NR 607 FINAL EXAM ACTUAL PAPER
SOLVED QUESTIONS
◉ 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.
◉ What are some s/s of serotonin synrdome?
Answer: AMS- delirium, agitation, insomnia, hypervigilance
SOLVED QUESTIONS
◉ 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.
◉ What are some s/s of serotonin synrdome?
Answer: AMS- delirium, agitation, insomnia, hypervigilance
