MH EXAM #1

Question 1

Tasks RN’s can delegate to the CNA/AP

Answer 1

– ADLs
– Bathing/Grooming
– Dressing
– Toileting
– Ambulating
– Feeding (w/o swallowing precautions)
– Positioning
– Routine tasks
– Bed making
– Specimen collection
– I&Os
– VS (for stable only patients)

Question 2

Task RNs delegate to the LPN/PN

Answer 2

– Monitoring findings (as input to the RN’s ongoing assessment)
– Reinforcing client teaching from a standard care plan
– Performing tracheostomy care/ suctioning
– Check NG tube patency
– Administer enteral feedings
– Inserting a urinary/foley catheter
– Administer all meds excluding: IV, blood

Question 3

1. Define mental health vs. mental illness

Answer 3

Mental health: state of being that is relative rather than absolute but marked by the successful performance of mental functions.

Mental illness: a syndrome characterized by clinically significant disturbance in an individual’s cognitions, emotional regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

Question 4

Levels of consciousness in mental status examination (MSE)

Answer 4

— Alert
— Lethargic
— Stuporous
— Comatose

Question 5

Difference between decorticate rigidity vs. decerebrate rigidity

Answer 5

Decorticate

Decerebrate