NURS 2300 Exam 1 ACTUAL Exam
Questions and CORRECT Answers
Mental illness according to "Ohio State Law" - CORRECT ANSWER - -A substantial
disorder in thought, mood, perception, orientation or memory that grossly impair judgment,
behavior, capacity to recognize reality
-Or the ability to meet the ordinary demands of life
-Deemed mentally incompetent
-Unpredictable and potentially harmful to self or others
Criteria for Psychiatric Hospitalization - CORRECT ANSWER - Psychiatric disease
Gravely disabled
Psychological distress
Legal/Criminal Involvement
Psychiatric Disease - CORRECT ANSWER - Identifiable bio-pathology producing cellular
dysfunction or alteration
Gravely disabled - CORRECT ANSWER - Inability to meet ADLs
Psychological Distress - CORRECT ANSWER - Loss, Grief, Ineffective Coping, Suicidal
Voluntary Commitment - CORRECT ANSWER - -sought by patient
-18 years or older
-Consent for Treatment
-Able to Demand and Obtain Release from Facility, if improved
List of Patient Rights - CORRECT ANSWER - -Due process of law
-Least Restrictive Environment (*need reasons to restrain)
,-Free of Restraints and Seclusion
-Consent for Treatment-*informed (1975)
-Refusal of Treatment and Medications (1978)
-Confidentiality and Privacy
-Access to Personal Belongings and Needs
-Request Release (With signs of improvement)
-Right to Bring Civil Suit
Patient Rights: Due Process of Law - CORRECT ANSWER - -Administration of care
according to rules and principles
**no experimental practice
Patient Rights: Confidentiality - CORRECT ANSWER - 1. HIPPA
2. PHI: Protected Health Information- need identifiers to log in to EPIC
3. Duty to Warn 1974/ Duty to Protect 1976
Duty to Warn 1974/ Duty to Protect 1976 - CORRECT ANSWER - Law that requires
health care providers/therapists to inform individual of threats of harm against them
Patient Rights: Access to Personal Belongings and Needs - CORRECT ANSWER - i.e.
daily exercise, visitors, phone, writing materials
Patient Rights: Right to Bring Civil Suit - CORRECT ANSWER - Torts; civil law for
wrongful conduct
In which circumstances may patient's rights be suspended? - CORRECT ANSWER --
Event of Injury
-Event of harm to self/others
,*Document*
Involuntary Commitment - CORRECT ANSWER - -Not sought for by patient
-Pt. Not able to keep self safe
-Requires "Burden of Proof'
-Legal court ordered mandate for a psychiatric evaluation
Involuntary Commitment: Burden of Proof - CORRECT ANSWER -
Information/Evidence provided to authorities which substantiates that individual is mentally
compromised
*Descriptive Evidence of Behavior
*Pt. Harmful to Others
*Unable to Keep Self Safe
Involuntary Commitment: Legal Court Ordered Mandate for a Psychiatric Evaluation -
CORRECT ANSWER - -with sufficient burden of proof
-authorities "Order of Detention"
Involuntary Commitment: Warrant of Detention - CORRECT ANSWER - Police; brought
in for evaluation; determines if admission needed (involuntary admitted)
Involuntary Commitment: Patient rights - CORRECT ANSWER - -Don't lose rights with
involuntary commitment
*Protects others and patient
, Emergency Involuntary Commitment - CORRECT ANSWER - -Suicidal or Homicidal
-Review of admission within 24-48 hours for accurateness (up to 72 hrs)
i.e. pt. takes pills/ slits her wrists
Emergency Involuntary Commitment: Suicidal/ Homicidal - CORRECT ANSWER -
inability to keep self safe or harmful to others
*may or may not have true mental illness or psychiatric diagnosis
i.e. girl takes pulls/slits wrists after boyfriend breaks up with her
Extended Involuntary Commitment - CORRECT ANSWER - **Long-term Psychiatric
Hospitalization (Expensive)
-Criminally insane
-Unable to Regain Competency
-Least Restrictive Environment (efforts to decrease this type of commitment)
Extended Involuntary Commitment: Criminally Insane - CORRECT ANSWER - -unable
to maintain mental health
-commit crime
Unconditional Discharge - CORRECT ANSWER - VOLUNTARY
-Right to demand and be given discharge if condition improved
-Not legal or court ordered
Conditional Discharge - CORRECT ANSWER - INVOLUNTARY/COURT-ORDERED
Requires on-going outpatient treatment if fail
-If fail to maintain wellness, risk for re-admission
Questions and CORRECT Answers
Mental illness according to "Ohio State Law" - CORRECT ANSWER - -A substantial
disorder in thought, mood, perception, orientation or memory that grossly impair judgment,
behavior, capacity to recognize reality
-Or the ability to meet the ordinary demands of life
-Deemed mentally incompetent
-Unpredictable and potentially harmful to self or others
Criteria for Psychiatric Hospitalization - CORRECT ANSWER - Psychiatric disease
Gravely disabled
Psychological distress
Legal/Criminal Involvement
Psychiatric Disease - CORRECT ANSWER - Identifiable bio-pathology producing cellular
dysfunction or alteration
Gravely disabled - CORRECT ANSWER - Inability to meet ADLs
Psychological Distress - CORRECT ANSWER - Loss, Grief, Ineffective Coping, Suicidal
Voluntary Commitment - CORRECT ANSWER - -sought by patient
-18 years or older
-Consent for Treatment
-Able to Demand and Obtain Release from Facility, if improved
List of Patient Rights - CORRECT ANSWER - -Due process of law
-Least Restrictive Environment (*need reasons to restrain)
,-Free of Restraints and Seclusion
-Consent for Treatment-*informed (1975)
-Refusal of Treatment and Medications (1978)
-Confidentiality and Privacy
-Access to Personal Belongings and Needs
-Request Release (With signs of improvement)
-Right to Bring Civil Suit
Patient Rights: Due Process of Law - CORRECT ANSWER - -Administration of care
according to rules and principles
**no experimental practice
Patient Rights: Confidentiality - CORRECT ANSWER - 1. HIPPA
2. PHI: Protected Health Information- need identifiers to log in to EPIC
3. Duty to Warn 1974/ Duty to Protect 1976
Duty to Warn 1974/ Duty to Protect 1976 - CORRECT ANSWER - Law that requires
health care providers/therapists to inform individual of threats of harm against them
Patient Rights: Access to Personal Belongings and Needs - CORRECT ANSWER - i.e.
daily exercise, visitors, phone, writing materials
Patient Rights: Right to Bring Civil Suit - CORRECT ANSWER - Torts; civil law for
wrongful conduct
In which circumstances may patient's rights be suspended? - CORRECT ANSWER --
Event of Injury
-Event of harm to self/others
,*Document*
Involuntary Commitment - CORRECT ANSWER - -Not sought for by patient
-Pt. Not able to keep self safe
-Requires "Burden of Proof'
-Legal court ordered mandate for a psychiatric evaluation
Involuntary Commitment: Burden of Proof - CORRECT ANSWER -
Information/Evidence provided to authorities which substantiates that individual is mentally
compromised
*Descriptive Evidence of Behavior
*Pt. Harmful to Others
*Unable to Keep Self Safe
Involuntary Commitment: Legal Court Ordered Mandate for a Psychiatric Evaluation -
CORRECT ANSWER - -with sufficient burden of proof
-authorities "Order of Detention"
Involuntary Commitment: Warrant of Detention - CORRECT ANSWER - Police; brought
in for evaluation; determines if admission needed (involuntary admitted)
Involuntary Commitment: Patient rights - CORRECT ANSWER - -Don't lose rights with
involuntary commitment
*Protects others and patient
, Emergency Involuntary Commitment - CORRECT ANSWER - -Suicidal or Homicidal
-Review of admission within 24-48 hours for accurateness (up to 72 hrs)
i.e. pt. takes pills/ slits her wrists
Emergency Involuntary Commitment: Suicidal/ Homicidal - CORRECT ANSWER -
inability to keep self safe or harmful to others
*may or may not have true mental illness or psychiatric diagnosis
i.e. girl takes pulls/slits wrists after boyfriend breaks up with her
Extended Involuntary Commitment - CORRECT ANSWER - **Long-term Psychiatric
Hospitalization (Expensive)
-Criminally insane
-Unable to Regain Competency
-Least Restrictive Environment (efforts to decrease this type of commitment)
Extended Involuntary Commitment: Criminally Insane - CORRECT ANSWER - -unable
to maintain mental health
-commit crime
Unconditional Discharge - CORRECT ANSWER - VOLUNTARY
-Right to demand and be given discharge if condition improved
-Not legal or court ordered
Conditional Discharge - CORRECT ANSWER - INVOLUNTARY/COURT-ORDERED
Requires on-going outpatient treatment if fail
-If fail to maintain wellness, risk for re-admission
