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Summary ATI Mental Health Review (Latest 2025)
Spiritual practices related to death for *Muslims*
.....ANSWER.....-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
Erikson's Stages of Growth and Development .....ANSWER.....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]
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Priority for PTSD client .....ANSWER.....safety; making the client
feel safe
DNR vs Living Will .....ANSWER.....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
ADHD - Teaching for Parents .....ANSWER.....-Model positive
behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
Electroconvulsive therapy (ECT) .....ANSWER.....-lithium and
MAOIs should be discontinued 2 weeks prior to procedure;
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-atropine is given IM 30 min prior to procedure to decrease
secretions;
-succinylcholine immediately following admin of -anesthesia prior
to procedure to prevent muscle contractions and fractures
ECT - What to monitor *during* therapy .....ANSWER.....-
respiratory rate and effort;
-BP;
-duration of seizure [typical is 25-60 seconds; seizures greater
than 90 seconds are treated w/diazepam [Valium]
Phases of a therapeutic nurse-client relationship
.....ANSWER.....*PREINTERACTION* - before contact w/client; RN
focuses on own preconceived ideas, stereotypes, etc.;
*ORIENTATION/INTRODUCTORY* - establish acceptance, trust,
boundaries; identify expectations and time frame; define goals;
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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
Levels of anxiety .....ANSWER.....*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;
Summary ATI Mental Health Review (Latest 2025)
Spiritual practices related to death for *Muslims*
.....ANSWER.....-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
Erikson's Stages of Growth and Development .....ANSWER.....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]
,Page 2 of 50
Priority for PTSD client .....ANSWER.....safety; making the client
feel safe
DNR vs Living Will .....ANSWER.....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
ADHD - Teaching for Parents .....ANSWER.....-Model positive
behaviors;
-Verbal instruction combined w/visual cues;
-Structured activities should be planned for the AM;
-Use charts to assist w/organization
Electroconvulsive therapy (ECT) .....ANSWER.....-lithium and
MAOIs should be discontinued 2 weeks prior to procedure;
,Page 3 of 50
-atropine is given IM 30 min prior to procedure to decrease
secretions;
-succinylcholine immediately following admin of -anesthesia prior
to procedure to prevent muscle contractions and fractures
ECT - What to monitor *during* therapy .....ANSWER.....-
respiratory rate and effort;
-BP;
-duration of seizure [typical is 25-60 seconds; seizures greater
than 90 seconds are treated w/diazepam [Valium]
Phases of a therapeutic nurse-client relationship
.....ANSWER.....*PREINTERACTION* - before contact w/client; RN
focuses on own preconceived ideas, stereotypes, etc.;
*ORIENTATION/INTRODUCTORY* - establish acceptance, trust,
boundaries; identify expectations and time frame; define goals;
, Page 4 of 50
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
Levels of anxiety .....ANSWER.....*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;
