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ATI - RN Mental Health Nursing exam with questions and well elaborated answers

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  • ATI - RN
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  • ATI - RN

able to open eyes and respond, but is drowsy and falls asleep readily obtundation needs to be lightly shaken to elicit a response; may be confused and slow to respond stupor requires painful stimuli (e.g. pinch a tendon, rub sternum) to elicit a brief response; may not be able to re...

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Document information

  • March 23, 2024
  • 11
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • lethargy
  • alert

Written for

  • ATI - RN
All documents for this subject (2485)

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BrianBubba

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ATI - RN Mental Health Nursing exam with questions and well elaborated answers
What do you assess for during a Mental Status Exam (MSE)? - correct answer-1. level of
consciousness

2. physical appearance

3. behavior

4. cognitive and intellectual abilities



alert - correct answer-able to fully respond by opening eyes, attend to normal tone of voice
and speech, and answer questions spontaneously and appropriately



lethargy - correct answer-able to open eyes and respond, but is drowsy and falls asleep
readily



obtundation - correct answer-needs to be lightly shaken to elicit a response; may be
confused and slow to respond



stupor - correct answer-requires painful stimuli (e.g. pinch a tendon, rub sternum) to elicit
a brief response; may not be able to respond verbally



coma - correct answer-no response from repeated painful stimuli



decorticate rigidity - correct answer-flexion and internal rotation of upper extremity joints
and legs (arms toward midline)



decerebrate rigidity - correct answer-neck and elbow extension, wrist and finger flexion
(arms away from midline)



mood - correct answer-subjective data about emotions that are felt

, affect - correct answer-objective data about expression of mood



How do you assess recent memory? - correct answer-Have patient recall a series of
number or list of objects.



How do you assess remote memory? - correct answer-Have patient state a verifiable fact
(e.g. birthdate).



How do you assess level of knowledge? - correct answer-Ask patient what they know about
their illness or hospitalization.



How do you assess ability to calculate? - correct answer-Ask patient to count backward
from 100 in serials of 7.



How do you assess ability to think abstractly? - correct answer-See if patient can interpret
an idiom/saying.



How do you assess judgment? - correct answer-Ask patient a hypothetical question to see
how they would answer (i.e. is it logical).



What do you assess for during a Mini-Mental State Exam? - correct answer-1. orientation

2. attention span and ability to calculate

3. registration and recall of objects

4. language (e.g. naming objects, following commands, and writing ability)



What is evaluated in the Glasgow Coma Scale? - correct answer-eye, verbal, and motor
response

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