NR607 Final Exam: Psychiatric
Disorders, Medications, and
Emergency Management Questions
with 100% Correct Answers
Primary goal of inpatient psychiatric treatment Correct Answer: Stabilize acute
psychiatric symptoms, ensure patient and public safety, and begin therapeutic
intervention.
Criteria for voluntary admission Correct 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) Correct 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 Correct Answer:
Voluntary = patient requests/consents; Involuntary = legal mandate due to
safety risks or grave disability.
Use of seclusion: when is it indicated? Correct Answer: Last resort when less
restrictive interventions have failed and patient poses immediate danger.
Ethical principle of informed consent Correct Answer: Autonomy - respecting
patient's right to make decisions after being informed of benefits, risks, and
alternatives.
Exceptions to informed consent Correct Answer: Emergencies, court orders,
patient incapacity (requires surrogate/guardian).
, Decision-making capacity: what are the 4 key elements? Correct Answer:
Understands information, appreciates consequences, can reason about
options, can communicate a choice.
Civil commitment definition Correct 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? Correct Answer: When a patient poses an immediate
threat to self/others and less restrictive measures have failed.
Physical risk assessment includes what factors? Correct Answer: Vital signs,
medical conditions, intoxication/withdrawal status.
Environmental risk assessment includes what factors? Correct Answer: Access to
weapons, unsafe surroundings, presence of others at risk.
Early signs of aggressive behavior Correct Answer: Increased agitation, pacing,
loud voice, clenched fists, threatening language.
First step in managing escalating aggression Correct Answer: Verbal de-
escalation and ensuring a safe environment.
AEIOU TIPS categories for altered mental status Correct Answer: Alcohol,
Epilepsy/Electrolytes/Endocrine, Insulin, Opiates, Uremia, Trauma/Temperature,
Infection, Poisoning/Psychiatric, Shock/Stroke.
Key de-escalation techniques Correct Answer: Calm voice, open body
language, active listening, offering choices, reducing stimulation.
Lithium toxicity mild symptoms Correct Answer: GI upset, fine tremor, polyuria,
polydipsia.
Disorders, Medications, and
Emergency Management Questions
with 100% Correct Answers
Primary goal of inpatient psychiatric treatment Correct Answer: Stabilize acute
psychiatric symptoms, ensure patient and public safety, and begin therapeutic
intervention.
Criteria for voluntary admission Correct 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) Correct 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 Correct Answer:
Voluntary = patient requests/consents; Involuntary = legal mandate due to
safety risks or grave disability.
Use of seclusion: when is it indicated? Correct Answer: Last resort when less
restrictive interventions have failed and patient poses immediate danger.
Ethical principle of informed consent Correct Answer: Autonomy - respecting
patient's right to make decisions after being informed of benefits, risks, and
alternatives.
Exceptions to informed consent Correct Answer: Emergencies, court orders,
patient incapacity (requires surrogate/guardian).
, Decision-making capacity: what are the 4 key elements? Correct Answer:
Understands information, appreciates consequences, can reason about
options, can communicate a choice.
Civil commitment definition Correct 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? Correct Answer: When a patient poses an immediate
threat to self/others and less restrictive measures have failed.
Physical risk assessment includes what factors? Correct Answer: Vital signs,
medical conditions, intoxication/withdrawal status.
Environmental risk assessment includes what factors? Correct Answer: Access to
weapons, unsafe surroundings, presence of others at risk.
Early signs of aggressive behavior Correct Answer: Increased agitation, pacing,
loud voice, clenched fists, threatening language.
First step in managing escalating aggression Correct Answer: Verbal de-
escalation and ensuring a safe environment.
AEIOU TIPS categories for altered mental status Correct Answer: Alcohol,
Epilepsy/Electrolytes/Endocrine, Insulin, Opiates, Uremia, Trauma/Temperature,
Infection, Poisoning/Psychiatric, Shock/Stroke.
Key de-escalation techniques Correct Answer: Calm voice, open body
language, active listening, offering choices, reducing stimulation.
Lithium toxicity mild symptoms Correct Answer: GI upset, fine tremor, polyuria,
polydipsia.
