Capstone Final- Psych and Prioritization
1. Which end-of-shift tasks should be delegated to one of the mental health assistants?
(Select all that apply.) - ANS-a. Assisting Ms. G (dementia) to change her soiled blouse
before evening visitors arrive
b. Accompanying Ms. B (borderline) to the bathroom to prevent a repeat of locking the door
c. Encouraging Mr. D (depression) to finish a glass of water for the allotment of the shift
e. Maintaining one-to-one observation with Mr. V (suicidal) until the oncoming shift takes
over
A health care provider verbally directs you to seclude Ms. M for several hours because "she
was belligerent and argumentative" during an interview. You request a written order, but he
declines because "it is just temporary and I already explained the consequences of the
behavior to the patient." What is the best approach in dealing with this situation? -
ANS-Assess the patient for signs of aggressive or dangerous behavior and discuss your
findings and concerns with the provider
A patient is displaying muscle spasms of the tongue, face, and neck, and his eyes are
locked in an upward gaze. He has been prescribed haloperidol (Haldol). What is the priority
action? - ANS-1.Obtain an order for intramuscular or intravenous diphenhydramine
(Benadryl)
A psychiatric social worker is conducting a community meeting. You are the co-leader. All
patients are attending because there has been theft of personal items. Ms. M continuously
interrupts and loudly announces, "Ms. B stole my lipstick. Look at her lips!" What is your best
response to this situation? - ANS-Tell Ms. M that there will be an investigation on the lipstick
and to stop interrupting
this supports therapeutic milieu by demonstrating social norms
As the charge nurse, which tasks should you complete at the end of the shift before leaving
for the day? (Select all that apply.) - ANS-a. Initiate a patient assignment sheet for the
oncoming shift.
b. Take brief summary information (from the admitting office) on a new patient who is being
transferred from the ED.
d. Check with the mental health assistant who is performing one-to-one observation with Mr.
V (suicidal thoughts).
f. Thank the ancillary staff for their help.
h. Talk to each RN and LPN/LVN about their concerns related to assigned patients.
floating UAP should be assigned - ANS-pt who needs assistance and encouragement to
complete ADLs but can understand and follow instructions
It is 6:30 pm and you receive a call from a newly hired nurse who is scheduled to work at
7:00 pm. She tells you (the charge nurse) that she is sick and will not be able to come in.
What should you do? - ANS-Instruct her that she must speak to you the next time she comes
in and attempt to find someone to replace her for this shift.
mental health assistant can - ANS-assist patients to prepare for the procedure by removing
and storing personal items
1. Which end-of-shift tasks should be delegated to one of the mental health assistants?
(Select all that apply.) - ANS-a. Assisting Ms. G (dementia) to change her soiled blouse
before evening visitors arrive
b. Accompanying Ms. B (borderline) to the bathroom to prevent a repeat of locking the door
c. Encouraging Mr. D (depression) to finish a glass of water for the allotment of the shift
e. Maintaining one-to-one observation with Mr. V (suicidal) until the oncoming shift takes
over
A health care provider verbally directs you to seclude Ms. M for several hours because "she
was belligerent and argumentative" during an interview. You request a written order, but he
declines because "it is just temporary and I already explained the consequences of the
behavior to the patient." What is the best approach in dealing with this situation? -
ANS-Assess the patient for signs of aggressive or dangerous behavior and discuss your
findings and concerns with the provider
A patient is displaying muscle spasms of the tongue, face, and neck, and his eyes are
locked in an upward gaze. He has been prescribed haloperidol (Haldol). What is the priority
action? - ANS-1.Obtain an order for intramuscular or intravenous diphenhydramine
(Benadryl)
A psychiatric social worker is conducting a community meeting. You are the co-leader. All
patients are attending because there has been theft of personal items. Ms. M continuously
interrupts and loudly announces, "Ms. B stole my lipstick. Look at her lips!" What is your best
response to this situation? - ANS-Tell Ms. M that there will be an investigation on the lipstick
and to stop interrupting
this supports therapeutic milieu by demonstrating social norms
As the charge nurse, which tasks should you complete at the end of the shift before leaving
for the day? (Select all that apply.) - ANS-a. Initiate a patient assignment sheet for the
oncoming shift.
b. Take brief summary information (from the admitting office) on a new patient who is being
transferred from the ED.
d. Check with the mental health assistant who is performing one-to-one observation with Mr.
V (suicidal thoughts).
f. Thank the ancillary staff for their help.
h. Talk to each RN and LPN/LVN about their concerns related to assigned patients.
floating UAP should be assigned - ANS-pt who needs assistance and encouragement to
complete ADLs but can understand and follow instructions
It is 6:30 pm and you receive a call from a newly hired nurse who is scheduled to work at
7:00 pm. She tells you (the charge nurse) that she is sick and will not be able to come in.
What should you do? - ANS-Instruct her that she must speak to you the next time she comes
in and attempt to find someone to replace her for this shift.
mental health assistant can - ANS-assist patients to prepare for the procedure by removing
and storing personal items
