PSYCHIATRY FINAL EXAM 2025-2026
QUESTIONS AND ANSWERS GRADED A+
what is required for "forced medications"?
1. two physicians must agree that the med is needed for SANCTITY OF LIFE!!!!
(the pt's life or others)
2. involuntary commitment
safety is always the priority
forced meds should be provided in the _____________________ method
least restrictive
what is the psychiatric hospitals role?
to provide safety and treatment for individuals unsafe in the community
what is the voluntary agreement code (in PA)? what does voluntary admission
mean?
201
,there is a safety concern and the pt has identified themselves as unsafe
what happens if a voluntarily admitted pt later requests discharge?
pt can be held on the unit for up to 72 hours until evaluated for safety
what happens if the provider identifies criteria leading to risk in the voluntary pt
requesting discharge?
they can convert the admission to involuntary
criteria for involuntary admission
1. the person is unable without the care, supervision and assistance of others to
satisfy his/her need for nourishment, personal or medical care, shelter or self-
protection or safety and that death or serious physical debilitation would occur
within 30 days unless treatment was provided
2. the person has attempted suicide, or the person has made threats to commit
suicide and committed acts in furtherance of the threats
3. the person has mutilated himself/herself or the person has made threats to
mutilate and committed acts in furtherance of the threats
4. danger to others shall be shown by establishing that within the previous 30 days
the person has inflicted or attempted to inflict serious bodily harm on another or
has threatened serious bodily harm and has committed acts in furtherance of the
threat to commit harm to another
,how many of the four criteria must be met for an involuntary admission?
at least 1
who can involuntary admit someone?
anyone
Patient with schizophrenia is floridly psychotic, sitting in his home afraid to leave.
Patient stopped taking their medications 10 days previous due to paranoia when
pharmacy switched manufacturer and the pills "looked different". Pt is supported
by mother who delivers food daily. Pt drinking and eating well. No observable
hazards found in home. Patient kicks you out of the apartment for bothering them
and yells you are "part of the machine". What do we do?
continue to build rapport with the pt hoping he will restart medications
Patient with schizophrenia is baseline psychotic (The best they get with their
symptoms even with medications). You meet as part of their normal monitoring
schedule. Patient is currently taking their medications, well hydrated and
nourished. The patient always has the baseline idea that they have HIV, but today,
despite education, state they are going to inject bleach as part of the cure. What do
you do?
prepare the documentation for an involuntary commitment
, mood disorders (affective disorders) are characterized by...
emotional extremes
what are the two broad categories of mood disorders?
1. depressive disorders
2. bipolar disorders
depressive disorders
1. major depressive disorder!
2. persistent depressive disorder!
3. pre menstrual dysphoric disorder
4. disruptive mood dysregulation disorder
5. substance/medication-induced depressive disorder
6. depressive disorder due to another medical condition
symptoms of MDD
1. depressed mood most of the day, nearly every day
QUESTIONS AND ANSWERS GRADED A+
what is required for "forced medications"?
1. two physicians must agree that the med is needed for SANCTITY OF LIFE!!!!
(the pt's life or others)
2. involuntary commitment
safety is always the priority
forced meds should be provided in the _____________________ method
least restrictive
what is the psychiatric hospitals role?
to provide safety and treatment for individuals unsafe in the community
what is the voluntary agreement code (in PA)? what does voluntary admission
mean?
201
,there is a safety concern and the pt has identified themselves as unsafe
what happens if a voluntarily admitted pt later requests discharge?
pt can be held on the unit for up to 72 hours until evaluated for safety
what happens if the provider identifies criteria leading to risk in the voluntary pt
requesting discharge?
they can convert the admission to involuntary
criteria for involuntary admission
1. the person is unable without the care, supervision and assistance of others to
satisfy his/her need for nourishment, personal or medical care, shelter or self-
protection or safety and that death or serious physical debilitation would occur
within 30 days unless treatment was provided
2. the person has attempted suicide, or the person has made threats to commit
suicide and committed acts in furtherance of the threats
3. the person has mutilated himself/herself or the person has made threats to
mutilate and committed acts in furtherance of the threats
4. danger to others shall be shown by establishing that within the previous 30 days
the person has inflicted or attempted to inflict serious bodily harm on another or
has threatened serious bodily harm and has committed acts in furtherance of the
threat to commit harm to another
,how many of the four criteria must be met for an involuntary admission?
at least 1
who can involuntary admit someone?
anyone
Patient with schizophrenia is floridly psychotic, sitting in his home afraid to leave.
Patient stopped taking their medications 10 days previous due to paranoia when
pharmacy switched manufacturer and the pills "looked different". Pt is supported
by mother who delivers food daily. Pt drinking and eating well. No observable
hazards found in home. Patient kicks you out of the apartment for bothering them
and yells you are "part of the machine". What do we do?
continue to build rapport with the pt hoping he will restart medications
Patient with schizophrenia is baseline psychotic (The best they get with their
symptoms even with medications). You meet as part of their normal monitoring
schedule. Patient is currently taking their medications, well hydrated and
nourished. The patient always has the baseline idea that they have HIV, but today,
despite education, state they are going to inject bleach as part of the cure. What do
you do?
prepare the documentation for an involuntary commitment
, mood disorders (affective disorders) are characterized by...
emotional extremes
what are the two broad categories of mood disorders?
1. depressive disorders
2. bipolar disorders
depressive disorders
1. major depressive disorder!
2. persistent depressive disorder!
3. pre menstrual dysphoric disorder
4. disruptive mood dysregulation disorder
5. substance/medication-induced depressive disorder
6. depressive disorder due to another medical condition
symptoms of MDD
1. depressed mood most of the day, nearly every day
