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ATI MENTAL HEALTH PROCTORED EXAM GUIDE 2025-2026|QUESTIONS AND ANSWERS|A+ GRADED
Typology: Exams
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Wernicke-Korsakoff Expected Finding Confusion Heroin Intoxication Expected Finding Respiratory Depression Reaction of Terminal Cancer Diagnosis Denial Valproic Acid Teaching Teach the need to regularly monitor liver function levels due to the risk of hepatotoxicity When should Donapezil be taken?
Bedtime to reduce the risks for injury due to bradycardia and syncope Methadone is indicated for TX of.... Opiate use disorder Phenelzine---Finding to report Elevated BP: increases risk for hypertensive crisis This is an MAOI! Acute Main---Priority Goal Maintain adequate hydration Binge-eating expected finding Abdominal pain Stage 4 Alzheimers expected finding Client is able to identify the names of family members
Can give____________with lithium Valproic Acid Both treat bipolar Common adverse effect of Buspirone Dizziness Confusion develops...... SLOWLY with alzheimers What food type to avoid with Disulfram Pure vanilla extract Conduct Disorder expected finding Aggressive behavior toward others
Heroin withdrawal expected findings Muscle aches Alcohol withdrawal expected findings Insomnia and restlessness Mematine is used to treat Severe alzheimers ADHD teaching Ignore child's attention seeking behaviors that are not dangerous Rape-Trauma Syndrome finding Report of intense guilt Medication that is given during alcohol detox
Systemic Desentization Begins with mastering of relaxation techniques. Then a client is exposed to increasing levels of anxiety-producing stimulus. Flooding Exposing the client to a great deal of undesirable stimulus in an attempt to turn off anxiety response. Most useful for phobias Thought Stopping Teaches a client to say "stop" when a negative thought or compulsive behavior arises and substitute positive thought. The goal is that the client with time will use command silently Eye Movement Desentization and Reprocessing (EMDR) Therapy for clients who have PTSD. Encourages eye focus on a separate stimuli while thinking of or talking about the traumatic event
PTSD expected findings Hallucinations Recurring nightmares How is seasonal depression treated? Light therapy Dysthymic Disorder Mild form of depression that usually has an early onset, such as in childhood and lasts at least 2 years in length St. John's Wort adverse effects Photosensitivity Skin rash Rapid heart rate GI distress Abdominal pain
More severe Bipolar II Client has one or more hypomanic episodes alternating with MDD Bipolar Meds Lithium=mood stabilizer Anticonvulsants such as Valproic Acid (Depakote), Clonazapam, Lamitcal, Gabapentin, and Topiramate Benzos such as Lorazepam used on a short term basis SSRIs such as Prozac A client in a true manic state will... Not stop moving, and does not eat or drink, or sleep. This can become a medical emergency Alogia
Poverty of thought or speech; the client may sit with a visitor but may only mumble or respond vaguely to questions Avolition Lack of motivation in activities and hygiene Grandeur Believes that she is all powerful and important, like a god Somatic Delusionals Believes that his body is changing in an unusual way, such as growing a third arm Depersonalization Nonspecific feeling that a person has lose their identity, self is different or unreal
Conventional Antipsychotics Treat positive symptoms of schizo Haloperidol (Haldol) Loxapine Chlorpromazine (Thorazine) Fluphenazine Benzos Lorazepam (ativan) Clonazepam (Klonopin) Positive Symptoms of Schizo (obvious) Hallucinations Delusions Use of clang association Constantly waving arms (bizarre movements)
Spitting Client tends to characterize people or things as all good or all bad at any particular moment For example, client might say, "You are the worse person in the world!" Later that day, she might say, "You are best, but the nurse from the last shift is terrible!" Seen in borderline personality disorder Cluster A Disorders Odd or eccentric traits Paranoid: characterized by distrust and suspiciousness toward others based on unfounded beliefs that others want to harm, exploit or deceive the person Schizoid: characterized by emotional detachment, disinterest in close relationships and indifference to praise or criticism; often uncooperative Schizotypal: characterized by odd beliefs lead to interpersonal difficulties, an eccentric appearance and magical thinking or perceptual distortions that are not clear delusions or hallucinations
Dependent: characterized by extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends Obsessive-Compulsive: characterized by perfectionism with a focus on orderliness and control of the extent that the individual may not be able to accomplish a given task Confabulation Seen with cognitive disorders Client may make up stories when questioned about events or activities that she does not remember Perseveration: Client avoids answering questions by repeating phrases or behaviors (Grandpa Mose!) Delirium Meds Antipsychotics or antianxiety meds may be used
Neurocognitive Disorder Meds Medications such as Donepezil (Aricept), Rivastigmine (Exelon) and Galantamine (Razadyne) increase actetylcholine at cholinergic synapses by inhbiting its breakdown by acetylcholinterase, which increases the availability of acteylcholine at neurotransmitter receptor sites in the CNS Adverse effects: nausea & diarrhea which in occur in about 10% of patients Bradycardia Medication approved for moderate stages of alzheimers Memantine (Namenda) Delirium expected findings Family report of personality changes Hallucinations Restlessness
Binge-eating/purging type: engages in binge-eating or purging behaviors Binge Eating Disorder Client recurrently eat large quantities of food over a short period of time without the use of compensatory behaviors associated with bulimia nervosa Weight gain increases risk for: -diabetes -HTN -Cancer Overgeneralization "Other girls don't like me because I'm fat" "All or Nothing" Thinking "If I eat any dessert, I will gain 50 lbs"
Catastrophizing "My life is over if I gain weight" Personalization "When I walk through the hallways, I know everyone is looking at me" Emotional Reasoning "I know i look bad because I feel bloated" Eating Disorder Vitals Low BP with possible orthostatic hypotension Decreased pulse and body temperature Hypertension may be present in clients who have binge eating disorder Anorexia Skin, Hair & Nails