ATI Capstone Mental Health Prep Questions With Guaranteed Pass Solutions.
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Ati capstone mental health assessment
Institution
Ati Capstone Mental Health Assessment
Mental Status Exam includes: - Answer Level of consciousness
Physical appearance
Behavior
Cognitive and intellectual abilities
part of his or her routine and ongoing assessment of the client. Changes should be investigated further and the provider notified.
2 types of mental health hosp...
ATI Capstone Mental Health Prep
Questions With Guaranteed Pass
Solutions.
Mental Status Exam includes: - Answer Level of consciousness
Physical appearance
Behavior
Cognitive and intellectual abilities
part of his or her routine and ongoing assessment of the client. Changes should be investigated further
and the provider notified.
2 types of mental health hospitalizations - Answer Voluntary commitment and involuntary or civil
commitment. Involuntary commitment is against the client's will. Despite that, unless proven otherwise,
clients are still considered competent and have the right to refuse treatment.
Communication tips - Answer * If the client is anxious or depressed - use open-ended, supportive
statements* If the client is suicidal - use direct, yes or no questions to assess suicide risk* If the client is
panicked - use gentle guidance and direction* If the client is confused - provide reality orientation* If the
client has delusions / hallucinations / paranoia - acknowledge these, but don't reinforce* If the client has
obsessive / compulsive behavior - communicate AFTER the compulsive behavior* If the client has a
personality or cognitive disorder - be calm and matter-of-fact
Treatment for mental health illnesses and disorders can include - Answer medications, talk and
behavior therapy, and / or brain stimulation. Clients undergoing care for mental health disorders may
feel pressure to deny behavior or issues to appear 'normal'. The nurse should always carefully assess
each individual to ensure optimal response to therapies.
Brain Stimulation Therapy - Answer electroconvulsive therapy or ECT. ECT is generally performed for
major depressive disorders, schizophrenia, or acute manic disorders. Most clients receive therapy three
times a week for two to three weeks. Prior to ECT, carefully screen the client for any home medication
use. Lithium, MAOIs, and all seizure threshold medications should be discontinued two weeks prior to
ECT. After therapy, reorient the client as short-term memory loss is common.
, anxiety disorders - Answer Common mental health disorders. Generalized Anxiety Disorder, Panic
Disorder, Phobias, Obsessive Compulsive Disorder, and Posttraumatic stress disorder (PTSD) are all
considered types of anxiety disorders. Assess the client for risk factors, triggers, and responses.
Depression Symptoms - Answer Change in sleep patterns, indecisiveness, decreased concentration, or
change in body weight. Any client who shows these signs or symptoms should be asked if they have
suicidal ideation. Teach clients to never discontinue antidepressants suddenly.
Bipolar Disorders - Answer mood disorders with periods of depression and mania. Clients have a high
risk for injury during the manic phase related to decreased sleep, feelings of grandiosity, and impulsivity.
Hospitalization is often required and nurses should provide for client safety.
Types of Abuse - Answer physical, sexual, or emotional. Tends to be cyclic, following a pattern of
tension building, battering, and honeymoon phase. When test questions appear related to abuse, look
for the phase to determine the correct response.
Aggressive or violent patient - Answer setting boundaries and limits on behavior is important. The
nurse should maintain a calm approach and use short, simple sentences.
SSRIs: Selective Serotonin Reuptake Inhibitors - Answer These medications include Citalopram (Celexa),
Fluoxetine (Prozac), or Sertraline (Zoloft). The client should avoid using St. John's Wort with these
medications, and should eat a healthy diet while on these medications.
TCAs: Tricyclic Antidepressants - Answer Amitriptyline (Elavil) is an example. Anticholinergic effects and
orthostatic hypotension may occur.
MAOIs: Monoamine Oxidase Inhibitors - Answer Phenelzine (Nardil) is an example. Hypertensive crisis
may occur with tyramine food ingestion, so care must be taken to avoid these substances. Educate the
client to avoid all medications until discussed with provider.
Atypical antidepressants - Answer Bupropion (Wellbutrin) is the most common example. Appetite
suppression is a common side-effect. Headache and dry mouth may be severe and client should notify
the provider if this occurs. should not be used with clients with seizure disorders.
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