Concept Review Weeks 1 -2
Readings for Exam 1 Prep
Week 1: ATI CMS booklet - RN Mental Health Nursing: Review Module Edition 11.0 (see
files) ATI Content Mastery Chapters: 1, 2, 3, 4, 5, 6
Textbook/ebook: Morgan, K. I., & Townsend, M. C. (2021). Davis advantage for psychiatric
mental health nursing (10th ed.). F.A. Davis.
• Chapter 2: Mental Health and Mental Illness: Historical and Theoretical Concepts
• Chapter 3: Concepts of Psychobiology: 39-51 and Table 3-4, Biological Implications
of Psychiatric Disorders (neurotransmiiters)
• Chapter 5: Ethical and Legal Issues
• Chapter 6: Relationship Development
• Chapter 7: Therapeutic Communication
• Chapter 11: Milieu Therapy—The Therapeutic Community
Week 2: ATI Chapters: 9, 21, 22, 23, 24, 29, 31 (21-24 overview of meds)
Morgan, K. I., & Townsend, M. C. (2021). Davis advantage for psychiatric mental health
nursing (10th ed.). F.A. Davis.
• Chapter 4: Psychopharmacology (neurotransmitter/nursing
considerations- classfications)
• Chapter 8: The Nursing Process in Psychiatric-Mental Health Nursing
• Chapter 12: Crisis Intervention
• Chapter 13: Assertiveness Training
• Chapter 15: Anger and Aggression Management
Concepts Review Weeks 1 and 2
Therapeutic Interactions and Communication
• Describe various active listening skills/therapeutic
strategies: Clarifying:
Summarizing:
Focusing:
Paraphrasing:
Reflection:
Validation:
Emotional Labeling:
, Silence:
Safety in the Milieu, establishing rapport and boundaries; establishing safety and rapport with patient
• List assessments items that are needed to establish safety and rapport with the patient
Assess lethality; assess thoughts, means, ability, plan and intent (TMAPI)
Assess mental health status; history of violence; history of suicide/attempts; access to weapons; legal
history
Assess risk factors
Assess hallucinations (type- command, persecutory, visual, etc…); assess delusions (type)- ask if hearing
voices, what are the voices saying/telling.
Assess substance use and obtain
labs/UDS. Assess recent coping methods
• What are Interventions to establish safety in the milieu?
Belongings checklist on admission; remove ligature risks, potential for harm
Establish milieu rules, mealtimes, medication times, group times, psychiatrist rounds, expectations
Every 15 min safety rounds- location, behavior, mood
Daily patient goals, discharge goals
The nurse will focus attention on the client's verbal and non-verbal behaviors.
When establishing presence, eye contact, body language, voice tone, listening, and reflection
convey openness and understanding. Stay neutral and practice active listening strategies,
maintaining open ended statements.
Observe behaviors and triggers for escalating behaviors; contract with patient for safety
Separate patients according to risk factors; higher risk close to nurses’ station.
Promote sleep, hydration, nutrition, movement activities, group therapy attendance; additional coping
skills.
Offer PRN meds ordered.
• What is the DSM-V and what is it used for?
Aggression behavior
Readings for Exam 1 Prep
Week 1: ATI CMS booklet - RN Mental Health Nursing: Review Module Edition 11.0 (see
files) ATI Content Mastery Chapters: 1, 2, 3, 4, 5, 6
Textbook/ebook: Morgan, K. I., & Townsend, M. C. (2021). Davis advantage for psychiatric
mental health nursing (10th ed.). F.A. Davis.
• Chapter 2: Mental Health and Mental Illness: Historical and Theoretical Concepts
• Chapter 3: Concepts of Psychobiology: 39-51 and Table 3-4, Biological Implications
of Psychiatric Disorders (neurotransmiiters)
• Chapter 5: Ethical and Legal Issues
• Chapter 6: Relationship Development
• Chapter 7: Therapeutic Communication
• Chapter 11: Milieu Therapy—The Therapeutic Community
Week 2: ATI Chapters: 9, 21, 22, 23, 24, 29, 31 (21-24 overview of meds)
Morgan, K. I., & Townsend, M. C. (2021). Davis advantage for psychiatric mental health
nursing (10th ed.). F.A. Davis.
• Chapter 4: Psychopharmacology (neurotransmitter/nursing
considerations- classfications)
• Chapter 8: The Nursing Process in Psychiatric-Mental Health Nursing
• Chapter 12: Crisis Intervention
• Chapter 13: Assertiveness Training
• Chapter 15: Anger and Aggression Management
Concepts Review Weeks 1 and 2
Therapeutic Interactions and Communication
• Describe various active listening skills/therapeutic
strategies: Clarifying:
Summarizing:
Focusing:
Paraphrasing:
Reflection:
Validation:
Emotional Labeling:
, Silence:
Safety in the Milieu, establishing rapport and boundaries; establishing safety and rapport with patient
• List assessments items that are needed to establish safety and rapport with the patient
Assess lethality; assess thoughts, means, ability, plan and intent (TMAPI)
Assess mental health status; history of violence; history of suicide/attempts; access to weapons; legal
history
Assess risk factors
Assess hallucinations (type- command, persecutory, visual, etc…); assess delusions (type)- ask if hearing
voices, what are the voices saying/telling.
Assess substance use and obtain
labs/UDS. Assess recent coping methods
• What are Interventions to establish safety in the milieu?
Belongings checklist on admission; remove ligature risks, potential for harm
Establish milieu rules, mealtimes, medication times, group times, psychiatrist rounds, expectations
Every 15 min safety rounds- location, behavior, mood
Daily patient goals, discharge goals
The nurse will focus attention on the client's verbal and non-verbal behaviors.
When establishing presence, eye contact, body language, voice tone, listening, and reflection
convey openness and understanding. Stay neutral and practice active listening strategies,
maintaining open ended statements.
Observe behaviors and triggers for escalating behaviors; contract with patient for safety
Separate patients according to risk factors; higher risk close to nurses’ station.
Promote sleep, hydration, nutrition, movement activities, group therapy attendance; additional coping
skills.
Offer PRN meds ordered.
• What is the DSM-V and what is it used for?
Aggression behavior
