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ati mental health
ati nursing
| Question | Answer |
|---|---|
| Levels of consciousness | Alert - responsive and able to fully respond Lethargy- respond but are drowsy and fall asleep quickly Obtundation- pts need to be lightly shaken confused coma- no response from painful stimuli |
| Basic assessment | Pts LOC, appearance, behavior, cognitive and intellectual ability, mmse, pts description of their illness. |
| Physical examination | Appearance- grooming attire Behavior- body movements, mood, and affect |
| Cognitive and intellectual | Recent and remote memory, calculate, abstract thinking, judgement, speech |
| Interview strategies | Private quiet space, introduce yourself, pts name preference, sit close and at eye level, questions about sleeping, incontinence, family, medical hx, summarize when interview is over and get pt feedback |
| Dsm axis codes | Axis 1- abnormal behavior and mh dx not coveted in axis 2 Axis 2- personality disorder and MR Axis3- general medical ex: asthma axis4- gaf |
| While performing a MMSE the nurse notices that the pts facial expression constantly conveys anger she should document this as the pts | Affect |
| During the MMSE a hospitalized pt states she is undergoing tx to "learn to be a doctor" the nurse should record this as | Poor perception of illness |
| Examples of subjective data collection | Pt states that he has no reason to live Pt states that he drinks 3 beers a day |
| A nurse is caring for a client dx with schizophrenia, DM, and anti social personality which is the axis2? | Antisocial personality disorder |
| An ex of a pt who requires emergency admission is | PTSD who assaulted his son with a bat |
| Pacing | Pt not giving information because the nurse seems busy |
| Connotative meaning | Charting pt complains of instead of client reports |
| Vocabulary | Using words the pt understands instead of medical jargon |
| Timing | Pt education when the patient is comfortable and ready to learn |
| Factors that foster a therapeutic relationship | Consistency, pace with the pt, attentive listening, positive initial impression, comfort, and availability |
| Ocd | Ritualistic behavior that interferes with adls |
| Gad | At least 3 of the following clinical manifestations: fatigue, restlessness, problems with concentration, irritability, muscle tension, sleep disturbances |
| Specific therapies for anxiety | Relaxation - controls pain tension and anxiety Modeling- allows the pt to see appropriate behavior in a stressful situation Systematic desensitization - begins with the mastery of relaxation techniques then exposes them to increasing levels anx pro stim |
| Specific therapies for anxiety continued | Flooding- exposes pt to great deal of stimulus Thought- teaches pts to say stop to negative thoughts and replace with positive ones |
| Medications for anxiety | Antidepressants like Zoloft elavil Hypnotic anxiolytics valium ssri effexor Nonbarbituate anxiolytics BuSpar |
| Depressive disorder 5 of the following at least 2 weeks | Depressed mood, difficulty sleeping or excessive sleeping, indecisiveness, decreased concentration, suicidal ideation, increase or decrease in motor activities, inability to feel pleasure,increase or decrease in weight of more than 5% in 1 month |
| Ssri | Celexa, Prozac, Zoloft May cause sexual disfunction or cns stimulation which can lead to insomnia |
| Tca | Elavil Orthostatic hypotension |
| Maoi | Nardil Hypertensive crisis |
| Benzo diazepines | Valium ativan Cns depression avoid driving etc |
| Ssnri | Effexor Nausea, weight gain sexual dysfunction |
| Nonbarbituate | BuSpar 2 to 4 weeks to become effective |
| Mood stabilizer | Lithium depakote Klonopin neurotin |
| Types of schizophrenia | Paranoid- hallucinations and delusions Disorganized- loose association, bizarre, Catatonic- psychomotor retardation Residual- active clinical manifestations gone but 2 or more residual finding Undifferentiated |
| Atypical anti psychotic | Risperdone ziprexa seroquel geodon abilify Sedation weight gain |
| Conventional anti psychotic | Haldol thorazine prolixin Anticholinergic effects, Orthostatic hypotension, eps |
| Antidepressants for schizophrenia | Paxil Suicidal ideation withdrawal effects with abrupt withdrawal |
| Personality disorders | Cluster A odd or eccentric Cluster B dramatic emotional or erratic cluster C anxious or fearful |
| 4 common characteristics of personality disorders | Inflexible maladaptive response to stress Disability in social and professional relationship Tendency to provoke interpersonal conflict Ability to merge personal boundaries with others |
| Cluster A | Paranoid - distrust of others Schizoid- disinterested emotional detachment with others do not have psychotic symptoms Schizotypal odd beliefs eccentric appearance |
| Cluster B | Antisocial disregard for others, deceit, failure to accept personal responsibility Borderline fear of abandonment, splitting, manipulation histrionic seductive flirtatious, emotional attention seeking Narcissistic arrogance sensitive to criticism |
| Cluster C | Avoidant avoidance of all situations from fear of rejection Dependant urgent search for relationship when the other one ends |
| Obsessive compulsive | Focus on orderliness and control no ritualistic behavior |
| Data collection for pts with eating disorders | Dietary habits and hx, ht, wt, skin condition, vs, feeling about body image, and family dynamics |
| Cognitive distortions for those who have an eating disorder | Over generalization no one will like her if she's fat All or nothing any carb will make her fat and lead to unbearable weight gain |
| F Expected findings for pt with bulemia | ECG changes peripheral edema and tooth decay |
| Antidote for benzo od or toxicity | Romazicon |
| A nurse knows that pt teaching for a client with new prescription for BuSpar is understood when | The pt states I will not take this medication with grapefruit juice |
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100000839384613
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