mental health nursing ATI study #LEVEL
3!!!!!!!!!
level of consciousness - Answer this is described using the folowing terms, and
observed behavior included in documentation, alert, lethargy, stupor, coma, physical
appearance, behavior,
alert - Answer this LOC is responsive and able to fully respond by opening her eyes and
attending to a normal tone of voice and speech. The client answers questions
spontaneously and appropriately.
lethargy - Answer the client is able to open her eyes and respond but is drowsy and falls
asleep readily.
stupor - Answer the client requires vigorous or painful stimuli (pinching a tendon or
rubbing the sternum) to elicit a brief response. She may not be able to respond verbally.
coma - Answer LOC is no response, can be achieved from repeated painful stimuli.
decorticate rigidity - Answer flexion and internal rotation of upper extremity joints and
legs
decerbrate rigidity - Answer neck and elbow extension, wrist and finger flexion
mini mental state examination - Answer this examination is used to objectively collect
data about a client's cognitive status by evaluating the following, orientation to time and
place, attention span and ability to calculate by counting backward by seven,
registration and recalling of objects, language, including naming of objects, following of
commands, and ability to write
glascow coma scale - Answer this examination is used to obtain baseline data of a
client's level of consciousness, and for ongoing monitoring. Eye, verbal, and motor
response is evaluated, and a number value based on that response is assigned. The
highest value possible is 15, which indicates that the client is awake and responding
appropriately. A score of 7 or less indicates that the client is in a coma
home, education activities drugs sexuality suicide - Answer what is the acronym
HEADSS used for in the assessment in an adolescent stand for
diagnostic and statistical manual of mental disorders - Answer this is published by the
american psychiatric association, is used as a diagnostic tool to identify mental health
diagnoses. It is used by mental health professionals for clients who have mental health
disorders.
tort - Answer this is a wrongful act or injury committed by an entity or person against
another person or another person's property. These can be used to decide liability
,mental health nursing ATI study #LEVEL
3!!!!!!!!!
issues, as well as intentional issues that can involve criminal penalties, such as abuse
of a client.
ethical issues - Answer these are philosophical ideas regarding right and wrong
beneficence - Answer this relates to the quality of doing good and can be described as
charity
autonomy - Answer this refers to the client's right to make her own decisions. But the
client must accept the consequences of those decisions. The client also must respect
the decisions of others.
Justice - Answer This is fair and equal treatment for all.
Fidelity - Answer this relates to loyalty and faithfulness to the client and to one's duty.
Veracity - Answer This refers to being honest when dealing with a client
voluntary commitment - Answer the client or client's guardian chooses commitment to a
mental health facility in order to obtain treatment. A voluntarily committed client has the
right to refuse medication and treatment
involuntary commitment - Answer this is also called civil commitment, where the client
enters the mental health facility against her will for an indefinite period of time. the
commitment is based on the clien'ts need for treatment, the risk of harm to self or
others, or the inability to provide self care. The need for commitment could be
determined by a judge of the court or by another agency. The number of physicians
which is usually two, , required to certify that the client's condition requires commitment
varies from state to state.
emergency involuntary commitment - Answer a type of involuntary commitment in which
the client is hospitalized to prevent harm to self or others. This is usually temporary. It is
usually imposed by primary care providers, mental health providers, or police officers.
observational involuntary commitment - Answer this is also called temporary
commitment, a type of involuntary commitment in which the client is in need of
observation, a diagnosis, and a treatment plan. The time for this type of commitment is
controlled by state statute, and varies greatly between states. This can be imposed by a
family member, legal guardian, primary care provider, or a mental health provider.
Long term involuntary commitment - Answer this is also called formal commitment, a
type of commitment that is similar to temporary commitment but must be imposed by
the courts. Time of commitment varies, but is usually 60 to 180 days. Sometimes there
is no set release date.
,mental health nursing ATI study #LEVEL
3!!!!!!!!!
false imprisonment - Answer confining a client to a specific area, such as a seclusion
room, is __________________ if the reason for such confinement is for the
convenience of the staff.
assault - Answer making a threat to a client's person, such as approaching the client in
a threatening manner with a syringe in hand, is considered
battery - Answer touching a client in a harmful or offensive way. This would occur if the
nurse threatening the client with a syringe acutally grabbed the client and gave an
injection.
intrapersonal communication - Answer this occurs within an individual, also identified as
"self talk" This is the internal discussion that takes place when an individual is thinking
thoughts and not outwardly verbalizing them. In nursing, this communication allows the
nurse to collect data from a client or situation and critically think about the
client/situation before communicating verbally
interpersonal communication - Answer this occurs between two or more people in a
small group. This is the most common form of communication in nursing and requires
an exchange of information with an individual or small group.
public communication - Answer this occurs within large groups of people. In nursing,
this commonly occurs during educational endeavors where the nurse is educating a
large group of individuals, such as in a community setting.
Transpersonal communication - Answer this addresses an individual's spiritual needs
and provides interventions to meet those needs.
vocabulary - Answer these are the words that are used to communicate either a written
or a spoken message
denotative, connotative meaning - Answer this is when communicating, participants
must share meanings
clarity, brevity - Answer this is the shortest, simplest communication and is usually most
effective.
timing, relevance - Answer this is knowing when to communicate allows the receiver to
be more attentive to the message
pacing - Answer this is the rate of speech can communicate a meaning to the receiver.
intonation - Answer this is the tone of voice can communicate a variety of feelings
, mental health nursing ATI study #LEVEL
3!!!!!!!!!
therapeutic communication - Answer this is the purposeful use of communication to
build and maintain helping relationships with clients, families, and significant others.
clarifying techniques - Answer these are restating, reflecting, paraphrasing, exploring
restating - Answer this uses the client's exact words
reflecting - Answer this directs the focus back to the client in order for the client to
examine his feelings.
paraphrasing - Answer this restates the client's feelings and thoughts for the client to
confirm what has been communicated.
exploring - Answer this allows the nurse to gather more information regarding important
topics mentioned by the client.
altruism - Answer this is dealing with anxiety by reaching out to others
sublimation - Answer this is dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
suppression - Answer this is voluntarily denying unpleasant thoughts and feelings
repression - Answer putting anacceptable ideas, thoughts, and emotions out of
conscious awareness
displacement - Answer shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
reaction formation - Answer overcompensating or demonstrating the opposite behavior
of what is felt
undoing - Answer performing an act to make up for prior behavior
rationalization - Answer creating reasonable and acceptable explanations for
unacceptable behavior
dissociation - Answer temporarily blocking memories and perceptions from
consciousness
splitting - Answer demonstrating an inability to reconcile negative and positive attributes
of self or others
3!!!!!!!!!
level of consciousness - Answer this is described using the folowing terms, and
observed behavior included in documentation, alert, lethargy, stupor, coma, physical
appearance, behavior,
alert - Answer this LOC is responsive and able to fully respond by opening her eyes and
attending to a normal tone of voice and speech. The client answers questions
spontaneously and appropriately.
lethargy - Answer the client is able to open her eyes and respond but is drowsy and falls
asleep readily.
stupor - Answer the client requires vigorous or painful stimuli (pinching a tendon or
rubbing the sternum) to elicit a brief response. She may not be able to respond verbally.
coma - Answer LOC is no response, can be achieved from repeated painful stimuli.
decorticate rigidity - Answer flexion and internal rotation of upper extremity joints and
legs
decerbrate rigidity - Answer neck and elbow extension, wrist and finger flexion
mini mental state examination - Answer this examination is used to objectively collect
data about a client's cognitive status by evaluating the following, orientation to time and
place, attention span and ability to calculate by counting backward by seven,
registration and recalling of objects, language, including naming of objects, following of
commands, and ability to write
glascow coma scale - Answer this examination is used to obtain baseline data of a
client's level of consciousness, and for ongoing monitoring. Eye, verbal, and motor
response is evaluated, and a number value based on that response is assigned. The
highest value possible is 15, which indicates that the client is awake and responding
appropriately. A score of 7 or less indicates that the client is in a coma
home, education activities drugs sexuality suicide - Answer what is the acronym
HEADSS used for in the assessment in an adolescent stand for
diagnostic and statistical manual of mental disorders - Answer this is published by the
american psychiatric association, is used as a diagnostic tool to identify mental health
diagnoses. It is used by mental health professionals for clients who have mental health
disorders.
tort - Answer this is a wrongful act or injury committed by an entity or person against
another person or another person's property. These can be used to decide liability
,mental health nursing ATI study #LEVEL
3!!!!!!!!!
issues, as well as intentional issues that can involve criminal penalties, such as abuse
of a client.
ethical issues - Answer these are philosophical ideas regarding right and wrong
beneficence - Answer this relates to the quality of doing good and can be described as
charity
autonomy - Answer this refers to the client's right to make her own decisions. But the
client must accept the consequences of those decisions. The client also must respect
the decisions of others.
Justice - Answer This is fair and equal treatment for all.
Fidelity - Answer this relates to loyalty and faithfulness to the client and to one's duty.
Veracity - Answer This refers to being honest when dealing with a client
voluntary commitment - Answer the client or client's guardian chooses commitment to a
mental health facility in order to obtain treatment. A voluntarily committed client has the
right to refuse medication and treatment
involuntary commitment - Answer this is also called civil commitment, where the client
enters the mental health facility against her will for an indefinite period of time. the
commitment is based on the clien'ts need for treatment, the risk of harm to self or
others, or the inability to provide self care. The need for commitment could be
determined by a judge of the court or by another agency. The number of physicians
which is usually two, , required to certify that the client's condition requires commitment
varies from state to state.
emergency involuntary commitment - Answer a type of involuntary commitment in which
the client is hospitalized to prevent harm to self or others. This is usually temporary. It is
usually imposed by primary care providers, mental health providers, or police officers.
observational involuntary commitment - Answer this is also called temporary
commitment, a type of involuntary commitment in which the client is in need of
observation, a diagnosis, and a treatment plan. The time for this type of commitment is
controlled by state statute, and varies greatly between states. This can be imposed by a
family member, legal guardian, primary care provider, or a mental health provider.
Long term involuntary commitment - Answer this is also called formal commitment, a
type of commitment that is similar to temporary commitment but must be imposed by
the courts. Time of commitment varies, but is usually 60 to 180 days. Sometimes there
is no set release date.
,mental health nursing ATI study #LEVEL
3!!!!!!!!!
false imprisonment - Answer confining a client to a specific area, such as a seclusion
room, is __________________ if the reason for such confinement is for the
convenience of the staff.
assault - Answer making a threat to a client's person, such as approaching the client in
a threatening manner with a syringe in hand, is considered
battery - Answer touching a client in a harmful or offensive way. This would occur if the
nurse threatening the client with a syringe acutally grabbed the client and gave an
injection.
intrapersonal communication - Answer this occurs within an individual, also identified as
"self talk" This is the internal discussion that takes place when an individual is thinking
thoughts and not outwardly verbalizing them. In nursing, this communication allows the
nurse to collect data from a client or situation and critically think about the
client/situation before communicating verbally
interpersonal communication - Answer this occurs between two or more people in a
small group. This is the most common form of communication in nursing and requires
an exchange of information with an individual or small group.
public communication - Answer this occurs within large groups of people. In nursing,
this commonly occurs during educational endeavors where the nurse is educating a
large group of individuals, such as in a community setting.
Transpersonal communication - Answer this addresses an individual's spiritual needs
and provides interventions to meet those needs.
vocabulary - Answer these are the words that are used to communicate either a written
or a spoken message
denotative, connotative meaning - Answer this is when communicating, participants
must share meanings
clarity, brevity - Answer this is the shortest, simplest communication and is usually most
effective.
timing, relevance - Answer this is knowing when to communicate allows the receiver to
be more attentive to the message
pacing - Answer this is the rate of speech can communicate a meaning to the receiver.
intonation - Answer this is the tone of voice can communicate a variety of feelings
, mental health nursing ATI study #LEVEL
3!!!!!!!!!
therapeutic communication - Answer this is the purposeful use of communication to
build and maintain helping relationships with clients, families, and significant others.
clarifying techniques - Answer these are restating, reflecting, paraphrasing, exploring
restating - Answer this uses the client's exact words
reflecting - Answer this directs the focus back to the client in order for the client to
examine his feelings.
paraphrasing - Answer this restates the client's feelings and thoughts for the client to
confirm what has been communicated.
exploring - Answer this allows the nurse to gather more information regarding important
topics mentioned by the client.
altruism - Answer this is dealing with anxiety by reaching out to others
sublimation - Answer this is dealing with unacceptable feelings or impulses by
unconsciously substituting acceptable forms of expression
suppression - Answer this is voluntarily denying unpleasant thoughts and feelings
repression - Answer putting anacceptable ideas, thoughts, and emotions out of
conscious awareness
displacement - Answer shifting feelings related to an object, person, or situation to
another less threatening object, person, or situation
reaction formation - Answer overcompensating or demonstrating the opposite behavior
of what is felt
undoing - Answer performing an act to make up for prior behavior
rationalization - Answer creating reasonable and acceptable explanations for
unacceptable behavior
dissociation - Answer temporarily blocking memories and perceptions from
consciousness
splitting - Answer demonstrating an inability to reconcile negative and positive attributes
of self or others
