FINAL ADVANCED ACUTE CARE
MANAGEMENT 2026 ACTUAL ASSESSMENT
SCRIPT FULL SOLUTION STUDY GUIDE
◉ Physical restraints. Answer: Devices that restrict a patient's
movement. May include soft and leather restraints, or mittens, which
are less restrictive.
◉ Restraint evaluation frequency. Answer: Daily and ASAP.
◉ Restraints: preventative measure?. Answer: False. Restraints
should be a last resort and not a preventative measure.
◉ Risks associated with restraints. Answer: Extremity fracture,
suffocation, death.
◉ Violent/self-destructive behavior order timeframe. Answer: 1 hr
for adult patients 18+.
◉ Documentation for violent/self-destructive restraint order.
Answer: Complete evaluation of the patient's medical and behavioral
condition which warrants the need for restraints.
,◉ Can restraint orders be PRN?. Answer: No
◉ 24hr restraint/seclusion review. Answer: A physician or LIP must
evaluate and document the continued need for restraints or
seclusion every 24 hours.
◉ Psychiatric holds. Answer: Used for patients at immediate risk to
themselves/others. Evaluated by psychiatrist or qualified
professional. Concurrent medical treatment allowed until clearance.
◉ 72 hour psychiatric hold. Answer: Allowed if patient shows or
expresses homicidal or suicidal behavior. Evaluation and risk
assessment required. Voluntary patients may be discharged earlier if
improved.
◉ Medications increasing depression risk. Answer: Interferon,
corticosteroids, antineoplastics, antipsychotics, sedative-hypnotics,
analgesics, sulfonamides, antihypertensives like digoxin.
◉ Other risk factors for depression. Answer: Chronic alcohol/drug
use, heart disease, cancer (especially GI), strokes (left hemisphere),
autoimmune disease, financial strain, childhood trauma.
◉ DSM-V criteria for MDD. Answer: Five or more symptoms for 2+
weeks including depressed mood or anhedonia. Symptoms include
, weight change, sleep disturbance, fatigue, worthlessness, impaired
concentration, suicidal ideation.
◉ Contraindication of bupropion. Answer: Seizures, eating
disorders, alcohol use. Lowers seizure threshold.
◉ GAD criteria. Answer: Excessive anxiety/worry more days than
not for at least 6 months. Worry hard to control. Three of:
restlessness, fatigue, concentration issues, irritability, muscle
tension, sleep disturbance.
◉ Role of psychiatry consult for psychosis patient. Answer: Help
identify underlying cause; Make medication recommendations;
Determine mental capacity to consent; Assist with discharge
planning and follow up
◉ Medication therapy and psychosis. Answer: Antipsychotics: First
generation antipsychotics; Second generation antipsychotics
◉ First-generation antipsychotics. Answer: AKA Typical
antipsychotics; Effective but have higher incidence of unwanted side
effects. Example: Haldol (IV, IM, PO)
MANAGEMENT 2026 ACTUAL ASSESSMENT
SCRIPT FULL SOLUTION STUDY GUIDE
◉ Physical restraints. Answer: Devices that restrict a patient's
movement. May include soft and leather restraints, or mittens, which
are less restrictive.
◉ Restraint evaluation frequency. Answer: Daily and ASAP.
◉ Restraints: preventative measure?. Answer: False. Restraints
should be a last resort and not a preventative measure.
◉ Risks associated with restraints. Answer: Extremity fracture,
suffocation, death.
◉ Violent/self-destructive behavior order timeframe. Answer: 1 hr
for adult patients 18+.
◉ Documentation for violent/self-destructive restraint order.
Answer: Complete evaluation of the patient's medical and behavioral
condition which warrants the need for restraints.
,◉ Can restraint orders be PRN?. Answer: No
◉ 24hr restraint/seclusion review. Answer: A physician or LIP must
evaluate and document the continued need for restraints or
seclusion every 24 hours.
◉ Psychiatric holds. Answer: Used for patients at immediate risk to
themselves/others. Evaluated by psychiatrist or qualified
professional. Concurrent medical treatment allowed until clearance.
◉ 72 hour psychiatric hold. Answer: Allowed if patient shows or
expresses homicidal or suicidal behavior. Evaluation and risk
assessment required. Voluntary patients may be discharged earlier if
improved.
◉ Medications increasing depression risk. Answer: Interferon,
corticosteroids, antineoplastics, antipsychotics, sedative-hypnotics,
analgesics, sulfonamides, antihypertensives like digoxin.
◉ Other risk factors for depression. Answer: Chronic alcohol/drug
use, heart disease, cancer (especially GI), strokes (left hemisphere),
autoimmune disease, financial strain, childhood trauma.
◉ DSM-V criteria for MDD. Answer: Five or more symptoms for 2+
weeks including depressed mood or anhedonia. Symptoms include
, weight change, sleep disturbance, fatigue, worthlessness, impaired
concentration, suicidal ideation.
◉ Contraindication of bupropion. Answer: Seizures, eating
disorders, alcohol use. Lowers seizure threshold.
◉ GAD criteria. Answer: Excessive anxiety/worry more days than
not for at least 6 months. Worry hard to control. Three of:
restlessness, fatigue, concentration issues, irritability, muscle
tension, sleep disturbance.
◉ Role of psychiatry consult for psychosis patient. Answer: Help
identify underlying cause; Make medication recommendations;
Determine mental capacity to consent; Assist with discharge
planning and follow up
◉ Medication therapy and psychosis. Answer: Antipsychotics: First
generation antipsychotics; Second generation antipsychotics
◉ First-generation antipsychotics. Answer: AKA Typical
antipsychotics; Effective but have higher incidence of unwanted side
effects. Example: Haldol (IV, IM, PO)
