ATI Mental Health Nursing Chapter 1,
2, and 6 questions well answered
Identifying the client's perception of their own mental health status
This is important in tailoring the patient's treatment to their specific needs, to build rapport by
validating their experiences, and to identify other barriers to their healing. - correct answer ✔✔
When assessing a patient's psychosocial history, what kind of question would be prioritized by
the nurse?
LOC, physical appearance, behavior, cognitive and intellectual abilities - correct answer ✔✔
What factors are assessed in the Mental Status Examination (MSE)?
1) Alert - the PT is fully responsive
2) Lethargic - the PT can open eyes and is responsive, but is drowsy and falls asleep readily
3) Stuporous - PT requires painful stimuli to elicit a response
4) Comatose - no stimuli will elicit a response from the PT - correct answer ✔✔ What are the
four types of levels of consciousness?
Unkempt, dirty, inappropriately dressed - correct answer ✔✔ What are unexpected findings
when assessing appearance in a MSE?
Mood is the emotion the PT is feeling while affect is how the PT's mood is represented on their
facial expression - correct answer ✔✔ When assessing behavior during an MSE, what is the
difference between mood and affect?
- Immediate - ask the PT to repeat a series of numbers or a list of objects
- Recent - ask the PT to recall recent events (visitors from the current day) or the purpose of the
current mental health appointment or admission
, - Remote - ask the PT to state a fact from their past that is verifiable (their birthday or mom's
maiden name) - correct answer ✔✔ When assessing a PT's cognitive and intellectual abilities,
how do you assess immediate, recent, and remote memories?
Used to objectively assess a client's cognitive status by evaluating: orientation to time and
place, attention span, abiilty to calculate by counting backwards, registration and recalling of
objects, language (naming objects), following commands, ability to write - correct answer ✔✔
What are standardized screening tools objective?
HEADSSS standardized assessment tool - correct answer ✔✔ What assessment tool is used for
children and adolescents?
Home environment
Education/employment
Activities
Drug and substance use
Sexuality
Suicide/depression
Safety - correct answer ✔✔ What does the HEADSSS standardized assessment tool assess?
Geriatric depression scale, Michigan Alcoholism Screening Test: Geriatric Version, and MMSE -
correct answer ✔✔ What standardized tests are used on older adults?
Social determinants of mental health are the ways a client lives and works and how this shapes
their health outcomes. Important to understand PT's disparities - correct answer ✔✔ What is
the SDOMH?
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition; a widely used system for classifying psychological disorders. Used to diagnose
mental health disorders in clients.
2, and 6 questions well answered
Identifying the client's perception of their own mental health status
This is important in tailoring the patient's treatment to their specific needs, to build rapport by
validating their experiences, and to identify other barriers to their healing. - correct answer ✔✔
When assessing a patient's psychosocial history, what kind of question would be prioritized by
the nurse?
LOC, physical appearance, behavior, cognitive and intellectual abilities - correct answer ✔✔
What factors are assessed in the Mental Status Examination (MSE)?
1) Alert - the PT is fully responsive
2) Lethargic - the PT can open eyes and is responsive, but is drowsy and falls asleep readily
3) Stuporous - PT requires painful stimuli to elicit a response
4) Comatose - no stimuli will elicit a response from the PT - correct answer ✔✔ What are the
four types of levels of consciousness?
Unkempt, dirty, inappropriately dressed - correct answer ✔✔ What are unexpected findings
when assessing appearance in a MSE?
Mood is the emotion the PT is feeling while affect is how the PT's mood is represented on their
facial expression - correct answer ✔✔ When assessing behavior during an MSE, what is the
difference between mood and affect?
- Immediate - ask the PT to repeat a series of numbers or a list of objects
- Recent - ask the PT to recall recent events (visitors from the current day) or the purpose of the
current mental health appointment or admission
, - Remote - ask the PT to state a fact from their past that is verifiable (their birthday or mom's
maiden name) - correct answer ✔✔ When assessing a PT's cognitive and intellectual abilities,
how do you assess immediate, recent, and remote memories?
Used to objectively assess a client's cognitive status by evaluating: orientation to time and
place, attention span, abiilty to calculate by counting backwards, registration and recalling of
objects, language (naming objects), following commands, ability to write - correct answer ✔✔
What are standardized screening tools objective?
HEADSSS standardized assessment tool - correct answer ✔✔ What assessment tool is used for
children and adolescents?
Home environment
Education/employment
Activities
Drug and substance use
Sexuality
Suicide/depression
Safety - correct answer ✔✔ What does the HEADSSS standardized assessment tool assess?
Geriatric depression scale, Michigan Alcoholism Screening Test: Geriatric Version, and MMSE -
correct answer ✔✔ What standardized tests are used on older adults?
Social determinants of mental health are the ways a client lives and works and how this shapes
their health outcomes. Important to understand PT's disparities - correct answer ✔✔ What is
the SDOMH?
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition; a widely used system for classifying psychological disorders. Used to diagnose
mental health disorders in clients.
