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Exam (elaborations) ATI Mental Health Study Guide 2021/2022 UPDATED

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Updated 2021/2022 Clinical finding of anorexia nervosa - Amenorrhea- what to look for? Clinical finding of bulimia - Tooth erosion, hand calluses, hypokalemia What causes parotid gland swelling - Increased serum amylase levels What lab value would you expect to see in a client with alcoholic cardiomyopathy - Increased CPK- enzyme released when tissue is damaged Common behavior associated with dependent personality disorder - Needing excessive external input from others to make everyday decisions Characteristic of avoidant personality disorder - Difficulty starting new relationships, unless he feels accepted. Are unwilling to get involved socially unless one feels accepted. What is part of healthy adolescent behavior - Exhibiting a realistic self-concept What age group displays an egocentric approach to problem solving - Pre schoolers What age group demonstrates distrust of others - Infants What is a common characteristic of autism spectrum disorder

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Clinical finding of anorexia nervosa

Amenorrhea- what to look for?



Clinical finding of bulimia

Tooth erosion,

hand calluses,

hypokalemia



What causes parotid gland swelling

Increased serum amylase levels



What lab value would you expect to see in a client with alcoholic cardiomyopathy

Increased CPK- enzyme released when tissue is damaged



Common behavior associated with dependent personality disorder

Needing excessive external input from others to make everyday decisions



Characteristic of avoidant personality disorder

Difficulty starting new relationships, unless he feels accepted. Are unwilling to get involved socially
unless one feels accepted.



What is part of healthy adolescent behavior

Exhibiting a realistic self-concept



What age group displays an egocentric approach to problem solving

Pre schoolers



What age group demonstrates distrust of others

Infants

,What is a common characteristic of autism spectrum disorder

Language delays



What disorder is associated with fears of abandonment

Separation anxiety disorder



What places a client with schizo at greatest risk of self-directed injury or harm to others

Command hallucinations



Example of active listening

Attention to body language (identifying verbal and nonverbal communication)



How much percentage of weight loss must occur in order for a pt to be required hospitalization

Over 30% within 6 months



What clinical finding of a pt with anorexia nervosa requires hospitalization

Temp of 96.1 degrees - severe hypothermia due to loss of SQ tissue or dehydration



How offer should a pt in seclusion be offered food?

( Prescribed haloperidol and seclusion, what should be included in plan of care?)

Every hour

also document behavior every 15-30 min

vitals every 1 to 2 hrs;

keep communication w/client direct and brief;

obtain written Rx from HCP ASAP, typically within 15-30 min; HCP should review Rx every 24 hr



What is an early indication of depression

Decreased social involvement

, Signs of cocaine intoxication

Tachycardia, elevated BP, dilated pupils & agitation



Signs of heroin intoxication

Constricted pupils & decreased BP



Adverse effects of imipramine- for depression

Urinary retention, tinnitus, weight gain & tachycardia, Tricyclic -Anticholergic Effect



Signs of PTSD & Priority action

Distressing dreams, difficulty concentrating & exaggerated startle response, (not delusions and
compulsions).

safety; making the client feel safe



What is a sign of lithium toxicity? Side Effects that cause patients to stop taking it?

Coarse hand tremors- prevents them from doing ADLs.



What lab does a nurse need to evaluate for a pt taking risperidine

Blood glucose- can cause DM to develop



What kind of foods should a pt on tranyclopromine avoid

Foods high in tyramine, such as some cheeses, avocados, and bologna



Clinical findings of mild anxiety

Restlessness, irritability, nail biting & fidgeting.

Feels restless & irritable before taking exam. what level of anxiety?



Clinical findings of moderate anxiety

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