Georgette's LMR| 257 QUESTIONS| WITH COMPLETE SOLUTIONS

There is a medication class that is contraindicated when a patient has tics. What is that class of medication? correct answer: Stimulants --often used for ADHD What action do you take if a patient reports being a victim of abuse. correct answer: Safety first! Provide patient with an environment of safety and reassure them of their safety in the clinic/hospital. If you work inpatient, what do you do before discharging a patient who says they have been abused? correct answer: Make sure the patient will be safe. If you work inpatient, is a safety contract sufficient to determine that you are releasing a patient into a safe home? correct answer: No. A safety contract is not enough. The NP has to confirm that the patient is going to be safe for themselves or their environment is safe. Inpatient--for safety, where should the NP interview the patient and why? correct answer: Safety is more important than privacy. In an office with a door open or partially open. The day room would be a breach of confidentiality and a closed door or in their room would give the patient access to harming the NP. If a child comes into the office with their parents and say they have been abused, what action does the NP take? correct answer: interview the child separately from the parents THEN report to CPS If a child comes into an appointment without their parents and plays with a toy in a sexual way, what action does the NP take? correct answer: This makes the NP suspect abuse so initial action is to immediately report to CPS. What is the cornerstone of building a therapeutic alliance with adolescents? correct answer: Confidentiality with the explanation that confidentiality must be broken if they are a danger to self or others Do we interview adolescents with their parents in the room? correct answer: No because the adolescent may have info that they want kept confidential from their parents. If an adolescent comes in with their parents, do you keep the parents and adolescent together or separate theme? correct answer: Separate them and speak to adolescent alone because the adolescent has a right to confidentiality. Which ethnic group has the highest incidence of suicide and suicide attempts ? correct answer: Native American