NR 607 FINAL EXAM COMPREHENSIVE
QUESTIONS AND SOLUTIONS
◉ Criteria for voluntary admission
Answer: Patient consents to admission, meets diagnostic criteria
for a mental illness, and hospitalization is necessary for
stabilization or safety.
◉ Criteria for involuntary admission (psychiatric hold)
Answer: Mental illness with imminent danger to self or others, or
inability to care for basic needs due to psychiatric condition.
◉ Differences between voluntary vs. involuntary admission
Answer: Voluntary = patient requests/consents; Involuntary =
legal mandate due to safety risks or grave disability.
◉ Use of seclusion: when is it indicated?
Answer: Last resort when less restrictive interventions have failed
and patient poses immediate danger.
◉ Ethical principle of informed consent
Answer: Autonomy - respecting patient's right to make decisions
after being informed of benefits, risks, and alternatives.
, ◉ Exceptions to informed consent
Answer: Emergencies, court orders, patient incapacity (requires
surrogate/guardian).
◉ Decision-making capacity: what are the 4 key elements?
Answer: Understands information, appreciates consequences, can
reason about options, can communicate a choice.
◉ Civil commitment definition
Answer: Legal process for hospitalizing/treating individuals
against their will when they pose a danger or cannot care for
themselves due to mental illness.
◉ When are restraints used?
Answer: When a patient poses an immediate threat to self/others
and less restrictive measures have failed.
◉ Physical risk assessment includes what factors?
Answer: Vital signs, medical conditions, intoxication/withdrawal
status.
◉ Environmental risk assessment includes what factors?
Answer: Access to weapons, unsafe surroundings, presence of
others at risk.
QUESTIONS AND SOLUTIONS
◉ Criteria for voluntary admission
Answer: Patient consents to admission, meets diagnostic criteria
for a mental illness, and hospitalization is necessary for
stabilization or safety.
◉ Criteria for involuntary admission (psychiatric hold)
Answer: Mental illness with imminent danger to self or others, or
inability to care for basic needs due to psychiatric condition.
◉ Differences between voluntary vs. involuntary admission
Answer: Voluntary = patient requests/consents; Involuntary =
legal mandate due to safety risks or grave disability.
◉ Use of seclusion: when is it indicated?
Answer: Last resort when less restrictive interventions have failed
and patient poses immediate danger.
◉ Ethical principle of informed consent
Answer: Autonomy - respecting patient's right to make decisions
after being informed of benefits, risks, and alternatives.
, ◉ Exceptions to informed consent
Answer: Emergencies, court orders, patient incapacity (requires
surrogate/guardian).
◉ Decision-making capacity: what are the 4 key elements?
Answer: Understands information, appreciates consequences, can
reason about options, can communicate a choice.
◉ Civil commitment definition
Answer: Legal process for hospitalizing/treating individuals
against their will when they pose a danger or cannot care for
themselves due to mental illness.
◉ When are restraints used?
Answer: When a patient poses an immediate threat to self/others
and less restrictive measures have failed.
◉ Physical risk assessment includes what factors?
Answer: Vital signs, medical conditions, intoxication/withdrawal
status.
◉ Environmental risk assessment includes what factors?
Answer: Access to weapons, unsafe surroundings, presence of
others at risk.
