ATI CMS EXAM REVIEW - MENTAL HEALTH
j j j j j j
UPDATED 2023 (100% Correct answers)
j j j j
LOCj-jALERT (CorrectjAnswer)j-j✅✅jpatientjisjresponsive
opensjeyesjspontaneously
answersjquestionsjappropriately
LOCj-jLETHARGIC (CorrectjAnswer)j-
j✅✅jpatientjcanjopenjeyesjandjrespondjtojquestions
fallsjasleepjeasily
LOCj-jOBTUNDED (CorrectjAnswer)j-
j✅✅jpatientjrespondsjtojlightjshaking
isjconfused
slowjtojrespond
LOCj-jSTUPOROUS (CorrectjAnswer)j-
j✅✅jpatientjbarelyjrespondsjtojpainfuljstimuli
*example*jrubbin
gjsternum
LOCj-jCOMATOSE (CorrectjAnswer)j-j✅✅jpatientjisjunresponsive
, 2
abnormaljposturingjmayjbejpresent
DECORTICATEjPOSTURING (CorrectjAnswer)j-
j✅✅jarmsjflexed/internallyjrotated
legsjextended/internallyjrotated
DECEREBRATEjPOSTURING (CorrectjAnswer)j-j✅✅jheadjarchedjback
arms/legsjextended
AUTONOMY (CorrectjAnswer)j-
j✅✅jpatientjhasjthejrightjtojmakejtheirjownjdecisionsjevenjifjnotjinjt
heirjbestjinterest
BENEFICENCE (CorrectjAnswer)j-
j✅✅jdojwhatjisjbestjforjthejpatient
*dojgood*
FIDELITY (CorrectjAnswer)j-j✅✅jkeepjyourjpromises
loyalty/faithfulness
JUSTICE (CorrectjAnswer)j-
j✅✅jprovidejfairnessjinjcarejandjallocationjofjresources
NONMALEFICENCE (CorrectjAnswer)j-j✅✅j dojnojharm
VERACITY (CorrectjAnswer)j-j✅✅jtelljthejtruth
, 3
PATIENTjRIGHTSj-jREFUSALjOFjTREATMENTj j (CorrectjAnswer)j- ✅✅
evenjpatientsjwhojarejinvoluntarilyjadmittedjhavejthejrightjtojrefu
sejtreatment
PATIENTjRIGHTSj-jCONFIDENTIALITYj j (CorrectjAnswer)j-j✅✅jHIPAA
statesjthatjhealthjinformationjcannotjbejreleasedjwithoutjpatient'
sjpermission
client'sjrightjtojprivacyjcontinuesjevenjafterjdeath
CONFIDENTIALITYj-jNURSINGjACTIONSj(CorrectjAnswer)j-
✅✅j ifjsomeonejcallsjtojgetjanjupdate,jsuggestjtheyjreachjoutjtojth
j
ejpatient'sjfamily
ifjyoujoverhearjajconversationjinjajpublicjspace,jtakejactionjtojstopjth
ejviolation
PATIENTjRIGHTSj-jMANDATORYjREPORTINGj j (CorrectjAnswer)j-j✅✅
nursesjarejrequiredjtojreportjsuspicionjofjabuse
warn/protectjthirdjpartiesjwhojarejatjriskjforjharm
INFORMEDjCONSENTj-jPROVIDERjRESPONSIBILITIES (CorrectjAnswer)j-
✅✅jcommunicatejpurposejofjprocedure
providejajcompletejdescriptionjofjprocedurejinjpatient'sjprimaryjlangu
agej(usejinterpreterjifjneeded)
explainjrisksjvs.jbenefits
, 4
describejotherjoptionsjtojtreatjcondition
INFORMEDjCONSENTj-jNURSE/RNjRESPONSIBILITIES (CorrectjAnswer)j-
✅✅jmakejsurejproviderjgavejpatientjappropriatejinformationjregard
ingjprocedure
ensurejthatjpatientjisjcompetentjtojgivejinformedjconsent
havejpatientjsignjconsentjdocument
notifyjproviderjifjpatientjhasjmorejquestionsjorjdoesn'tjunderstand
jinformationjprovided
RESTRAINTSj-jTYPES (CorrectjAnswer)j-j✅✅j*Physical*
- vest
- belt
- mitten
*Chemical*
- sedativejRx
- antipsychoticjRx
RESTRAINTSj-jALTERNATIVES (CorrectjAnswer)j-
j✅✅jprovidejverbaljinterventions
diversions
calm/quietjenvironment