PNH 401 Final Exam | UPDATED Questions with 100% Verified
Answers
Question: Mental health
Answer:
Emotional, psychological, and social well-being
Question: Mental illness
Answer:
Diagnosable disorder affecting thinking, mood, or behaviour
Question: Mental wellness
Answer:
Active process of coping, resilience, and balance
Question: Form 1 (Mental Health Act)
Answer:
Application for assessment by physician; lasts 72 hours; for harm to self/others or unable to provide basic care
Question: Form 2 (Mental Health Act)
Answer:
Issued by judge; family/community request; police transport to facility; must be fulfilled within 7 days
Question: Form 3 (Mental Health Act)
Answer:
Certificate for involuntary admission; lasts up to 14 days; treatment still requires consent
Question: Form 45 (Mental Health Act)
Answer:
Community Treatment Order; reduces readmissions; includes therapy, meds, community supports
Question: Voluntary admission
Answer:
Patient directly requests mental health services; can stay as long as needed
Question: Involuntary admission
, Answer:
Form 3 is filed; patient disagrees with admission
Question: Capacity assessment criteria
Answer:
Patient must understand information AND appreciate consequences of decision
Question: Substitute decision maker hierarchy
Answer:
Legal → Family → Public Guardian & Trustee
Question: Health Care Consent Act
Answer:
Provides rules for consent; facilitates treatment for incapable patients; respects prior wishes
Question: Substitute Decisions Act
Answer:
Legal framework for Power of Attorney; procedure for guardianship
Question: Trauma-informed care 4 C's
Answer:
Calm, Contain, Care, Cope
Question: Mental Status Exam mnemonic
Answer:
BEST PICK (Behaviour, Emotions, Speech, Thought, Perception, Impulse, Cognition, Knowledge)
Question: Mild anxiety level
Answer:
Increased perception and learning; mild physical signs like restlessness, nail biting
Question: Moderate anxiety level
Answer:
Decreased perception; selective inattention; increased HR, tension, headache
Question: Severe anxiety level
, Answer:
Perception greatly reduced; no learning; dazed, confusion, pacing, impending doom
Question: Panic anxiety level
Answer:
Unable to process reality; hallucinations, screaming, impulsive behaviour
Question: Substance use disorder screening questions
Answer:
Have you had problems? Has someone been concerned? Have you denied a problem?
Question: Harm reduction
Answer:
Reduces harm without requiring abstinence; non-judgmental; meets person where they are
Question: CIWA withdrawal timeline 6-12 hours
Answer:
Increased TPR, sweaty, mild anxiety, restless, decreased appetite
Question: CIWA withdrawal timeline 48-72 hours
Answer:
Severe symptoms: HR>120, high BP, delirium tremens, panic, gross tremors
Question: Mania duration and symptoms
Answer:
At least 1 week with 3+ symptoms: grandiosity, distractibility, increased activity, risky behaviour, decreased
sleep
Question: Hypomania duration
Answer:
At least 4 days; milder than mania, minimal disruption to daily life
Question: Lithium nursing considerations
Answer:
Requires frequent blood monitoring; adequate sodium and water intake
, Question: Depression DSM criteria duration
Answer:
Symptoms present for at least 2 weeks
Question: Depression DSM criteria number of symptoms
Answer:
At least 5 symptoms including depressed mood or loss of interest
Question: SSRIs
Answer:
First-line medication for depression and anxiety disorders
Question: GAD diagnostic criteria
Answer:
Excessive worry for at least 6 months; motor tension, autonomic hyperactivity
Question: PTSD
Answer:
Emotional response to trauma; re-experiencing event; avoidance; may be delayed reaction
Question: OCD
Answer:
Persistent thoughts/impulses plus ritualistic behaviours to reduce anxiety
Question: Schizophrenia positive symptoms
Answer:
Hallucinations, delusions, loose associations, bizarre behaviour
Question: Schizophrenia negative symptoms
Answer:
Flat affect, lack of motivation, lack of speech, social withdrawal
Question: Neologism
Answer:
Made-up words (speech abnormality in schizophrenia)
Answers
Question: Mental health
Answer:
Emotional, psychological, and social well-being
Question: Mental illness
Answer:
Diagnosable disorder affecting thinking, mood, or behaviour
Question: Mental wellness
Answer:
Active process of coping, resilience, and balance
Question: Form 1 (Mental Health Act)
Answer:
Application for assessment by physician; lasts 72 hours; for harm to self/others or unable to provide basic care
Question: Form 2 (Mental Health Act)
Answer:
Issued by judge; family/community request; police transport to facility; must be fulfilled within 7 days
Question: Form 3 (Mental Health Act)
Answer:
Certificate for involuntary admission; lasts up to 14 days; treatment still requires consent
Question: Form 45 (Mental Health Act)
Answer:
Community Treatment Order; reduces readmissions; includes therapy, meds, community supports
Question: Voluntary admission
Answer:
Patient directly requests mental health services; can stay as long as needed
Question: Involuntary admission
, Answer:
Form 3 is filed; patient disagrees with admission
Question: Capacity assessment criteria
Answer:
Patient must understand information AND appreciate consequences of decision
Question: Substitute decision maker hierarchy
Answer:
Legal → Family → Public Guardian & Trustee
Question: Health Care Consent Act
Answer:
Provides rules for consent; facilitates treatment for incapable patients; respects prior wishes
Question: Substitute Decisions Act
Answer:
Legal framework for Power of Attorney; procedure for guardianship
Question: Trauma-informed care 4 C's
Answer:
Calm, Contain, Care, Cope
Question: Mental Status Exam mnemonic
Answer:
BEST PICK (Behaviour, Emotions, Speech, Thought, Perception, Impulse, Cognition, Knowledge)
Question: Mild anxiety level
Answer:
Increased perception and learning; mild physical signs like restlessness, nail biting
Question: Moderate anxiety level
Answer:
Decreased perception; selective inattention; increased HR, tension, headache
Question: Severe anxiety level
, Answer:
Perception greatly reduced; no learning; dazed, confusion, pacing, impending doom
Question: Panic anxiety level
Answer:
Unable to process reality; hallucinations, screaming, impulsive behaviour
Question: Substance use disorder screening questions
Answer:
Have you had problems? Has someone been concerned? Have you denied a problem?
Question: Harm reduction
Answer:
Reduces harm without requiring abstinence; non-judgmental; meets person where they are
Question: CIWA withdrawal timeline 6-12 hours
Answer:
Increased TPR, sweaty, mild anxiety, restless, decreased appetite
Question: CIWA withdrawal timeline 48-72 hours
Answer:
Severe symptoms: HR>120, high BP, delirium tremens, panic, gross tremors
Question: Mania duration and symptoms
Answer:
At least 1 week with 3+ symptoms: grandiosity, distractibility, increased activity, risky behaviour, decreased
sleep
Question: Hypomania duration
Answer:
At least 4 days; milder than mania, minimal disruption to daily life
Question: Lithium nursing considerations
Answer:
Requires frequent blood monitoring; adequate sodium and water intake
, Question: Depression DSM criteria duration
Answer:
Symptoms present for at least 2 weeks
Question: Depression DSM criteria number of symptoms
Answer:
At least 5 symptoms including depressed mood or loss of interest
Question: SSRIs
Answer:
First-line medication for depression and anxiety disorders
Question: GAD diagnostic criteria
Answer:
Excessive worry for at least 6 months; motor tension, autonomic hyperactivity
Question: PTSD
Answer:
Emotional response to trauma; re-experiencing event; avoidance; may be delayed reaction
Question: OCD
Answer:
Persistent thoughts/impulses plus ritualistic behaviours to reduce anxiety
Question: Schizophrenia positive symptoms
Answer:
Hallucinations, delusions, loose associations, bizarre behaviour
Question: Schizophrenia negative symptoms
Answer:
Flat affect, lack of motivation, lack of speech, social withdrawal
Question: Neologism
Answer:
Made-up words (speech abnormality in schizophrenia)
