Science Medicine Psychiatry
NR 607- final exam actual exam
questions and answers
Save
Inpatient treatment Crisis stabilization
primary goal
define seclusion involuntary confinement of an individual
alone in a room or area from which the
individual is prevented from leaving
-Imminent risk of harm to themselves/others
-Laws differ state to state
use of seclusion -Only to ensure the immediate physical safety of pt and
others
-Never as means of discipline, coercion, or for staff
convenience
-Assess for communication barriers: language,
hearing or vision impairments, dysarthria
-Evaluate for reversible causes of incapacity:
infection, medications or other substances,
Evaluating a clients acute neurologic and psychiatric disorders
capacity for decision -Identify values and cultural influences that may impact
client decision making
making -Ask questions: determine the pt's ability to
understand the treatment and how treatment
, applies to their situation.
-Identify a surrogate if needed: healthcare
advance directive, medical power of
attorney, spouse, adult children, other close
relatives
-Document
-legal intervention directed by a judge to order
a person w serious symptoms to either remain
in psych hospital/ attend supervised outpt tx.
-May be initiated by family member/mental health
professional/ law enforcement
involuntary civil -The person in question may have the right to
commitment
appear at their hearing w counsel and present
evidence to dispute the case
-The max length of inpatient commitment varies by
state.
-Outpatient commitment/assisted outpatient
treatment (AOT)= may consist of supported
housing, intensive case management, meds,
and frequent therapy
--Tx may last 6- 12 mo
, -Only to ensure the immediate physical safety of pt and
others
-No evidence that restraints decrease risk of falls
-Last resort
use of restraints-seclusion -Never as means of discipline, coercion, or for staff
criteria convenience
-Face to face eval and written order required,
eval must be completed within 1 hr of
application of restraint/seclusion
--not allowed PRN
--must reevaluate q24h
-History of substance abuse
-Physical disability/illness
-Losing a friend or family member to suicide
-Ongoing exposure to
risk factors of suicide bullying behavior mental
health condition
-Recent death of a family member/close friend
-Access to harmful means
-Relationship problems
-Previous suicide attempts
-quick visual exam to evaluate
--skin color, sweating, pupil size, level of
physical risk assessment consciousness, or obvious injuries to ensure
adequate airway, breathing, and circulation.
-Vital signs may be obtained if the pt permits;
if not, continue assessment w/o getting vs.
-involve acute disturbances in thought, mood,
behavior /social interactions that negatively
define psychiatric
emergency impact a pt's abil to function in their environment
and require immediate intervention to keep the
pt/others from harm
--a state of crisis that has overwhelmed their coping
mechanisms
NR 607- final exam actual exam
questions and answers
Save
Inpatient treatment Crisis stabilization
primary goal
define seclusion involuntary confinement of an individual
alone in a room or area from which the
individual is prevented from leaving
-Imminent risk of harm to themselves/others
-Laws differ state to state
use of seclusion -Only to ensure the immediate physical safety of pt and
others
-Never as means of discipline, coercion, or for staff
convenience
-Assess for communication barriers: language,
hearing or vision impairments, dysarthria
-Evaluate for reversible causes of incapacity:
infection, medications or other substances,
Evaluating a clients acute neurologic and psychiatric disorders
capacity for decision -Identify values and cultural influences that may impact
client decision making
making -Ask questions: determine the pt's ability to
understand the treatment and how treatment
, applies to their situation.
-Identify a surrogate if needed: healthcare
advance directive, medical power of
attorney, spouse, adult children, other close
relatives
-Document
-legal intervention directed by a judge to order
a person w serious symptoms to either remain
in psych hospital/ attend supervised outpt tx.
-May be initiated by family member/mental health
professional/ law enforcement
involuntary civil -The person in question may have the right to
commitment
appear at their hearing w counsel and present
evidence to dispute the case
-The max length of inpatient commitment varies by
state.
-Outpatient commitment/assisted outpatient
treatment (AOT)= may consist of supported
housing, intensive case management, meds,
and frequent therapy
--Tx may last 6- 12 mo
, -Only to ensure the immediate physical safety of pt and
others
-No evidence that restraints decrease risk of falls
-Last resort
use of restraints-seclusion -Never as means of discipline, coercion, or for staff
criteria convenience
-Face to face eval and written order required,
eval must be completed within 1 hr of
application of restraint/seclusion
--not allowed PRN
--must reevaluate q24h
-History of substance abuse
-Physical disability/illness
-Losing a friend or family member to suicide
-Ongoing exposure to
risk factors of suicide bullying behavior mental
health condition
-Recent death of a family member/close friend
-Access to harmful means
-Relationship problems
-Previous suicide attempts
-quick visual exam to evaluate
--skin color, sweating, pupil size, level of
physical risk assessment consciousness, or obvious injuries to ensure
adequate airway, breathing, and circulation.
-Vital signs may be obtained if the pt permits;
if not, continue assessment w/o getting vs.
-involve acute disturbances in thought, mood,
behavior /social interactions that negatively
define psychiatric
emergency impact a pt's abil to function in their environment
and require immediate intervention to keep the
pt/others from harm
--a state of crisis that has overwhelmed their coping
mechanisms
