ATI CMS EXAM REVIEW - MENTAL HEALTH
g g g g g g
UPDATED 2023 (100% Correct answers)
g g g g
LOCg-gALERT (CorrectgAnswer)g-g✅✅gpatientgisgresponsive
opensgeyesgspontaneously
answersgquestionsgappropriately
LOCg-gLETHARGIC (CorrectgAnswer)g-
g✅✅gpatientgcangopengeyesgandgrespondgtogquestions
fallsgasleepgeasily
LOCg-gOBTUNDED (CorrectgAnswer)g-
g✅✅gpatientgrespondsgtoglightgshaking
isgconfused
slowgtogrespond
LOCg-gSTUPOROUS (CorrectgAnswer)g-
g✅✅gpatientgbarelygrespondsgtogpainfulgstimuli
*example*grubbin
ggsternum
LOCg-gCOMATOSE (CorrectgAnswer)g-g✅✅gpatientgisgunresponsive
, 2
abnormalgposturinggmaygbegpresent
DECORTICATEgPOSTURING (CorrectgAnswer)g-
g✅✅garmsgflexed/internallygrotated
legsgextended/internallygrotated
DECEREBRATEgPOSTURING (CorrectgAnswer)g-g✅✅gheadgarchedgback
arms/legsgextended
AUTONOMY (CorrectgAnswer)g-
g✅✅gpatientghasgthegrightgtogmakegtheirgowngdecisionsgevengifgnotg
ingtheirgbestginterest
BENEFICENCE (CorrectgAnswer)g-
g✅✅gdogwhatgisgbestgforgthegpatient
*doggood*
FIDELITY (CorrectgAnswer)g-g✅✅gkeepgyourgpromises
loyalty/faithfulness
JUSTICE (CorrectgAnswer)g-
g✅✅gprovidegfairnessgingcaregandgallocationgofgresources
NONMALEFICENCE (CorrectgAnswer)g-g✅✅g dognogharm
VERACITY (CorrectgAnswer)g-g✅✅gtellgthegtruth
, 3
PATIENTgRIGHTSg-gREFUSALgOFgTREATMENTg g (CorrectgAnswer)g- ✅✅
evengpatientsgwhogareginvoluntarilygadmittedghavegthegrightgtogref
usegtreatment
PATIENTgRIGHTSg-gCONFIDENTIALITYg g (CorrectgAnswer)g-g✅✅gHIPAA
statesgthatghealthginformationgcannotgbegreleasedgwithoutgpatient
'sgpermission
client'sgrightgtogprivacygcontinuesgevengaftergdeath
CONFIDENTIALITYg-gNURSINGgACTIONSg(CorrectgAnswer)g-
g✅✅g ifgsomeonegcallsgtoggetgangupdate,gsuggestgtheygreachgoutgto
gthegpatient'sgfamily
ifgyougoverheargagconversationgingagpublicgspace,gtakegactiongtogstopg
thegviolation
PATIENTgRIGHTSg-gMANDATORYgREPORTINGg g (CorrectgAnswer)g-g✅✅
nursesgaregrequiredgtogreportgsuspiciongofgabuse
warn/protectgthirdgpartiesgwhogaregatgriskgforgharm
INFORMEDgCONSENTg-gPROVIDERgRESPONSIBILITIES (CorrectgAnswer)g-
✅✅gcommunicategpurposegofgprocedure
providegagcompletegdescriptiongofgproceduregingpatient'sgprimaryglan
guageg(useginterpretergifgneeded)
explaingrisksgvs.gbenefits
, 4
describegothergoptionsgtogtreatgcondition
INFORMEDgCONSENTg-gNURSE/RNgRESPONSIBILITIES (CorrectgAnswer)g-
✅✅gmakegsuregproviderggavegpatientgappropriateginformationgrega
rdinggprocedure
ensuregthatgpatientgisgcompetentgtoggiveginformedgconsent
havegpatientgsigngconsentgdocument
notifygprovidergifgpatientghasgmoregquestionsgorgdoesn'tgundersta
ndginformationgprovided
RESTRAINTSg-gTYPES (CorrectgAnswer)g-g✅✅g*Physical*
- vest
- belt
- mitten
*Chemical*
- sedativegRx
- antipsychoticgRx
RESTRAINTSg-gALTERNATIVES (CorrectgAnswer)g-
g✅✅gprovidegverbalginterventions
diversions
calm/quietgenvironment