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NR-607 FINAL ACTUAL EXAM TEST BANK
500 + QUESTIONS AND VERIFIED ANSWERS
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED |INSTANT
PDF DOWNLOAD
What is Somatic Symptom Disorder characterized by? - ANSWER- An
individual's significant focus on one or more physical symptoms such as
pain, fatigue, weakness, or shortness of breath.
How long must symptoms persist for a diagnosis of Somatic Symptom
Disorder? - ANSWER- More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on
an individual? - ANSWER- They cause major distress and/or disruption
of daily life.
________ may occur when a client and provider agree that the client's
symptoms meet the criteria for inpatient hospitalization and that the
client may benefit from admission. This is the preferred way because it
gives the patient a sense of control over their life. The client will sign a
consent form agreeing to a hospital stay in a locked unit. Clients who
voluntarily agree to admission may not require a psychiatric hold;
however, if the client requests discharge and the provider determines the
client is not yet safe, the provider may initiate an emergency involuntary
hold - ANSWER- A voluntary admission
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_______ occurs when a client does NOT agree to hospitalization. Still,
an evaluation by a mental health professional indicates that the client
may be at high risk of harming themselves or others. Other terms
denoting an involuntary admission include involuntary commitment,
psychiatric hold, or civil admission. This means the patient is a danger to
themselves or others. - ANSWER- Involuntary admission
Involuntary civil commitment is a legal intervention directed by a judge
to order a person with serious symptoms of continued danger to self or
others, grave disability, or serious deterioration to either remain in a
psychiatric hospital or attend supervised outpatient treatment for a
period
What is seclusion and when is this technique ok to be used? -
ANSWER- Different states have different laws for seclusion so ensure
to abide by state regulations.
Seclusion involves the involuntary confinement of an individual alone
in a room or area from which the individual is prevented from leaving.
Seclusion or restraints should only be used to ensure the IMMEDIATE
physical safety of the client and others
What are some exceptions to informed consent? - ANSWER- 1.)
incapacitation- find/ consult a surrogate
2.) life threatening emergencies
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3.) clients voluntarily waiving their informed consent
What is the primary reason for a patient to admitted to the hospital? -
ANSWER- STABILIZATION-Stabilization starts with the least
restrictive interventions, including a calm environment, de-escalation,
and collaborative planning.
Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent,
objects) - ANSWER- When acutely agitated patients present to the ED,
the first priority is to address basic physiological and safety needs by
reducing environmental overstimulation and providing food and drink, if
desired. Patients should be included in the decision-making process as
much as possible.
give them space- assess needs, listen to them, watch for the doors,
provide nutrition/support, speak calm, do not agitate, clear limits,
minimize light/noise
What is the definition of a psychiatric emergency? name some examples
- ANSWER- This is when a patient is a danger to self/ danger to others,
unable to meet their own needs for basic food, clothing, shelter due to
psychological impairment.
Suicide, acute psychosis, agitation/aggression, mania, substance use
concerns, decompensation related to personality disorders, severe
anxiety, medication related emergencies.
, 4|Page
____ occurs when medication that alter the way serotonin is
produced/metabolized by the body causes EXCESSIVE levels of
serotonin to build up in the body. - ANSWER- SEROTONIN
SYNDROME
What are some medications that can cause serotonin syndrome? -
ANSWER- SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
opioids, cocaine,
St. Johns Wart
antiemetics
Always remember there HAS TO be a 5 week washout when switching
from an SSRI to an MAOI or the other way around.
What are some s/s of serotonin synrdome? - ANSWER- AMS- delirium,
agitation, insomnia, hypervigilance
ANS dysregulation: Tachycardia, high temp, SHIVERING, sweating,
diarrhea, MYDRIASIS- DILATED PUPILS, HEADACHE,
DYSRTHYMIAS, OCULAR CLONUS
HYPERREFLEXIA IN LOWER LIMBS, MYOCLONUS- MUSCLE
TWITCHING, TREMORS!!!!!
NR-607 FINAL ACTUAL EXAM TEST BANK
500 + QUESTIONS AND VERIFIED ANSWERS
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED |INSTANT
PDF DOWNLOAD
What is Somatic Symptom Disorder characterized by? - ANSWER- An
individual's significant focus on one or more physical symptoms such as
pain, fatigue, weakness, or shortness of breath.
How long must symptoms persist for a diagnosis of Somatic Symptom
Disorder? - ANSWER- More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on
an individual? - ANSWER- They cause major distress and/or disruption
of daily life.
________ may occur when a client and provider agree that the client's
symptoms meet the criteria for inpatient hospitalization and that the
client may benefit from admission. This is the preferred way because it
gives the patient a sense of control over their life. The client will sign a
consent form agreeing to a hospital stay in a locked unit. Clients who
voluntarily agree to admission may not require a psychiatric hold;
however, if the client requests discharge and the provider determines the
client is not yet safe, the provider may initiate an emergency involuntary
hold - ANSWER- A voluntary admission
,2|Page
_______ occurs when a client does NOT agree to hospitalization. Still,
an evaluation by a mental health professional indicates that the client
may be at high risk of harming themselves or others. Other terms
denoting an involuntary admission include involuntary commitment,
psychiatric hold, or civil admission. This means the patient is a danger to
themselves or others. - ANSWER- Involuntary admission
Involuntary civil commitment is a legal intervention directed by a judge
to order a person with serious symptoms of continued danger to self or
others, grave disability, or serious deterioration to either remain in a
psychiatric hospital or attend supervised outpatient treatment for a
period
What is seclusion and when is this technique ok to be used? -
ANSWER- Different states have different laws for seclusion so ensure
to abide by state regulations.
Seclusion involves the involuntary confinement of an individual alone
in a room or area from which the individual is prevented from leaving.
Seclusion or restraints should only be used to ensure the IMMEDIATE
physical safety of the client and others
What are some exceptions to informed consent? - ANSWER- 1.)
incapacitation- find/ consult a surrogate
2.) life threatening emergencies
,3|Page
3.) clients voluntarily waiving their informed consent
What is the primary reason for a patient to admitted to the hospital? -
ANSWER- STABILIZATION-Stabilization starts with the least
restrictive interventions, including a calm environment, de-escalation,
and collaborative planning.
Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent,
objects) - ANSWER- When acutely agitated patients present to the ED,
the first priority is to address basic physiological and safety needs by
reducing environmental overstimulation and providing food and drink, if
desired. Patients should be included in the decision-making process as
much as possible.
give them space- assess needs, listen to them, watch for the doors,
provide nutrition/support, speak calm, do not agitate, clear limits,
minimize light/noise
What is the definition of a psychiatric emergency? name some examples
- ANSWER- This is when a patient is a danger to self/ danger to others,
unable to meet their own needs for basic food, clothing, shelter due to
psychological impairment.
Suicide, acute psychosis, agitation/aggression, mania, substance use
concerns, decompensation related to personality disorders, severe
anxiety, medication related emergencies.
, 4|Page
____ occurs when medication that alter the way serotonin is
produced/metabolized by the body causes EXCESSIVE levels of
serotonin to build up in the body. - ANSWER- SEROTONIN
SYNDROME
What are some medications that can cause serotonin syndrome? -
ANSWER- SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
opioids, cocaine,
St. Johns Wart
antiemetics
Always remember there HAS TO be a 5 week washout when switching
from an SSRI to an MAOI or the other way around.
What are some s/s of serotonin synrdome? - ANSWER- AMS- delirium,
agitation, insomnia, hypervigilance
ANS dysregulation: Tachycardia, high temp, SHIVERING, sweating,
diarrhea, MYDRIASIS- DILATED PUPILS, HEADACHE,
DYSRTHYMIAS, OCULAR CLONUS
HYPERREFLEXIA IN LOWER LIMBS, MYOCLONUS- MUSCLE
TWITCHING, TREMORS!!!!!
