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Mental Health, Unit 1 > ATI Ch 1, Basic Mental Health Concepts > Flashcards

ATI Ch 1, Basic Mental Health Concepts Flashcards

1
Q

What is the first step in mental assessment?

A

Perform a physical assessment as indicated for client condition or policy.

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2
Q

How should touch be used during mental assessment?

A

Use touch to communicate caring as appropriate, while respecting the client’s personal space.

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3
Q

What topics should be included in the client interview?

A

Questions relating to:
* difficulty sleeping
* incontinence
* falls or other injuries
* depression
* dizziness
* loss of energy

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4
Q

Who should be included in the assessment process?

A

Include the family and significant others as appropriate.

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5
Q

What type of history should be obtained during the assessment?

A

Obtain a detailed medication history.

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6
Q

What should be done after the interview with the client?

A

Summarize and ask for feedback from the client.

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7
Q

Is mental assessment a one-time process?

A

False

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8
Q

Fill in the blank: Each encounter with a client involves an ongoing _______.

A

[assessment]

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9
Q

What should be assessed regarding the client’s perception of health in a psychosocial history?

A

The client’s perception of own health and beliefs about illness and wellness

This includes understanding how the client views their health status and their beliefs surrounding health and wellness.

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10
Q

What activities should be assessed in a psychosocial history?

A

Activity/leisure activities and how the client passes time

This helps in understanding the client’s lifestyle and engagement in meaningful activities.

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11
Q

What substance-related information should be gathered from the client in a psychosocial history?

A

The client’s use of substances and any history of a substance use disorder

This assessment is critical for identifying potential risks and influences on the client’s health.

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12
Q

What aspects of the client’s coping abilities should be assessed in a psychosocial history?

A

Client’s stress level, usual coping strategies, and support systems

Understanding these factors aids in tailoring support and interventions.

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13
Q

What cultural factors should be assessed in a client in a psychosocial history?

A

Cultural health care beliefs, practices, values, and culture-specific foods

These factors can significantly impact the client’s care and treatment adherence.

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14
Q

How can cultural beliefs impact a client’s care?

A

Cultural beliefs can influence the client’s views on health care, including diet and illness perception

It is essential to recognize these beliefs to provide culturally competent care.

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15
Q

What is the role of the nurse regarding cultural awareness?

A

Alleviates stereotyping and stigmatizing

Cultural awareness helps in providing respectful and individualized care.

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16
Q

When should a trained interpreter be used?

A

When needed for effective communication

Utilizing an interpreter ensures that language barriers do not hinder care.

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17
Q

How do spiritual and religious beliefs affect clients?

A

They influence how a client finds meaning, hope, purpose, and a sense of peace

These beliefs can affect the client’s coping mechanisms and overall well-being.

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18
Q

Define spirituality in the context of client care.

A

Client’s internal values, sense of morality, and life purpose views

Spirituality may not necessarily be linked to organized religion.

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19
Q

Define religion in the context of client care.

A

Client’s beliefs according to an organized set of patterns of worship and rituals

Understanding a client’s religious beliefs can guide care practices.

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20
Q

What should be assessed regarding the client’s support systems?

A

Assess support systems and assist the client in identifying support persons and resources

This can enhance the client’s resilience and coping strategies.

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21
Q

What assistance might a client need concerning spiritual or religious leaders?

A

Assistance in locating a spiritual or religious leader if needed

Facilitating this connection can provide additional support for the client’s spiritual needs.

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22
Q

What term describes a client who is responsive and fully able to answer questions appropriately?

A

Alert

Alert clients open their eyes and respond to a normal tone of voice and speech.

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23
Q

What term is used for a client who is drowsy and falls asleep readily, but can still open their eyes?

A

Lethargic

Lethargic clients can respond but are not fully alert.

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24
Q

What is the term for a client who requires vigorous or painful stimuli to elicit a brief response?

A

Stuporous

Stuporous clients may not respond verbally.

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25
Q

What does it mean when a client is described as comatose?

A

The client is unconscious and does not respond to painful stimuli.

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26
Q

What is decorticate rigidity characterized by?

A

Flexion and internal rotation of upper-extremity joints and legs.

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27
Q

What is decerebrate rigidity characterized by?

A

Neck and elbow extension, wrist and finger flexion.

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28
Q

What aspects are assessed in the physical appearance section of the MSE?

A

Personal hygiene, grooming, nutritional status, clothing choice, age appearance.

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29
Q

How is a client’s mood defined in the context of an MSE?

A

The emotion that the client is feeling.

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30
Q

What does a client’s affect represent in an MSE?

A

An objective expression of mood.

31
Q

What three orientations are assessed in cognitive and intellectual abilities?

A
  • Time
  • Person
  • Place
32
Q

What should a clinician assess to evaluate a client’s recent memory?

A

Recall recent events or the purpose of the current mental health appointment.

33
Q

What is assessed to evaluate a client’s remote memory?

A

State a verifiable fact from their past.

34
Q

What is one way to assess a client’s level of knowledge regarding their illness?

A

Ask what they know about their current illness or hospitalization.

35
Q

How can a clinician assess a client’s calculation abilities?

A

Ask the client to count backward from 100 in serials of 7.

36
Q

What does the ability to think abstractly demonstrate in a client?

A

A higher-level thought process.

37
Q

What is one method to assess a client’s judgment?

A

Ask a hypothetical question, such as what to do if there were a fire in their room.

38
Q

What aspects of speech should be assessed in a client?

A
  • Rate
  • Volume
  • Quality of language
39
Q

Fill in the blank: A client’s affect can be described as a _______.

A

[objective expression of mood]

40
Q

What is the purpose of standardized screening tools?

A

To evaluate and monitor clients.

41
Q

Name a standardized rating scale used for evaluation.

A

Adverse Childhood Experiences Questionnaire

42
Q

What is the Brief PHQ?

A

Brief Patient Health Questionnaire

43
Q

What does the Mini-Mental State Examination (MMSE) assess?

A

A client’s cognitive status.

44
Q

Which aspect does the MMSE evaluate regarding orientation?

A

Orientation to time and place.

45
Q

What cognitive skill does the MMSE test by asking clients to count backward by seven?

A

Attention span and ability to calculate.

46
Q

What does the MMSE assess in terms of memory?

A

Registration and recalling of objects.

47
Q

What language abilities does the MMSE evaluate?

A

Naming of objects, following of commands, and ability to write.

48
Q

What are social determinants of mental health (SDoMH)?

A

The ways clients live and work that shape their health outcomes

SDoMH are linked to health inequalities and influence mental health care outcomes.

49
Q

How do disparities in mental health care affect clients?

A

They profoundly influence the outcomes and experiences of clients

Disparities require consideration of social determinants of mental health.

50
Q

Who identified the social determinants of mental health?

A

The World Health Organization

SDoMH are similar to social determinants of health (SDOH) but may require different solutions.

51
Q

What is trauma-informed care?

A

An approach that emphasizes understanding trauma’s impact on clients

It includes screening for interpersonal violence and trauma.

52
Q

What are key components of trauma-informed care?

A
  • Recognizing the signs of trauma
  • Organized responses to trauma
  • Resisting re-traumatization

Nurses must be sensitive to trauma’s effects on behaviors and relationships.

53
Q

What is the DSM-5-TR?

A

The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision

It is used by mental health professionals to diagnose mental health disorders.

54
Q

What role does the DSM-5-TR play in mental health care?

A

It provides standard criteria for diagnosing mental health disorders and guides care planning

It includes expected assessment findings for various disorders.

55
Q

What is the North American Nursing Diagnosis Association (NANDA)?

A

An organization that provides nursing diagnoses for appropriate nursing interventions

Nurses utilize NANDA diagnoses to guide client care.

56
Q

What characterizes serious mental illness?

A
  • Severe and persistent mental illnesses
  • Difficulty with activities of daily living (ADLs)
  • Lifelong disorders with remissions and exacerbations

Clients with serious mental illness may require ongoing support.

57
Q

What are some examples of role transitions?

A

Loss of employment, divorce, retirement, grand-parenthood, widowhood, death of guardian, becoming a caregiver or recipient of care.

58
Q

Are all role changes predicted?

A

No, some role changes are unexpected.

59
Q

What factors should be assessed to evaluate a client’s ability to adapt and cope?

A
  • Health status and functional abilities
  • Living arrangements and employability
  • Personality factors, such as attitudes
  • Client, caregiver, and family assessments
  • Levels of information, such as community programs
  • Medication use and supplemental services
60
Q

What are indicators that a client has successfully adapted to role changes?

A
  • Able to state positive coping behaviors
  • Able to identify maladaptive coping behaviors
  • Able to participate in community resources
  • Able to list stress reduction techniques
  • Able to maintain housing and employment
61
Q

Fill in the blank: Some role changes are _______ while others are unexpected.

A

predicted

62
Q

True or False: All role transitions occur as a result of planned events.

A

False

63
Q

What are the key components of counseling in the mental health setting?

A

Using therapeutic communication skills, assisting with problem-solving, crisis intervention, stress management

Counseling focuses on providing support and guidance to clients in various mental health challenges.

64
Q

What is the purpose of milieu therapy?

A

Orienting the client to the physical setting, identifying rules and boundaries, ensuring a safe environment, assisting with participation in appropriate activities

Milieu therapy emphasizes the therapeutic environment as a crucial aspect of treatment.

65
Q

What factors are included in the screening process in mental health?

A

Trauma history, risk for suicide and non-suicidal self-injury, substance use, coping skills, support systems

Screening helps identify the mental health needs and risks of clients.

66
Q

What are the components of promoting self-care activities?

A

Offering assistance with self-care tasks, allowing time for self-care, setting incentives for self-care

Promoting self-care empowers clients to take an active role in their health.

67
Q

What are psychobiological interventions?

A

Administering prescribed medications, providing teaching about medications, monitoring for adverse effects and effectiveness

These interventions focus on the biological aspects of mental health treatment.

68
Q

What techniques are used in cognitive and behavioral therapies?

A

Modeling, operant conditioning, systematic desensitization

These techniques are aimed at changing maladaptive behaviors and thoughts.

69
Q

What does health teaching in the mental health setting involve?

A

Teaching social and coping skills

Health teaching is essential for equipping clients with necessary tools for managing their conditions.

70
Q

What are the goals of health promotion and health maintenance in mental health?

A

Assisting with cessation of smoking, monitoring other health conditions

These goals aim to enhance overall health and prevent further complications.

71
Q

What is the role of case management in mental health care?

A

Coordinating holistic care to include medical, mental health, and social services

Case management ensures comprehensive support for clients across various needs.

72
Q

Fill in the blank: Milieu therapy ensures a _______ environment for the client.

A

safe environment

A safe environment is fundamental for effective therapeutic interventions.

73
Q

True or False: Psychobiological interventions do not involve monitoring the effectiveness of pharmacological therapy.

A

False

Monitoring is a critical part of psychobiological interventions to ensure proper treatment.

Mental Health, Unit 1 (9 decks)

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