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ATI MENTAL HEALTH PROCTORED

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ATI MENTAL HEALTH PROCTORED

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Voorbeeld van de inhoud

ATI MENTAL HEALTH PROCTORED
Wernicke-Korsakoff Expected Findinganswer - Confusion

Heroin Intoxication Expected Findinganswer - Respiratory Depression

Reaction of Terminal Cancer Diagnosisanswer - Denial

Valproic Acid Teachinganswer - Teach the need to regularly monitor liver function levels
due to the risk of hepatotoxicity

When should Donapezil be taken?answer - Bedtime to reduce the risks for injury due to
bradycardia and syncope

Methadone is indicated for TX of....answer - Opiate use disorder

Phenelzine---Finding to reportanswer - Elevated BP: increases risk for hypertensive
crisis
This is an MAOI!

Acute Main---Priority Goalanswer - Maintain adequate hydration

Binge-eating expected findinganswer - Abdominal pain

Stage 4 Alzheimers expected findinganswer - Client is able to identify the names of
family members

Restricting type anorexia expected findinganswer - Decreased caloric intake due to
excessive fear of weight gain

ECT Potential Complicationsanswer - Cardiac arryhthmia

Cocaine intoxication expected findinganswer - Dilated pupils

Benzo---finding that would indicate questioning the provideranswer - Hypotension

Alcohol Withdrawal Medicationanswer - Disulfram

Can give____________with lithiumanswer - Valproic Acid
Both treat bipolar

Common adverse effect of Buspironeanswer - Dizziness

Confusion develops......answer - SLOWLY with alzheimers

What food type to avoid with Disulframanswer - Pure vanilla extract

Conduct Disorder expected findinganswer - Aggressive behavior toward others

,ATI MENTAL HEALTH PROCTORED
Heroin withdrawal expected findingsanswer - Muscle aches

Alcohol withdrawal expected findingsanswer - Insomnia and restlessness

Mematine is used to treatanswer - Severe alzheimers

ADHD teachinganswer - Ignore child's attention seeking behaviors that are not
dangerous

Rape-Trauma Syndrome findinganswer - Report of intense guilt

Medication that is given during alcohol detoxanswer - Diazepam

ECT expected findingsanswer - Memory loss
Nausea
Tachycardia

ECT is given foranswer - Bipolar with rapid cycling

Vagus Nerve Stimulation adverse effectsanswer - Voice changes
Dysphagia
Neck pain

Modelinganswer - Allows client to see a demonstration of appropriate behaviors in a
stressful situation. The goal is that the client will imitate the behaviors

Systemic Desentizationanswer - Begins with mastering of relaxation techniques. Then a
client is exposed to increasing levels of anxiety-producing stimulus.

Floodinganswer - Exposing the client to a great deal of undesirable stimulus in an
attempt to turn off anxiety response.
Most useful for phobias

Thought Stoppinganswer - Teaches a client to say "stop" when a negative thought or
compulsive behavior arises and substitute positive thought. The goal is that the client
with time will use command silently

Eye Movement Desentization and Reprocessing (EMDR)answer - Therapy for clients
who have PTSD. Encourages eye focus on a separate stimuli while thinking of or talking
about the traumatic event

PTSD expected findingsanswer - Hallucinations
Recurring nightmares

How is seasonal depression treated?answer - Light therapy

,ATI MENTAL HEALTH PROCTORED
Dysthymic Disorderanswer - Mild form of depression that usually has an early onset,
such as in childhood and lasts at least 2 years in length

St. John's Wort adverse effectsanswer - Photosensitivity
Skin rash
Rapid heart rate
GI distress
Abdominal pain

Depressive disorders are most prevalent in...answer - Adults between ages of 15-40

Transpersonal Communicationanswer - Addresses an individual's spiritual needs and
providers interventions to meet those needs

Empathyanswer - UNDERSTANDING of feelings

Rapid Cyclinganswer - 4 or more episodes of acute mania within 1 year

Bipolar Ianswer - Client has at least one episode of mania alternating with major
depression
More severe

Bipolar IIanswer - Client has one or more hypomanic episodes alternating with MDD

Bipolar Medsanswer - Lithium=mood stabilizer
Anticonvulsants such as Valproic Acid (Depakote), Clonazapam, Lamitcal, Gabapentin,
and Topiramate
Benzos such as Lorazepam used on a short term basis
SSRIs such as Prozac

A client in a true manic state will...answer - Not stop moving, and does not eat or drink,
or sleep. This can become a medical emergency

Alogiaanswer - Poverty of thought or speech; the client may sit with a visitor but may
only mumble or respond vaguely to questions

Avolitionanswer - Lack of motivation in activities and hygiene

Grandeuranswer - Believes that she is all powerful and important, like a god

Somatic Delusionalsanswer - Believes that his body is changing in an unusual way,
such as growing a third arm

Depersonalizationanswer - Nonspecific feeling that a person has lose their identity, self
is different or unreal

, ATI MENTAL HEALTH PROCTORED
Derealizationanswer - Perception that environment has changed

Global Assessment of Functioning (GAF Scale)answer - Helps to determine a client's
ability to perform ADLs and to function independently

Mileuanswer - Safe, structured environment that decreases anxiety and distracts the
client from constant thinking and hallucinations

Atypical Antipsychoticsanswer - Treat BOTH positive and negative symptoms of
schizophrenia
Abilify
Geodon
Zyprexa
Seroquel
Risperdal
Clozaril (Clozapine)

Conventional Antipsychoticsanswer - Treat positive symptoms of schizo
Haloperidol (Haldol)
Loxapine
Chlorpromazine (Thorazine)
Fluphenazine

Benzosanswer - Lorazepam (ativan)
Clonazepam (Klonopin)

Positive Symptoms of Schizo (obvious)answer - Hallucinations
Delusions
Use of clang association
Constantly waving arms (bizarre movements)

Spittinganswer - Client tends to characterize people or things as all good or all bad at
any particular moment
For example, client might say, "You are the worse person in the world!" Later that day,
she might say, "You are best, but the nurse from the last shift is terrible!"
Seen in borderline personality disorder

Cluster A Disordersanswer - Odd or eccentric traits

Paranoid: characterized by distrust and suspiciousness toward others based on
unfounded beliefs that others want to harm, exploit or deceive the person

Schizoid: characterized by emotional detachment, disinterest in close relationships and
indifference to praise or criticism; often uncooperative

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