ATI - RN Mental Health Nursing exam 2023-
2024/ 78 Questions and Answers/ 100%
Correct / Verified.
What do you assess for during a Mental Status Exam (MSE)? - -
1. level of consciousness
2. physical appearance
3. behavior
4. cognitive and intellectual abilities
-alert - -able to fully respond by opening eyes, attend to normal tone of voice and
speech, and answer questions spontaneously and appropriately
-lethargy - -able to open eyes and respond, but is drowsy and falls asleep readily
-obtundation - -needs to be lightly shaken to elicit a response; may be confused and
slow to respond
-stupor - -requires painful stimuli (e.g. pinch a tendon, rub sternum) to elicit a brief
response; may not be able to respond verbally
-coma - -no response from repeated painful stimuli
-decorticate rigidity - -flexion and internal rotation of upper extremity joints and legs
(arms toward midline)
-decerebrate rigidity - -neck and elbow extension, wrist and finger flexion (arms away
from midline)
-mood - -subjective data about emotions that are felt
-affect - -objective data about expression of mood
-How do you assess recent memory? - -Have patient recall a series of number or list of
objects.
-How do you assess remote memory? - -Have patient state a verifiable fact (e.g.
birthdate).
, -How do you assess level of knowledge? - -Ask patient what they know about their
illness or hospitalization.
-How do you assess ability to calculate? - -Ask patient to count backward from 100 in
serials of 7.
-How do you assess ability to think abstractly? - -See if patient can interpret an
idiom/saying.
-How do you assess judgment? - -Ask patient a hypothetical question to see how they
would answer (i.e. is it logical).
-What do you assess for during a Mini-Mental State Exam? - -1. orientation
2. attention span and ability to calculate
3. registration and recall of objects
4. language (e.g. naming objects, following commands, and writing ability)
-What is evaluated in the Glasgow Coma Scale? - -eye, verbal, and motor response
-Glasgow Coma Scale - what is the lowest to highest value? - -3 (coma) to 15 (awake
and responding appropriately)
-Axis I of the DSM-IV - -all mental health dx except those found in Axis II
-Axis II of the DSM-IV - -personality disorder dx, mental retardation
-Axis III of the DSM-IV - -any general medical dx (e.g. asthma)
-Axis IV of the DSM-IV - -psychosocial problems, problems that may affect
dx/treatment/prognosis of mental disorders
-Axis V of the DSM-V - -global assessment of functioning (GAF)
-What are some mental health nursing interventions? - -1. counseling
2. milieu therapy
3. promotion of self-care activities
4. psychobiological interventions
5. cognitive and behavioral therapies
6. health teaching
7. health promotion and maintenance
8. case management
2024/ 78 Questions and Answers/ 100%
Correct / Verified.
What do you assess for during a Mental Status Exam (MSE)? - -
1. level of consciousness
2. physical appearance
3. behavior
4. cognitive and intellectual abilities
-alert - -able to fully respond by opening eyes, attend to normal tone of voice and
speech, and answer questions spontaneously and appropriately
-lethargy - -able to open eyes and respond, but is drowsy and falls asleep readily
-obtundation - -needs to be lightly shaken to elicit a response; may be confused and
slow to respond
-stupor - -requires painful stimuli (e.g. pinch a tendon, rub sternum) to elicit a brief
response; may not be able to respond verbally
-coma - -no response from repeated painful stimuli
-decorticate rigidity - -flexion and internal rotation of upper extremity joints and legs
(arms toward midline)
-decerebrate rigidity - -neck and elbow extension, wrist and finger flexion (arms away
from midline)
-mood - -subjective data about emotions that are felt
-affect - -objective data about expression of mood
-How do you assess recent memory? - -Have patient recall a series of number or list of
objects.
-How do you assess remote memory? - -Have patient state a verifiable fact (e.g.
birthdate).
, -How do you assess level of knowledge? - -Ask patient what they know about their
illness or hospitalization.
-How do you assess ability to calculate? - -Ask patient to count backward from 100 in
serials of 7.
-How do you assess ability to think abstractly? - -See if patient can interpret an
idiom/saying.
-How do you assess judgment? - -Ask patient a hypothetical question to see how they
would answer (i.e. is it logical).
-What do you assess for during a Mini-Mental State Exam? - -1. orientation
2. attention span and ability to calculate
3. registration and recall of objects
4. language (e.g. naming objects, following commands, and writing ability)
-What is evaluated in the Glasgow Coma Scale? - -eye, verbal, and motor response
-Glasgow Coma Scale - what is the lowest to highest value? - -3 (coma) to 15 (awake
and responding appropriately)
-Axis I of the DSM-IV - -all mental health dx except those found in Axis II
-Axis II of the DSM-IV - -personality disorder dx, mental retardation
-Axis III of the DSM-IV - -any general medical dx (e.g. asthma)
-Axis IV of the DSM-IV - -psychosocial problems, problems that may affect
dx/treatment/prognosis of mental disorders
-Axis V of the DSM-V - -global assessment of functioning (GAF)
-What are some mental health nursing interventions? - -1. counseling
2. milieu therapy
3. promotion of self-care activities
4. psychobiological interventions
5. cognitive and behavioral therapies
6. health teaching
7. health promotion and maintenance
8. case management
