ATI Mental Health 2023 Exam Review

Questions and Answers

Which suggestions should the nurse make to decrease the client's risk for injury? (Select all that apply)

Place rugs over electrical cords

Install childproof door locks (correct)

Place the client's mattress on the floor (correct)

Mark cleaning supplies with colored tape

Install light fixtures above stairs (correct)

What action should the nurse take regarding the client's nutrition concerns?

Provide information on resources for respite care (correct)

Verify that a current power of attorney document is on file

Schedule the client for placement of an enteral feeding tube

Instruct the client's partner to offer finger foods to increase oral intake

Which findings should the nurse expect for a client with delirium related to an acute UTI? (Select all that apply)

Hallucinations (correct)

History of gradual memory loss

Unaltered level of consciousness

Restlessness (correct)

Family history report of personality changes (correct)

Which statement is appropriate for the nurse to include regarding substance use in older adults?

Older adults are at an increased risk for substance use following retirement Signup and view all the answers

What findings should the nurse expect for a client experiencing alcohol withdrawal? (Select all that apply)

Fine tremors of both hands Signup and view all the answers

What is the priority intervention for a client experiencing benzodiazepine withdrawal?

Implement seizure precautions Signup and view all the answers

Which of the following statements by the newly licensed nurse indicates an understanding of the teaching regarding mental status exams? (Select all that apply)

To assess language ability, I should instruct the client to write a sentence. Signup and view all the answers

Which action should the nurse include as a psychobiological intervention for a client with a mental health disorder?

Monitor the client for adverse effects of medications. Signup and view all the answers

Which action should the nurse identify as the priority when conducting an initial client interview?

Identify the client's perception of her mental health status. Signup and view all the answers

When assessing a stuporous client, which finding should the nurse expect?

The client arouses briefly in response to a sternal rub. Signup and view all the answers

Which information should be included in the discussion about the DSM-5? (Select all that apply)

The DSM-5 establishes diagnostic criteria for individual mental health disorders. Signup and view all the answers

Which client requires a temporary emergency admission?

A client who has borderline personality disorder and assaulted a homeless man with a metal rod. Signup and view all the answers

The nurse's decision to put a client who has a psychotic disorder in seclusion overnight demonstrates which tort?

False imprisonment. Signup and view all the answers

What action should the nurse take when a client mentions hiding a sharp knife?

Report the incident to the healthcare team without informing the client. Signup and view all the answers

Which statements should the nurse document about a client in mechanical restraints? (Select all that apply)

Client was offered 8 oz of water every hour. Signup and view all the answers

What action should the nurse take first when witnessing a newly licensed nurse discussing a client's hallucinations?

Tell the nurse to stop discussing the behavior. Signup and view all the answers

Which response should the nurse make to the parents of a child demonstrating behavioral changes?

I understand you're concerned. Let's discuss what concerns you specifically. Signup and view all the answers

What defense mechanism is the client exhibiting when claiming to cough due to a cold?

Denial. Signup and view all the answers

Which level of anxiety is the client experiencing with a respiratory rate of 30/min and feelings of nervousness?

Moderate. Signup and view all the answers

Which actions should the nurse take to assist a client experiencing moderate anxiety? (Select all that apply)

Demonstrate a calm manner while using simple and clear directions. Signup and view all the answers

Which statement should the nurse make to a client at risk for suicide following the death of a spouse?

Losing someone close to you must be very upsetting. Signup and view all the answers

Which characteristic of a nurse-client relationship should be included in the discussion with a newly licensed nurse? (Select all that apply)

A termination date is established. Signup and view all the answers

Which action indicates transference behavior during a therapeutic relationship?

The client accuses the nurses of telling him what to do just like his ex-girlfriend. Signup and view all the answers

Which action should the nurse include in the termination phase of a nurse-client relationship?

Discussing ways to use new behaviors. Signup and view all the answers

What statement should the nurse make when orienting a new client about community meetings?

You and the other clients will meet with staff to discuss common problems. Signup and view all the answers

Which client should the nurse visit first?

A client who says he is hearing a voice that tells him he is not worth living anymore. Signup and view all the answers

Which intervention should the nurse plan as a method of tertiary prevention for depression among older adults?

Establishing rehabilitation programs to decrease the effects of depression. Signup and view all the answers

Which services are provided by a community mental health program? (Select all that apply)

Individual counseling programs. Signup and view all the answers

Which follow-up care should the nurse suggest for a client requiring supervision?

Attending a partial hospitalization program. Signup and view all the answers

Which client should be considered for referral to an assertive community treatment (ACT) group?

A client who lives at home and keeps forgetting to come in for his monthly antipsychotic injection for schizophrenia. Signup and view all the answers

Which client statement indicates understanding of classical psychoanalysis?

The therapist will focus on my past relationships during our sessions. Signup and view all the answers

Which statement indicates understanding free association as a therapeutic tool?

I should say the first thing that comes to my mind. Signup and view all the answers

Which techniques should be included in the cognitive reframing plan of care? (Select all that apply)

Priority restructuring. Signup and view all the answers

What type of treatment is disulfiram (used for alcohol use disorder) an example of?

Aversion therapy. Signup and view all the answers

Which action implements systematic desensitization for a client with an elevator phobia?

Gradually expose the client to an elevator while practicing relaxation techniques. Signup and view all the answers

Which action demonstrates democratic leadership in a group focused on conflict resolution?

Asks for group suggestions of techniques and then support discussion. Signup and view all the answers

What concept is demonstrated when two group members discuss a shared interest during a meeting?

Hidden agenda. Signup and view all the answers

Which dysfunctional behavior is the adolescent son demonstrating by planning to manipulate his sibling?

Manipulation. Signup and view all the answers

Which role should the nurse identify as an individual role within a group?

A member who brags about their accomplishments. Signup and view all the answers

What information should be included in an educational seminar on stress?

Excessive stressors cause the client to experience distress. Signup and view all the answers

Which effects are identified as acute stress responses?

Decreased immune system. Signup and view all the answers

Which of the following client statements indicates understanding of the teaching? (Select all that apply)

Cognitive reframing will help me change my irrational thoughts to something positive Signup and view all the answers

Which of the following recommendations should the nurse make to promote a change in the client's situation?

Use assertiveness techniques Signup and view all the answers

When discussing effective communication, which of the following statements by the client to his coworker indicates client understanding?

When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities Signup and view all the answers

Which of the following client statements indicates understanding of the ECT teaching?

I will receive a muscle relaxant to protect me from injury during ECT Signup and view all the answers

Which statement indicates an understanding of TMS?

I will schedule the client for daily TMS treatments for the first several weeks Signup and view all the answers

Which findings should the nurse expect after an ECT procedure? (Select all that apply)

Memory loss Signup and view all the answers

Which of the following should the nurse include in the discussion about ECT indications?

Bipolar disorder with rapid cycling Signup and view all the answers

What adverse effects should the nurse monitor for following surgical implantation of a VNS device? (Select all that apply)

Voice changes Signup and view all the answers

What underlying reason causes repetitive behavior in a client with OCD?

Attempt to reduce anxiety Signup and view all the answers

Which action should the nurse take for a client experiencing a panic attack?

Stay with the client and remain quiet Signup and view all the answers

Which findings should the nurse expect in a client with generalized anxiety disorder? (Select all that apply)

Need for reassurance Signup and view all the answers

What is the first action a nurse should take for a client with body dysmorphic disorder?

Assessing the client's risk for self-harm Signup and view all the answers

What statement should the nurse make to a client with acute stress disorder experiencing severe anxiety?

Tell me about how you are feeling right now Signup and view all the answers

Which findings should the nurse expect in a client with PTSD? (Select all that apply)

Recurring nightmares Signup and view all the answers

What strategies should a nurse use to help prevent developing a trauma-related disorder? (Select all that apply)

Debrief with others following the incident Signup and view all the answers

What information should a nurse expect to collect from a client who has ASD?

The client expresses a sense of unreality about the traumatic event Signup and view all the answers

Which finding indicates derealization in a client?

The client states that the furniture in the room seems to be small and far away Signup and view all the answers

What intervention should the nurse include in the care plan for a client with dissociative fugue?

Work with the client on grounding techniques Signup and view all the answers

Which factors put a client with a history of chronic asthma at risk for depression? (Select all that apply)

Age Signup and view all the answers

What is the nurse's priority action for a client with major depressive disorder and comorbid anxiety disorder?

Placing the client on one-to-one observation Signup and view all the answers

What indicates understanding of PMDD teaching?

I am aware that my PMDD causes me to have rapid mood swings Signup and view all the answers

What indicates understanding about the care of a client with MDD?

The client is at greatest risk for suicide during the first weeks of an MDD episode Signup and view all the answers

What findings indicate dysthymic disorder?

Presence of manifestations for at least 2 years Signup and view all the answers

Which interventions should the nurse include in the plan of care for a client experiencing a manic episode? (Select all that apply)

Establish consistent limits Signup and view all the answers

Which statement indicates understanding of ECT for bipolar disorder?

ECT is effective for clients who are experiencing severe mania Signup and view all the answers

What response should the nurse give to a client who expresses a need to give money away?

I am here to provide care and cannot accept this from you Signup and view all the answers

What is the priority nursing action for a client with bipolar disorder?

Monitor the client for escalating behavior Signup and view all the answers

Which information should the nurse include in the teaching on relapse prevention for bipolar disorder? (Select all that apply)

Anhedonia is a clinical manifestation of a depressive relapse Signup and view all the answers

What should the nurse say to a client experiencing auditory hallucinations?

When did you start hearing the voices? Signup and view all the answers

Which findings indicate positive symptoms in a client with schizophrenia? (Select all that apply)

Use of clang association Signup and view all the answers

Which statement indicates depersonalization in a client?

I am no one, and everyone is me Signup and view all the answers

What action should the nurse take if a client reports hearing voices instructing harmful behavior?

Initiate one-to-one observation of the client Signup and view all the answers

What action should the nurse take when a client with schizophrenia stops focusing on questions and appears to talk to themselves?

Ask the client, 'Are you seeing something on the ceiling?' Signup and view all the answers

What statement indicates understanding of personality disorder care?

I should practice limit-setting to help prevent client manipulation Signup and view all the answers

What statement would a client with avoidant personality disorder be likely to make?

I'm scared that you're going to leave me Signup and view all the answers

The client with borderline personality disorder expresses strong feelings towards different nurses. What is this an example of?

Splitting Signup and view all the answers

What findings should the nurse expect when evaluating a client with antisocial personality disorder? (Select all that apply)

Attempts to convince other clients to give him their belongings Signup and view all the answers

What should the nurse teach a client who has early-stage Alzheimer's disease about donepezil?

You can expect the progression of cognitive decline to slow with donepezil Signup and view all the answers

Study Notes

Mental Status Exams

Cognitive ability assessment can involve asking clients to count backward by sevens.
Assessment of affect focuses on observing the client's facial expressions.
Language ability can be evaluated by asking clients to write a sentence.

Psychobiological Interventions

Monitoring clients for medication adverse effects is a crucial psychobiological intervention.

Initial Client Interview

Prioritize understanding the client's perception of their mental health status during the initial interview.

Assessment of Stupor

A stuporous client may only arouse briefly in response to vigorous stimuli like a sternal rub.

DSM-5 Characteristics

The DSM-5 establishes diagnostic criteria for mental health disorders and aids in care planning.
It does not provide client education handouts or recommended pharmacological treatments.

Temporary Emergency Admission

Clients exhibiting harmful behavior, such as assault, need temporary emergency admission.

Seclusion and Torts

Placing a client in seclusion without just cause could be considered false imprisonment.

Confidentiality and Client Safety

Information regarding a client hiding a weapon must be reported for the safety of all involved.

Documentation for Clients in Restraints

Notes on hydration, patient behavior, and medication administration are essential for documenting clients in restraints.

Addressing Confidentiality Violations

First action if a nurse discusses a client's hallucinations inappropriately is to stop the conversation.

Parent Reassurance Techniques

Addressing parental concerns involves acknowledging the parents' worries and discussing specific concerns.

Defense Mechanisms

A client denying symptoms of lung cancer demonstrates denial as a defense mechanism.

Anxiety Levels in Clients

A client showing rapid breathing and nervousness is likely experiencing moderate anxiety.

Managing Moderate Anxiety

Engaging the client in discussions about effective coping mechanisms is important.

Supporting Clients at Risk for Suicide

Validate the client's feelings of loss to create a supportive environment for discussion.

Characteristics of Therapeutic Relationships

Effective nurse-client relationships are goal-directed, encourage behavioral change, and have a termination date.

Understanding Transference Behavior

Clients may display transference by projecting feelings related to past relationships onto their current nurse.

Termination Phase of Nurse-Client Relationship

Discussing how to apply new behaviors after therapy is part of the termination phase.

Community Meeting Structure

Community meetings allow clients to discuss shared challenges and treatment plans, often with staff involvement.

Client Prioritization in Community Mental Health

Clients expressing thoughts of self-harm should be prioritized for immediate follow-up.

Tertiary Prevention for Depression

Rehabilitation programs aimed at reducing the effects of depression serve as a tertiary prevention method.

Community Mental Health Facility Services

Facilities provide educational groups, medication dispensing, individual counseling, and family therapy.

Post-Hospitalization Care Planning

Partial hospitalization programs are an effective follow-up care strategy for clients needing supervision.

Assertive Community Treatment Referrals

Clients who struggle to attend appointments consistently can benefit from assertive community treatment groups.

Psychoanalysis Understanding

Clients understand that psychoanalysis will explore past relationships and experiences that contribute to current issues.

Free Association Technique

Instructing clients to verbalize thoughts as they arise reflects understanding of the free association technique.

Cognitive Reframing Techniques

Techniques like priority restructuring, monitoring thoughts, and journaling are key for cognitive reframing strategies.

Aversion Therapy with Disulfiram

Disulfiram treatment for alcohol use disorder exemplifies aversion therapy by inducing nausea when alcohol is consumed.

Systematic Desensitization Approach

Gradual exposure to feared situations paired with relaxation techniques defines systematic desensitization.

Democratic Leadership in Groups

Democratic leadership encourages group participation and collaboration to navigate conflict resolution.

Group Process Dynamics

Discussions unrelated to the group's focus could indicate a hidden agenda among group members.

Identifying Manipulation in Family Dynamics

Adolescent behavior aimed at gaining favor through manipulation illustrates dysfunctional family interaction patterns.

Individual Roles within Groups

Individuals may sometimes take on unproductive roles, such as bragging about personal achievements.

Stress Understanding and Effects

Chronic stress leads to distress, while acute stress can manifest as increased blood pressure and panic attacks.

Teachings on Stress Reduction Techniques

Cognitive reframing is a valuable technique in stress management, helping clients reframe irrational thoughts.

Promoting Assertiveness in Client Situations

Encouraging clients to use assertive communication techniques empowers them to handle stressful situations effectively.

Effective Communication Techniques

Clients should express their feelings constructively, focusing on their experiences rather than blaming others.### ECT and TMS Treatment
ECT often utilized for depression before considering medications.
ECT may lead to remission of depressive symptoms through a series of treatments.
Muscle relaxants administered during ECT to prevent injury.

TMS Treatment Understanding

TMS suitable for clients with mood disorders, not schizophrenia spectrum disorders.
Daily TMS sessions recommended initially for several weeks.
TMS treatments typically last between 5-10 minutes.

Observing Post-ECT Findings

Expected findings after ECT include memory loss, nausea, and confusion.
Hypotension and paralytic ileus are less common after ECT.

ECT Indications

ECT indicated for bipolar disorder with rapid cycling among others.
Not generally recommended for borderline personality disorder or dysphoric disorder.

VNS Device Monitoring

Monitor for adverse effects like voice changes, dysphagia, and neck pain post-surgery.

Compulsive Behavior in OCD

Repetitive behaviors in OCD, such as applying and removing makeup, are driven by anxiety reduction.

Panic Attack Care

Nurse's priority is to stay present with the client experiencing a panic attack without overwhelming them.

Generalized Anxiety Disorder Assessment

Expect findings such as persistent excessive worry, restlessness, and a need for reassurance.

Body Dysmorphic Disorder Care

Initial step includes assessing the client’s risk for self-harm.

Acute Stress Disorder Communication

Encourage the client to express their feelings, fostering open communication.

PTSD Symptoms

Anticipate difficulties in concentration, negative self-image, and recurring nightmares in PTSD patients.

Essential strategies include taking breaks for hydration and food, debriefing with colleagues, and utilizing counseling services.

Acute Stress Disorder Admission History

Clients may express a sense of unreality about traumatic events.

Identifying Derealization

Clients experiencing derealization may perceive surroundings as distorted or distant.

Dissociative Fugue Care Interventions

Grounding techniques should be prioritized to assist clients recovering from dissociative fugue.

Depression Risk Factors

Factors that increase depression risk include age, gender, chronic health conditions (like asthma), and marital status.

Priority Care for Major Depressive Disorder

The highest priority is ensuring client safety through close observation.

Understanding Premenstrual Dysphoric Disorder

Clients should acknowledge the rapid mood swings associated with PMDD.

Major Depressive Disorder Suicide Risk

Increased suicide risk during early weeks of depression episode.

Dysthymic Disorder Manifestations

A minimum of two years of depressive symptoms is characteristic of dysthymic disorder.

Managing Bipolar Disorder Episodes

Include concise explanations, establish limits, and maintain a firm communication approach during manic episodes.

ECT for Bipolar Disorder

ECT is effective for those experiencing severe mania.

Addressing Client’s Generosity during Mania

Recognize and decline inappropriate gifts from clients during manic episodes.

Priority Actions in Bipolar Disorder

Monitoring for escalating behavior is crucial during care.

Relapse Prevention in Bipolar Disorder

Important indicators for relapse include difficulty sleeping and participation in therapy.

Communicating with Hallucinating Clients

Engage in therapeutic communication to understand the nature of auditory hallucinations.

Positive Symptoms of Schizophrenia

Positive symptoms include hallucinations, delusions, and abnormal behavioral responses.

Depersonalization in Schizoaffective Disorder

A sense of being no one represents depersonalization.

Responding to Threatening Hallucinations

Implement one-to-one observation for clients expressing intent to harm.

Understand and validate clients' visual perceptions during episodes.

Personality Disorder Care Principles

Setting clear limits is key to managing clients with personality disorders effectively.

Avoidant Personality Disorder Characteristics

Fear of abandonment is a defining trait of avoidant personality disorder.

Borderline Personality Disorder Defense Mechanism

"Splitting" often manifests as dramatic shifts in interpersonal relationships.

Antisocial Personality Disorder Assessment

Anticipate manipulative behaviors and boundary-testing among clients.

Donepezil for Alzheimer’s Disease

Donepezil can slow cognitive decline in early-stage Alzheimer's patients.

Safety Measures for Clients with Alzheimer's

Recommendations include installing childproof locks and placing mattresses on the floor to prevent falls.

Addressing Caregiver Concerns

Provide resources for respite care to support primary caregivers of clients with dementia.

Anticipate personality changes and hallucinations when assessing delirium.

Substance Use in Older Adults

Increased risk of substance use can follow retirement, highlighting the need for preventative measures.

Alcohol Withdrawal Symptoms

Expect to see fine tremors, restlessness, and vomiting as signs of alcohol withdrawal.

Benzodiazepine Withdrawal Priority

Prioritize implementing seizure precautions for clients undergoing benzodiazepine withdrawal.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on mental status exams with this engaging ATI Mental Health 2023 quiz. Answer questions that cover key concepts necessary for understanding mental health assessments, including cognitive ability, affect, and language skills. Perfect for newly licensed nurses looking to improve their expertise in the field.