ATI #3 Flashcards
Asses the client’s memory
Immediate
Ask the client repeat series of number or list of object
Asses the client’s memory
Recent
Ask to recall recent events or the purpose of the current mental health appointment or admission
Asses the client’s memory
Remote
Ask to state a fact from their past that is verifiable (their birthday etc)
Asses client’s ability think abstractly
Cliche
A bird in the hand is worth two in the bush?
A nurse is planning care for a client who has a mental health order.
Which action should the nurse include psychobiological intervention?
a) Assist the pt systemic desensitization therapy.
b) Teach the pt appropriate coping mechanisms.
c) Assess the pt for comorbid health conditions.
d) Monitor the pt for ARDs of medications
psychobiological =Behavioral neuroscience
d
a) cognitive
b) counseling or health teaching
c) health promotion
Level of consciousness
Lethargic
Able to open their eyes and respond. but is drowsy and falls asleep readily.
Level of consciousness
Stuporous
Requires vigorous or painful stimuli to elicit a brief response
What is informal admission?
Least restrictive
doesn’t pose a threat to self or others
Pt free to leave the hospital at any time
What voluntary admission?
The client or the client’s guardian chooses admission
What temporary emergency admission?
due to the inability to make decisions regarding care.
not more than 15 days
What is involuntary admission?
against their will
Risk of harm to self or others
Limited to 60 days
Restraint
a) The provider must prescribe the
restraint order in ??
Time limits for restraints
b) Age 18 and older?
c) Age 9 to 17 hears
d) Age 8 to younger
a) writing
b) 4hr
c) 2hr
d) 1hr
Confining a client to a specific area physically, verbally, or using a chemical restraint when it is not part of the treatment is called?
False imprisonment
Making a threat to a client’s person
Assault
Touching a client in a harmful or offensive way called?
Battery
A type of professional negligence called?
Malpractice
A nurse is caring for a client who is in mechanical restraints.
Which of the following should nurses to includes documentation?
a) Ate most of breakfast
b) Offered 8 oz of water every hr
c) Shouted obscenities at assistive personnel
d) received chlorpromazine 15mg PO at 1000
e) Acted out after lunch
B,C, D
Documentation= objective data
e) behavior is medical record
acted out= 怒りを身ぶりで表わす
Trauma
Acute stress disorder
Exposer to traumatic events causes anxiety
at least 3 days but not more than 1 month
Trauma
Posttraumatic stress disorder (PTSD)
Event for longer than 1 month
Can be last for years
Trauma
Adjustment disorder
A stressor triggers a reaction
Change in mood and or dysfunction in performing usual activities
Less severe than with ASD or PTSD
No celling effect= effect never ends till die
A nurse is communication with a pt who was adminitted for treatment of a substance use disorder;
Which one is the nurse should identify as a barrier t therapeutic communication?
a) Offering advice
b) Reflecting
c) Listening attentively
d) Giving information
a
Advice tends to interfere with the pt ability to make personal decisions and choices.
c) active listening
attentively 注意深く
Defense mechanisms
A) A nurse who lost a family member in a fire is a volunteer firefighter.
M)N/A
Altruism
Dealing with anxiety by reaching out to others
giving your lunch away is altruistic because it helps someone who is hungry,
Defense mechanisms
A) A person who has feelings of anger and hostility toward their work supervisor sublimates those feeling by working out vigorously at the gym during their lunch period
M) N/A
Sublimation
Dealing with unacceptable feeling or impulses by unconsciously substituting acceptable forms of expression
Defense mechanisms
A) A student outs off thinking about fight they had with a friend so they can focus on a test.
M) A person who jabs lost their job states they will worry about paying bills next week
Suppression
Voluntarily denying unpleasant thought and feelings
