
mother's maiden name Ans: — How would you assess a client's
Remote memory?
administering meds
teaching about meds
monitoring AE's and EFFECTIVENESS of meds Ans: — Name three
Psycho-biological interventions
Moderate Ans: — _______ anxiety decreases problem solving and
may hamper one's ability to understand information. Vital signs
may increase somewhat, and the person is visibly anxious.
Moderate anxiety Ans: — Slightly reduced perception and
processing of information occurs, and selective inattention may
occur.
Moderate anxiety Ans: — Ability to think is clearly hampered, but
learning and problem solving may still occur.
Moderate anxiety Ans: — Characteristics include concentration
difficulties, tiredness, pacing, change in voice pitch, voice tremors,
shakiness, and increased heart and respiratory rate.
Moderate anxiety Ans: — In this stage of anxiety the client may
report somatic symptoms including headaches, backache, urinary
urgency, and frequency, and insomnia.
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Moderate anxiety Ans: — The client with this type of anxiety
usually benefits from the direction of others.
Severe anxiety Ans: — In this level of anxiety the perceptual field
is greatly reduced with distorted perceptions.
Severe anxiety Ans: — In this level of anxiety learning and problem
solving do not occur.
Severe anxiety Ans: — In this level of anxiety functioning is
ineffective.
Severe anxiety Ans: — Characteristics of this level of anxiety
include confusion, feelings of impending doom, hyperventilation,
tachycardia, withdrawal, loud and rapid speech, and aimless
activity.
Severe Ans: — The client with ______ anxiety is not usually able to
take direction from others.
Panic level Ans: — ______ anxiety is characterized by markedly
disturbed behavior.
Panic level anxiety Ans: — In this level of anxiety the client is not
able to process what is occurring in the environment and may lose
touch with reality.
Panic level anxiety Ans: — In this level of anxiety the client
experiences extreme fright and horror.
Panic level anxiety Ans: — In this level of anxiety the client
experiences severe hyperactivity or flight.
Panic level anxiety Ans: — In this level of anxiety immobility can
occur.
Panic level anxiety Ans: — Characteristics of this level of anxiety
may include dysfunction in speech, dilated pupils, severe
shakiness, severe withdrawal, inability to sleep, delusions, and
hallucinations.
Mild to moderate Ans: — In this level of anxiety, nursing
interventions include: using open-ended questions, giving broad
openings, exploring, and seeking clarification.
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mild to moderate Ans: — In these levels of anxiety, nursing
interventions include: providing a calm presence, and recognizing
the client's distress.
mild to moderate Ans: — In this level of anxiety, nursing
interventions include: evaluating past coping mechanisms to assist
the client in identifying adaptive and non-adaptive coping
mechanisms.
mild to moderate Ans: — In this level of anxiety, nursing
interventions include: exploring alternatives to problem situations.
mild to moderate Ans: — In this level of anxiety, nursing
interventions include: encouraging participation in activities such
as exercise that may temporarily relieve feelings of inner tension.
severe to panic Ans: — In this level of anxiety, nursing
interventions include: providing an environment that meets the
physical and safety needs of the client. Remaining with the client
is important.
severe to panic Ans: — In these levels of anxiety nursing
interventions include: providing a quiet environment with minimal
stimulation.
severe to panic Ans: — In these levels of anxiety, nursing
interventions include: using medications and restraints after all
less restrictive interventions have failed to decrease anxiety to
safer levels.
severe to panic Ans: — In this level of anxiety, nursing
interventions include: encouraging GROSS motor activities such as
walking, and other forms of exercise.
severe to panic Ans: — In this level of anxiety, nursing
interventions include: setting limits by using firm, short, and
simple statements. Repetition may be necessary.
severe to panic Ans: — In these levels of anxiety, nursing
interventions include: directing the client to acknowledge reality
and focus on what is present in the environment.
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