NR 607 COMPREHENSIVE TEST BANK
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
●● 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
,●● _______ 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.) 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.
●● ____ 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.
COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
●● 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
,●● _______ 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.) 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.
●● ____ 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.
