ATI CMS EXAM REVIEW - MENTAL
HEALTH EXAM QUESTIONS WITH
CORRECT ANSWERS
LOC - ALERT
| |
patient is responsive| |
opens eyes spontaneously
| |
answers questions appropriately
| |
LOC - LETHARGIC
| |
patient can open eyes and respond to questions
| | | | | | |
falls asleep easily
| |
LOC - OBTUNDED
| |
patient responds to light shaking
| | | |
is confused
|
slow to respond
| |
LOC - STUPOROUS
| |
patient barely responds to painful stimuli
| | | | |
example
rubbing sternum |
,LOC - COMATOSE
| |
patient is unresponsive
| |
abnormal posturing may be present | | | |
DECORTICATE POSTURING |
arms flexed/internally rotated
| |
legs extended/internally rotated
| |
DECEREBRATE POSTURING |
head arched back
| |
arms/legs extended |
AUTONOMY
patient has the right to make their own decisions even if not in their best interest
| | | | | | | | | | | | | | |
BENEFICENCE
do what is best for the patient
| | | | | |
do good
|
FIDELITY
keep your promises
| |
loyalty/faithfulness
JUSTICE
provide fairness in care and allocation of resources
| | | | | | |
NONMALEFICENCE
do no harm
| |
,VERACITY
tell the truth
| |
PATIENT RIGHTS - REFUSAL OF TREATMENT
| | | | |
even patients who are involuntarily admitted have the right to refuse treatment
| | | | | | | | | | |
PATIENT RIGHTS - CONFIDENTIALITY | | |
HIPAA states that health information cannot be released without patient's
| | | | | | | | |
permission
|
client's right to privacy continues even after death
| | | | | | |
CONFIDENTIALITY - NURSING ACTIONS | | |
if someone calls to get an update, suggest they reach out to the patient's family
| | | | | | | | | | | | | |
if you overhear a conversation in a public space, take action to stop the violation
| | | | | | | | | | | | | |
PATIENT RIGHTS - MANDATORY REPORTING| | | |
nurses are required to report suspicion of abuse
| | | | | | |
warn/protect third parties who are at risk for harm | | | | | | | |
INFORMED CONSENT - PROVIDER RESPONSIBILITIES | | | |
communicate purpose of procedure | | |
provide a complete description of procedure in patient's primary language (use
| | | | | | | | | |
interpreter if needed)
| | |
explain risks vs. benefits | | |
describe other options to treat condition
| | | | |
INFORMED CONSENT - NURSE/RN RESPONSIBILITIES | | | |
, make sure provider gave patient appropriate information regarding procedure
| | | | | | | |
ensure that patient is competent to give informed consent
| | | | | | | |
have patient sign consent document
| | | |
notify provider if patient has more questions or doesn't understand information
| | | | | | | | | |
provided
|
RESTRAINTS - TYPES | |
Physical
- vest
|
- belt
|
- mitten
|
Chemical
- sedative Rx
| |
- antipsychotic Rx
| |
RESTRAINTS - ALTERNATIVES | |
provide verbal interventions| |
diversions
calm/quiet environment |
RESTRAINTS - PRESCRIPTIONS | |
MUST BE IN WRITING | | |
prescription must be rewritten every 24 hours | | | | | |
in an emergency situation, a nurse may use restraints, but must obtain a written
| | | | | | | | | | | | |
|prescription per facility policy (usually within 15-30 minutes)
| | | | | | |
HEALTH EXAM QUESTIONS WITH
CORRECT ANSWERS
LOC - ALERT
| |
patient is responsive| |
opens eyes spontaneously
| |
answers questions appropriately
| |
LOC - LETHARGIC
| |
patient can open eyes and respond to questions
| | | | | | |
falls asleep easily
| |
LOC - OBTUNDED
| |
patient responds to light shaking
| | | |
is confused
|
slow to respond
| |
LOC - STUPOROUS
| |
patient barely responds to painful stimuli
| | | | |
example
rubbing sternum |
,LOC - COMATOSE
| |
patient is unresponsive
| |
abnormal posturing may be present | | | |
DECORTICATE POSTURING |
arms flexed/internally rotated
| |
legs extended/internally rotated
| |
DECEREBRATE POSTURING |
head arched back
| |
arms/legs extended |
AUTONOMY
patient has the right to make their own decisions even if not in their best interest
| | | | | | | | | | | | | | |
BENEFICENCE
do what is best for the patient
| | | | | |
do good
|
FIDELITY
keep your promises
| |
loyalty/faithfulness
JUSTICE
provide fairness in care and allocation of resources
| | | | | | |
NONMALEFICENCE
do no harm
| |
,VERACITY
tell the truth
| |
PATIENT RIGHTS - REFUSAL OF TREATMENT
| | | | |
even patients who are involuntarily admitted have the right to refuse treatment
| | | | | | | | | | |
PATIENT RIGHTS - CONFIDENTIALITY | | |
HIPAA states that health information cannot be released without patient's
| | | | | | | | |
permission
|
client's right to privacy continues even after death
| | | | | | |
CONFIDENTIALITY - NURSING ACTIONS | | |
if someone calls to get an update, suggest they reach out to the patient's family
| | | | | | | | | | | | | |
if you overhear a conversation in a public space, take action to stop the violation
| | | | | | | | | | | | | |
PATIENT RIGHTS - MANDATORY REPORTING| | | |
nurses are required to report suspicion of abuse
| | | | | | |
warn/protect third parties who are at risk for harm | | | | | | | |
INFORMED CONSENT - PROVIDER RESPONSIBILITIES | | | |
communicate purpose of procedure | | |
provide a complete description of procedure in patient's primary language (use
| | | | | | | | | |
interpreter if needed)
| | |
explain risks vs. benefits | | |
describe other options to treat condition
| | | | |
INFORMED CONSENT - NURSE/RN RESPONSIBILITIES | | | |
, make sure provider gave patient appropriate information regarding procedure
| | | | | | | |
ensure that patient is competent to give informed consent
| | | | | | | |
have patient sign consent document
| | | |
notify provider if patient has more questions or doesn't understand information
| | | | | | | | | |
provided
|
RESTRAINTS - TYPES | |
Physical
- vest
|
- belt
|
- mitten
|
Chemical
- sedative Rx
| |
- antipsychotic Rx
| |
RESTRAINTS - ALTERNATIVES | |
provide verbal interventions| |
diversions
calm/quiet environment |
RESTRAINTS - PRESCRIPTIONS | |
MUST BE IN WRITING | | |
prescription must be rewritten every 24 hours | | | | | |
in an emergency situation, a nurse may use restraints, but must obtain a written
| | | | | | | | | | | | |
|prescription per facility policy (usually within 15-30 minutes)
| | | | | | |
