ATI MENTAL HEALTH 2024
ACTUAL EXAM [A+
GRADED]
Helpful for patient's with dementia: - ANS✔✔-- Put a calendar on the
wall -
... [Show More] Encourage family to visit
Where to refer someone for borderline personality disorder? - ANS✔✔-- Limit setting and consistency - Individual approach - Client will refrain from self-mutilation - CBT-Dialectical behavior therapy
For histrionic/dependent patient being discharged --> - ANS✔✔-Need
assertive community treatment
School age children with ADD > intervention = ? - ANS✔✔-Calm, firm,
respect, use modeling
Get attention before giving directions
Clear limits, consistant
Physical activities
Assist in coping mechanisms and medications
Patient with Suicidal Ideation, what do you ask? - ANS✔✔-"Do you have
a plan"
Patient states that are going to harm mother in law > ? - ANS✔✔-Duty
to protect (direct threat) > Notify provider
Narcissistic Personality Disorder: - ANS✔✔-Arrogance, grandiose
views of self importance
Need for constant admiration
Lack of empathy for others
Sensitive to critiscism
Patients states they are being abused > What do you do? - ANS✔✔-Help
make a safety/ escape plan
If you suspect abuse, but the physician doesn't ? - ANS✔✔-Still report it
!!
Signs of child abuse: - ANS✔✔-- Inconsistency in story - Unusual bruising abdomen, back, buttocks (common to have arms and
legs)
Which symptom has the highest priority? - ANS✔✔-Command
hallucinations always has priority -- Needs further eval !
Who is most at risks for abuse? - ANS✔✔-Elderly
Under 3 years old
Female
Person leaving relationship
Within family
Adventitious crisis ? - ANS✔✔-FIRE : think tornado, flood, natural
disaster
Older adult PT losses his wife, what will you ask him? - ANS✔✔-Do you
want to harm yourself?
Ways to help decrease anxiety ? - ANS✔✔-Journaling, identify triggers,
open ending questions , therapeutic communication, systematic
desentize, flooding, thought stopping, response prevention, relaxtion,
modeling
Patient doesn't want anyone knowing they are there, what do you tell
them? - ANS✔✔-"I may share info with treatment team"
Seclusion - ANS✔✔-Clients behavior documents not feelings
Who's at risk for abuse? - ANS✔✔-Child with down syndrome
(vulnerable population)
Codependence behavior = ? - ANS✔✔-Shouldn't enable patients -- There must be consequences for actions
Which is maladaptive grieving? - ANS✔✔-Anger
Risk factors-being dependent on disease: - ANS✔✔-- Unexpected
death at young age - Inadequate coping skills - Pre-existing mental health issue, EX: Depression or substance abuse
Pt refuses treatment, what do you do? - ANS✔✔-Document
What lab testing should be done for Valproic Acid? - ANS✔✔-Liver
function test (BUN, CR)
Example of Rationalization? - ANS✔✔-"I take pain medication because I
have arthritis"
Foods with MAOI: - ANS✔✔-Yogurt is ok -- No cheese, wine, beer, or pepperoni
Common symptom of severe anxiety - ANS✔✔-Impending doom
Child comes in with a UTI, what do you have to rule out? - ANS✔✔-Child
Abuse
When do you give an anxiety medication? - ANS✔✔-Increased BP
Thought stopping: - ANS✔✔-Rubber band, yelling STOP!!
Post ECT problems? - ANS✔✔-Normal to be confused after -- Headaches [Show Less]