ATI Capstone Mental Health 2024 Study Guide And
NEWEST Actual Exam Questions With Correct Detailed
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1. Mental Status Exam includes::
Level of consciousness
Physical appearance
Behavior
Cognitive and intellectual abilities
The nurse conducts the MSE as part of his or her routine and ongoing assessment of the client. Changes in Mental Status should
be investigated further and the provider notified.
2. 2 types of mental health hospitalizations:
Voluntary commitment and involuntary or civil commitment.
Involuntary commitment is against the client's will. Despite that, unless proven otherwise, clients are still considered competent
and have the right to refuse treatment.
3. Communication tips:
* If the client is anxious or depressed - use open-ended, supportive statements
* If the client is suicidal - use direct, yes or no questions to assess suicide risk
* If the client is panicked - use gentle guidance and direction
* If the client is confused - provide reality orientation
* If the client has delusions / hallucinations / paranoia - acknowledge these, but don't reinforce
* If the client has obsessive / compulsive behavior - communicate AFTER the compulsive behavior
* If the client has a personality or cognitive disorder - be calm and matter-of-fact
, ATI Capstone Mental Health 2024 Study Guide And
NEWEST Actual Exam Questions With Correct Detailed
Answers |Already graded a+
4. Treatment for mental health illnesses and disorders can include:
medications, talk and behavior therapy, and / or brain stimulation. Clients undergoing care for mental health disorders may feel
pressure to deny behavior or issues to appear 'normal'. The nurse should always carefully assess each individual to ensure
optimal response to therapies.
5. Brain Stimulation Therapy:
electroconvulsive therapy or ECT. ECT is generally performed for major depressive disorders, schizophrenia, or acute manic
disorders. Most clients receive therapy three times a week for two to three weeks. Prior to ECT, carefully screen the client for an
home medication use. Lithium, MAOIs, and all seizure threshold medications should be discontinued two weeks prior to ECT.
After therapy, reorient the client as short-term memory loss is common.
6. Anxiety disorders:
Anxiety disorders are common mental health disorders. Generalized Anxiety Disorder, Panic Disorder, Phobias, Obsessive
Compulsive Disorder, and Posttraumatic stress disorder (PTSD) are all considered types of anxiety disorders. Assess the client fo
risk factors, triggers, and responses.
7. Depression Symptoms:
A classic symptom of depression is change in sleep patterns, indecisiveness, decreased concentration, or change in body weight
Any client who shows these signs or symptoms should be asked if they have suicidal ideation. Teach clients to never discontinue
antidepressants suddenly.
8. Bipolar Disorders:
mood disorders with periods of depression and mania. Clients have a high risk for injury during the manic phase related to
decreased sleep, feelings of grandiosity, and impulsivity. Hospitalization is often required and nurses should provide for client
safety.
9. Types of Abuse:
physical, sexual, or emotional. Abuse tends to be cyclic, fol- lowing a pattern of tension building, battering, and honeymoon
phase. When test questions appear related to abuse, look for the phase to determine the correct response.
, ATI Capstone Mental Health 2024 Study Guide And
NEWEST Actual Exam Questions With Correct Detailed
Answers |Already graded a+
10. Aggressive or violent patient:
setting boundaries and limits on behavior is important. The nurse should maintain a calm approach and use short, simple
sentences.
11. SSRIs: Selective Serotonin Reuptake Inhibitors:
These medications include Citalopram (Celexa), Fluoxetine (Prozac), or Sertraline (Zoloft). The client should avoid using St. John'
Wort with these medications, and should eat a healthy diet while on these medications.
12. TCAs: Tricyclic Antidepressants:
Amitriptyline (Elavil) is an example. Anti- cholinergic effects and orthostatic hypotension may occur.
13. MAOIs: Monoamine Oxidase Inhibitors:
Phenelzine (Nardil) is an example. Hypertensive crisis may occur with tyramine food ingestion, so care must be taken to avoid
these substances. Educate the client to avoid all medications until discussed with provider.
14. Atypical antidepressants:
Bupropion (Wellbutrin) is the most common example. Appetite suppression is a common side-effect. Headache and dry mouth
may be severe and client should notify the provider if this occurs. Atypical antidepressants should not be used with clients with
seizure disorders.
15. Serotonin Norepinephrine Reuptake Inhibitors:
Common SNRIs include Venlafaxine (Effexor) and Duloxetine (Cymbalta). Adverse effects may include nausea, weight gain, and
sexual dysfunction.
16. Antagonists:
In order to understand how antagonist drugs work, you need to understand how agonist drugs produce therapeutic effects.
Agonists are simply drugs that allow the body's neurotransmitters, hormones, and other regulators to perform the jobs they are
supposed to perform. Morphine sulfate, codeine, and meperidine (Demerol) are opioid agonists that act on the mu receptors to
produce analgesia, respiratory depression, euphoria, and sedation. These drugs also work on kappa receptors, resulting in pain
NEWEST Actual Exam Questions With Correct Detailed
Answers |Already graded a+
1. Mental Status Exam includes::
Level of consciousness
Physical appearance
Behavior
Cognitive and intellectual abilities
The nurse conducts the MSE as part of his or her routine and ongoing assessment of the client. Changes in Mental Status should
be investigated further and the provider notified.
2. 2 types of mental health hospitalizations:
Voluntary commitment and involuntary or civil commitment.
Involuntary commitment is against the client's will. Despite that, unless proven otherwise, clients are still considered competent
and have the right to refuse treatment.
3. Communication tips:
* If the client is anxious or depressed - use open-ended, supportive statements
* If the client is suicidal - use direct, yes or no questions to assess suicide risk
* If the client is panicked - use gentle guidance and direction
* If the client is confused - provide reality orientation
* If the client has delusions / hallucinations / paranoia - acknowledge these, but don't reinforce
* If the client has obsessive / compulsive behavior - communicate AFTER the compulsive behavior
* If the client has a personality or cognitive disorder - be calm and matter-of-fact
, ATI Capstone Mental Health 2024 Study Guide And
NEWEST Actual Exam Questions With Correct Detailed
Answers |Already graded a+
4. Treatment for mental health illnesses and disorders can include:
medications, talk and behavior therapy, and / or brain stimulation. Clients undergoing care for mental health disorders may feel
pressure to deny behavior or issues to appear 'normal'. The nurse should always carefully assess each individual to ensure
optimal response to therapies.
5. Brain Stimulation Therapy:
electroconvulsive therapy or ECT. ECT is generally performed for major depressive disorders, schizophrenia, or acute manic
disorders. Most clients receive therapy three times a week for two to three weeks. Prior to ECT, carefully screen the client for an
home medication use. Lithium, MAOIs, and all seizure threshold medications should be discontinued two weeks prior to ECT.
After therapy, reorient the client as short-term memory loss is common.
6. Anxiety disorders:
Anxiety disorders are common mental health disorders. Generalized Anxiety Disorder, Panic Disorder, Phobias, Obsessive
Compulsive Disorder, and Posttraumatic stress disorder (PTSD) are all considered types of anxiety disorders. Assess the client fo
risk factors, triggers, and responses.
7. Depression Symptoms:
A classic symptom of depression is change in sleep patterns, indecisiveness, decreased concentration, or change in body weight
Any client who shows these signs or symptoms should be asked if they have suicidal ideation. Teach clients to never discontinue
antidepressants suddenly.
8. Bipolar Disorders:
mood disorders with periods of depression and mania. Clients have a high risk for injury during the manic phase related to
decreased sleep, feelings of grandiosity, and impulsivity. Hospitalization is often required and nurses should provide for client
safety.
9. Types of Abuse:
physical, sexual, or emotional. Abuse tends to be cyclic, fol- lowing a pattern of tension building, battering, and honeymoon
phase. When test questions appear related to abuse, look for the phase to determine the correct response.
, ATI Capstone Mental Health 2024 Study Guide And
NEWEST Actual Exam Questions With Correct Detailed
Answers |Already graded a+
10. Aggressive or violent patient:
setting boundaries and limits on behavior is important. The nurse should maintain a calm approach and use short, simple
sentences.
11. SSRIs: Selective Serotonin Reuptake Inhibitors:
These medications include Citalopram (Celexa), Fluoxetine (Prozac), or Sertraline (Zoloft). The client should avoid using St. John'
Wort with these medications, and should eat a healthy diet while on these medications.
12. TCAs: Tricyclic Antidepressants:
Amitriptyline (Elavil) is an example. Anti- cholinergic effects and orthostatic hypotension may occur.
13. MAOIs: Monoamine Oxidase Inhibitors:
Phenelzine (Nardil) is an example. Hypertensive crisis may occur with tyramine food ingestion, so care must be taken to avoid
these substances. Educate the client to avoid all medications until discussed with provider.
14. Atypical antidepressants:
Bupropion (Wellbutrin) is the most common example. Appetite suppression is a common side-effect. Headache and dry mouth
may be severe and client should notify the provider if this occurs. Atypical antidepressants should not be used with clients with
seizure disorders.
15. Serotonin Norepinephrine Reuptake Inhibitors:
Common SNRIs include Venlafaxine (Effexor) and Duloxetine (Cymbalta). Adverse effects may include nausea, weight gain, and
sexual dysfunction.
16. Antagonists:
In order to understand how antagonist drugs work, you need to understand how agonist drugs produce therapeutic effects.
Agonists are simply drugs that allow the body's neurotransmitters, hormones, and other regulators to perform the jobs they are
supposed to perform. Morphine sulfate, codeine, and meperidine (Demerol) are opioid agonists that act on the mu receptors to
produce analgesia, respiratory depression, euphoria, and sedation. These drugs also work on kappa receptors, resulting in pain
