ATI MENTAL HEALTH Chapters 1-8
questions n correct answers rated A+
1. ANA (American Nurses Association)
2. APNA (American Psychiatric Nurses Association)
3. Int'l Society of Psychiatric-Mental Health Nurses - correct answer ✔✔ Provision of care to
mental health clients is based on standards of care set by:
yes + holistic approach (biological, social, psychological, spiritual) - correct answer ✔✔ Do
mental health nurses use the nursing process?
1. observation
2. interviewing
3. physical examination
4. collaboration - correct answer ✔✔ What methods do mental health nurses use to assess
clients?
OK to communicate care, but respect client's personal space. - correct answer ✔✔ Use of touch
1. physical assessment
- touch OK unless client says no
- ask about sleep, incontinence, falls, injuries, depression, dizziness, energy level
- include family
- medication history
- post interview, summarize and ask for client feedback - correct answer ✔✔ Assessment in
Mental Health Care
,- assess client's perception of own health, beliefs about health and wellness
- activity/leisure activities
- assess use of substances and substance abuse
- assess client's stress level and coping abilities - correct answer ✔✔ Psycosocial history
• assess client's cultural health care beliefs
• assess cultural factors that can impact care
• nurse aware of culture alleviates stereotyping/stigma
• use interpreter - correct answer ✔✔ cultural belief and practices
• finds meaning, hope, purpose and sense of peace. - correct answer ✔✔ Spiritual and religious
beliefs affect the way in which a client...
- ethically
- competently
- safely
- in a manner consistent with all local, state, and federal laws - correct answer ✔✔ A nurse in
mental health care setting is responsible for practicing how?
ethical principles and how they apply - correct answer ✔✔ Nurses must have an understanding
of ...
1. the right to humane treatment and care, such as medical and dental care
2. the right to vote
3.the rights related to granting, forfeiture, or denial of a driver's license
,4. the right to due process of law, including the right to press legal charges again another person
- correct answer ✔✔ Legal rights of clients in a mental health setting
1. informed consent and right to refuse treatment
2. confidentiality
3. written plan of care/treatment that includes discharge follow-up, as well as participation in
the care plan and review of that plan
4. Communication with people outside the mental health facility, including family members,
attorneys and other health care professionals.
5. interpretive services
6. Care provided w/ respect, dignity, w/o discrimination.
7. Freedom from harm related to physical or pharmacological restraint, seclusion, and any
physical or mental abuse or neglect.
8. A psychiatric advance directive that includes the client's treatment preferences in the event
that an involuntary admission is necessary.
9. Least restrictive interventions to meet client needs w/o allowing harm to themselves or
others - correct answer ✔✔ Clients also have various specific rights including
Some legal issues regarding health care are are decided in court using a special civil category
called a tort.
A tort is a wrongful act or injury committed by an entity or person against another person or
another person's property. Can be used to decide liability, intent and may involve criminal
penalties (abuse of patient.) - correct answer ✔✔ Tort
•Autonomy
•Fidelity
•Nonmaleficence
•Justice
•Veracity
, •Beneficence - correct answer ✔✔ Ethical Principles (pg. 9 ATI)
•Self-determination
•Informed consent
•To receive treatment
•To refuse treatment *
•Interpreter if needed
•Least restrictive treatment
•Privacy
•Confidentiality (* exceptions)
•Freedom from harm
•Psychiatric Advance Directive - correct answer ✔✔ Rights of Psychiatric Clients (pg. 9 ATI)
•De-escalation techniques
•Oral medication
•Atypical antipsychotics
•Typical antipsychotics (e.g., haloperidol)
•IM medication
•Atypical antipsychotics
•Typical antipsychotics (e.g., haloperidol)
•Seclusion (need doctor order w/in 1 hr of putting patient in seclusion, need flowsheet charting
every 15 min, bathroom & fluids every hour)
•Physical restraints(if they are harming themselves, 2 finger loose) - correct answer ✔✔
Seclusion and Restraint (pg. 10 & 11 ATI)
Least to Most Restrictive Treatment
questions n correct answers rated A+
1. ANA (American Nurses Association)
2. APNA (American Psychiatric Nurses Association)
3. Int'l Society of Psychiatric-Mental Health Nurses - correct answer ✔✔ Provision of care to
mental health clients is based on standards of care set by:
yes + holistic approach (biological, social, psychological, spiritual) - correct answer ✔✔ Do
mental health nurses use the nursing process?
1. observation
2. interviewing
3. physical examination
4. collaboration - correct answer ✔✔ What methods do mental health nurses use to assess
clients?
OK to communicate care, but respect client's personal space. - correct answer ✔✔ Use of touch
1. physical assessment
- touch OK unless client says no
- ask about sleep, incontinence, falls, injuries, depression, dizziness, energy level
- include family
- medication history
- post interview, summarize and ask for client feedback - correct answer ✔✔ Assessment in
Mental Health Care
,- assess client's perception of own health, beliefs about health and wellness
- activity/leisure activities
- assess use of substances and substance abuse
- assess client's stress level and coping abilities - correct answer ✔✔ Psycosocial history
• assess client's cultural health care beliefs
• assess cultural factors that can impact care
• nurse aware of culture alleviates stereotyping/stigma
• use interpreter - correct answer ✔✔ cultural belief and practices
• finds meaning, hope, purpose and sense of peace. - correct answer ✔✔ Spiritual and religious
beliefs affect the way in which a client...
- ethically
- competently
- safely
- in a manner consistent with all local, state, and federal laws - correct answer ✔✔ A nurse in
mental health care setting is responsible for practicing how?
ethical principles and how they apply - correct answer ✔✔ Nurses must have an understanding
of ...
1. the right to humane treatment and care, such as medical and dental care
2. the right to vote
3.the rights related to granting, forfeiture, or denial of a driver's license
,4. the right to due process of law, including the right to press legal charges again another person
- correct answer ✔✔ Legal rights of clients in a mental health setting
1. informed consent and right to refuse treatment
2. confidentiality
3. written plan of care/treatment that includes discharge follow-up, as well as participation in
the care plan and review of that plan
4. Communication with people outside the mental health facility, including family members,
attorneys and other health care professionals.
5. interpretive services
6. Care provided w/ respect, dignity, w/o discrimination.
7. Freedom from harm related to physical or pharmacological restraint, seclusion, and any
physical or mental abuse or neglect.
8. A psychiatric advance directive that includes the client's treatment preferences in the event
that an involuntary admission is necessary.
9. Least restrictive interventions to meet client needs w/o allowing harm to themselves or
others - correct answer ✔✔ Clients also have various specific rights including
Some legal issues regarding health care are are decided in court using a special civil category
called a tort.
A tort is a wrongful act or injury committed by an entity or person against another person or
another person's property. Can be used to decide liability, intent and may involve criminal
penalties (abuse of patient.) - correct answer ✔✔ Tort
•Autonomy
•Fidelity
•Nonmaleficence
•Justice
•Veracity
, •Beneficence - correct answer ✔✔ Ethical Principles (pg. 9 ATI)
•Self-determination
•Informed consent
•To receive treatment
•To refuse treatment *
•Interpreter if needed
•Least restrictive treatment
•Privacy
•Confidentiality (* exceptions)
•Freedom from harm
•Psychiatric Advance Directive - correct answer ✔✔ Rights of Psychiatric Clients (pg. 9 ATI)
•De-escalation techniques
•Oral medication
•Atypical antipsychotics
•Typical antipsychotics (e.g., haloperidol)
•IM medication
•Atypical antipsychotics
•Typical antipsychotics (e.g., haloperidol)
•Seclusion (need doctor order w/in 1 hr of putting patient in seclusion, need flowsheet charting
every 15 min, bathroom & fluids every hour)
•Physical restraints(if they are harming themselves, 2 finger loose) - correct answer ✔✔
Seclusion and Restraint (pg. 10 & 11 ATI)
Least to Most Restrictive Treatment
