ATI MENTAL HEALTH PROCTORED EXAM 2024.
HIGHLIGHTED A+ GRADE EXPLANATIONS. OVER
70 QUESTIONS GUIDE.
1 . Spiritual practices related to death for *Muslims*: -turn client on
right side to face Mecca;
-when death occurs, body must be covered at all times and it is
preferred that only workers of same sex touch the client
2. Erikson's Stages of Growth and Development: Trust vs Mistrust
[birth to 1 yr]; Autonomy vs Shame and Doubt [1-3 yrs];
Initiative vs Guilt [3-6 yrs];
Industry vs Inferiority [6-12 yrs];
Identity vs Role Confusion [12-20
yrs]; Intimacy vs Isolation [20-35
yrs];
Generativity vs Stagnation [35-65 yrs];
Integrity vs Despair [65 yr to death]
3. Priority for PTSD client: safety; making the client feel safe
4. DNR vs Living Will: DNR is a *medical* document the HCP creates -
a living will is a *legal* document the client creates; DNR can be
included in a living will but it can be totally separate; if DNR w/o a living
will, the family can have a say-so about resuscitation efforts
5. ADHD -Teaching for Parents: -Model positive behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
6. Electroconvulsive therapy (ECT): -lithium and MAO's should be
discontinued 2 weeks prior to procedure;
-atropine is given 1M 30 min prior to procedure to decrease
secretions;
-succinylcholine immediately following admin of -anesthesia prior to
procedure to prevent muscle contractions and fractures
1/13
, ATI MENTAL HEALTH PROCTORED EXAM 2024.
HIGHLIGHTED A+ GRADE EXPLANATIONS. OVER
70 QUESTIONS GUIDE.
7. ECT - What to monitor *during* therapy: -respiratory rate
and effort;
-duration of seizure [typical is 25-60 seconds; seizures greater than 90
seconds are treated w/diazepam [Valium]
8. Phases of a therapeutic nurse-client relationship:
*PREINTERACTION* - before contact w/client; RN focuses on
own preconceived ideas, stereotypes, etc.;
- establish acceptance, trust,
boundaries; identify expectations and time frame; define goals;
discuss and prepare for termination and separation of relationship;
*WORKING* - explore, evaluate, and focus on client's problems;
encourage independence;
*TERMINATION/SEPARATION* - evaluate progress and achievement
of goals; identify responses to termination such as anger, distancing,
return of symptoms, and dependency; encourage client to express
feelings about termination; identify strengths; refer out to
community resources
9. Levels of anxiety: *MILD* -associated w/tension of everyday
life; alert and perceptual field is increased; can be motivating;
*MODERATE* - focus is on immediate concerns; select
inattentiveness and perceptual field is narrowed; learning and
problem solving still occur;
*SEVERE* - feeling that something bad is about to happen; focus is
on minute or scattered details; needs direction to focus and
perceptual field significantly narrowed; learning and problem solving
are impossible; all behavior aimed at relieving anxiety;
*PANIC* - associated w/dread and terror and a sense of impending
doom; can't communicate or function effectively; if prolonged, panic can
lead to exhaustion and death
2/13
HIGHLIGHTED A+ GRADE EXPLANATIONS. OVER
70 QUESTIONS GUIDE.
1 . Spiritual practices related to death for *Muslims*: -turn client on
right side to face Mecca;
-when death occurs, body must be covered at all times and it is
preferred that only workers of same sex touch the client
2. Erikson's Stages of Growth and Development: Trust vs Mistrust
[birth to 1 yr]; Autonomy vs Shame and Doubt [1-3 yrs];
Initiative vs Guilt [3-6 yrs];
Industry vs Inferiority [6-12 yrs];
Identity vs Role Confusion [12-20
yrs]; Intimacy vs Isolation [20-35
yrs];
Generativity vs Stagnation [35-65 yrs];
Integrity vs Despair [65 yr to death]
3. Priority for PTSD client: safety; making the client feel safe
4. DNR vs Living Will: DNR is a *medical* document the HCP creates -
a living will is a *legal* document the client creates; DNR can be
included in a living will but it can be totally separate; if DNR w/o a living
will, the family can have a say-so about resuscitation efforts
5. ADHD -Teaching for Parents: -Model positive behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
6. Electroconvulsive therapy (ECT): -lithium and MAO's should be
discontinued 2 weeks prior to procedure;
-atropine is given 1M 30 min prior to procedure to decrease
secretions;
-succinylcholine immediately following admin of -anesthesia prior to
procedure to prevent muscle contractions and fractures
1/13
, ATI MENTAL HEALTH PROCTORED EXAM 2024.
HIGHLIGHTED A+ GRADE EXPLANATIONS. OVER
70 QUESTIONS GUIDE.
7. ECT - What to monitor *during* therapy: -respiratory rate
and effort;
-duration of seizure [typical is 25-60 seconds; seizures greater than 90
seconds are treated w/diazepam [Valium]
8. Phases of a therapeutic nurse-client relationship:
*PREINTERACTION* - before contact w/client; RN focuses on
own preconceived ideas, stereotypes, etc.;
- establish acceptance, trust,
boundaries; identify expectations and time frame; define goals;
discuss and prepare for termination and separation of relationship;
*WORKING* - explore, evaluate, and focus on client's problems;
encourage independence;
*TERMINATION/SEPARATION* - evaluate progress and achievement
of goals; identify responses to termination such as anger, distancing,
return of symptoms, and dependency; encourage client to express
feelings about termination; identify strengths; refer out to
community resources
9. Levels of anxiety: *MILD* -associated w/tension of everyday
life; alert and perceptual field is increased; can be motivating;
*MODERATE* - focus is on immediate concerns; select
inattentiveness and perceptual field is narrowed; learning and
problem solving still occur;
*SEVERE* - feeling that something bad is about to happen; focus is
on minute or scattered details; needs direction to focus and
perceptual field significantly narrowed; learning and problem solving
are impossible; all behavior aimed at relieving anxiety;
*PANIC* - associated w/dread and terror and a sense of impending
doom; can't communicate or function effectively; if prolonged, panic can
lead to exhaustion and death
2/13
