RPNCE attempt
What is a form 1? - answer Request for admission (voluntary patients)
What is a form 2? - answer Consent for treatment (voluntary Pts)
What is a form 4? - answer Involuntary medical certification form (signed by a Dr)
What is the timeline and forms for recertification? – answer Cert 1: 48h F4 (need 2 F4s)
Cert 2: 1-month F4
Renew 1: 1-month F6
Renew2: 3months F6
Renew 3: Q6 months (any certs after are q6months)
What is a form 6? - answer Renewal certificate
What is a Form 5? - answer Consent for tx (involuntary)
What is the criteria for invol admission? – answer Pt must be suffering from a mental
disorder that seriously impairs ability to react appropriately to their environment or to
associate with others.
Pt requires tx in or through a designated facility.
Pt requires care, supervision and control in or through a designated faculty to prevent
the person's substantial mental or physical deterioration or for the person's own
protection or the protection of others.
Pt is not suitable as a voluntary patient.
What is a form 13? - answerNotification of rights
When does a form 13 need to be completed? - answerWhen pt is first admitted as invol,
following a transfer to another facility, whenever a renewal certificate (f6) is completed,
when pts status changes (from vol to invol).
What is a form 7? - answerRequest for a review panel (review panel must occur within
14 days of request)
Who sits on a review panel? - answerDr, lawyer, pt advocate
How often can a review panel be requested? - answerAfter a person is certified and
after each renewal.
What is a form 20? - answerAuthorization for pt to leave of extended leave (invol pt)
,What are the 6 Ps of compartment syndrome? - answer1.) Pain (present on passive
movement and out of proportion to injury)
2.) Paresthesias (numbness, tingling, decreased sensation)
3.) Pallor (or cyanosis)
4.) Pressure (firm feeling muscle compartment, elevated pressure reading)
5.) Paralysis (late, ominous sign)
6.) Pulselessness (very late, ominous sign)
What is checked during a Peripheral Vascular Assessment? - answerColor,
temperature, capillary refill, peripheral pulses, & edema
What is checked during a Peripheral Neurological Assessment? - answerSensation,
motor function, & pain
What is osteoporosis? - answera chronic, progressive metabolic bone disease in which
the bones become brittle and fragile from loss of tissue, typically as a result of hormonal
changes, or deficiency of calcium or vitamin D.
What are the Classification of Fractures (#)? - answerClosed #: Intact skin over the #
site (no open skin)
Open #: A break in skin over the # site. Bone fragments stick out through the skin OR
wound penetrates down to the broken bone (worry about infc)
Complete or Incomplete #: bones are fully separated vs only going through one side of
the bone [children are more at risk of this].
Displaced: # displaces the bones out of the normal anatomic position [often bc of
muscle spasm]
Nondisplaced: goes through both bones but maintains normal placement.
What are the clinical manifestations of a fracture (#)? - answerDeformity, edema and
swelling, muscle spasm, pain and tenderness, ecchymosis or contusions (bruising), loss
of normal functioning, crepitation (bone on bone sound and sensation), neurovascular
impairment.
What are some Complications After Fracture and how do we tx and assess? -
answerInfection: (Discharge, colour, odor, heat, redness, swelling), BW (WBC, C+S of
wound, blood cultures), VS (fever), antibiotics (prophylaxis).
Compartment Syndrome: 6 Ps, neruovascular assessment, remove restrictive items, do
not elevate or apply cold.
Fat Embolism Syndrome (FES): broken bones release fat globules into systemic
circulation-> emboli can travel to heart, lungs, brain. S/S: dyspnea, petichaie,
tachypnea, CP, change in mental status. Apply O2, sit them up, monitor sppo2 and RR,
calling RT
Venous Thromboembolism: PE: thrombus in pulmonary arteries. anticoagulants-
heparin, dalteparin
,DVT: thrombus in deep veins of leg; pain/ tenderness in the leg <passive moving;
redness/ warmth, unilateral swelling.
What is Compartment syndrome? - answerelevated intracompartmental pressure c/in a
confined space leads to compression of blood vessels and nerves, then ischemia, then
healthy tis replaced c fibrotic tis.
What are some clinical manifestations of osteoarthritis? - answerWorsening joint pain
Limitation of movement
Crepitus (grating sensation/ sound of bone on bone rubbing)
Stiffness
Deformity
What are the components of the MSE? - answerAppearance, behaviour, affect, mood*,
speech, thought content*, thought process, perception*, cognitive functioning,
insight/judgement, risk assessment*.
What is Generalized anxiety disorder. - answerCharacterized by persistent and
excessive anxiety and worry about occupational/ social/ interpersonal situations.
Affects daily functioning.
Has physical symptoms.
GAD can be a debilitating disorder with a serious negative impact on quality of life.
Often associated with other disorders like Depression or substance abuse
Anxiety is associated with 3 or more of the following symptoms: - answerRestlessness
or feeling keyed up or on edge
Being easily fatigued
Difficulty concentrating or mind going blank
Irritability
Muscle tension
Sleep disturbance
What is OCD? - answerCharacterized by the presence of obsessions and compulsions.
Obsessions are recurrent, persistent unwanted thoughts that increase anxiety.
Compulsions are repetitive acts that the person does in hopes to relieve anxiety.
Most common reason that people with OCD seek help is for relationship problems,
GAD, drug & ETOH use, depression.
What is Panic disorder? - answerSudden short periods of intense fear or discomfort that
are accompanied by significant physical and cognitive symptoms. Mimic symptoms of a
heart attack. Restricted perceptual field, feeling disconnected
Peaks within 10 minutes.
Panic Attacks are often followed by a concern of experiencing more attacks.
what are some tx options for anxiety disorders? - answerRating scales, Identifying
triggers, Diet, Exercise, Breathing Control, Distraction, Positive Self Talk
, Progressive Muscle Relaxation, Meditation, Mindfulness.
Psychotherapies: CBT, exposure therapy.
what are some Symptoms of PTSD? - answerRe-experiencing the event: intrusive
thoughts and recollections (flashbacks), or recurrent dreams/nightmares
Avoidance behaviour: avoiding activities, situations and people associated with the
trauma. Feelings of guilt.
General numbness and loss of interest in surroundings
Hypersensitivity: inability to sleep, anxious feelings, overactive startle response,
hypervigilance, irritability, angry outbursts
what is shock? - answerThe failure of the circulatory system to maintain adequate
perfusion of the vital organs
Which types of shock involve low blood flow? - answerCardiogenic (cardiac output is
decreased)
Hypovolemic (not enough blood flowing)
Which types of shock involve maldistribution of blood flow? - answerAKA: blood not
going where it needs to go.
septic
anaphylactic
neurogenic
What are the General Signs of Shock? - answerHypotension*
Tachypnea
Tachycardia*
Cool, pale skin
Anxiety
Diaphoresis
Change in or loss of consciousness
Oliguria
What are the characteristicw of Bipolar I? - answerAt least 1 manic episode.
Multiple depressive episodes are common but not required for a dx of BADI .
Manic behaviour must last at least 1 week.
The mood disturbance is severe enough to cause marked impairment in social or
occupational funct.
Not caused by the effects of drugs or other medical conditions.
May include psychosis.
What are the characteristics of Bipolar II? - answerAt least 1 episode of hypomania.
One or more depressive episodes.
Never had a manic episode.
Usually begins with a depressive episode.
Depressive episodes are more debilitating over time.
What is a form 1? - answer Request for admission (voluntary patients)
What is a form 2? - answer Consent for treatment (voluntary Pts)
What is a form 4? - answer Involuntary medical certification form (signed by a Dr)
What is the timeline and forms for recertification? – answer Cert 1: 48h F4 (need 2 F4s)
Cert 2: 1-month F4
Renew 1: 1-month F6
Renew2: 3months F6
Renew 3: Q6 months (any certs after are q6months)
What is a form 6? - answer Renewal certificate
What is a Form 5? - answer Consent for tx (involuntary)
What is the criteria for invol admission? – answer Pt must be suffering from a mental
disorder that seriously impairs ability to react appropriately to their environment or to
associate with others.
Pt requires tx in or through a designated facility.
Pt requires care, supervision and control in or through a designated faculty to prevent
the person's substantial mental or physical deterioration or for the person's own
protection or the protection of others.
Pt is not suitable as a voluntary patient.
What is a form 13? - answerNotification of rights
When does a form 13 need to be completed? - answerWhen pt is first admitted as invol,
following a transfer to another facility, whenever a renewal certificate (f6) is completed,
when pts status changes (from vol to invol).
What is a form 7? - answerRequest for a review panel (review panel must occur within
14 days of request)
Who sits on a review panel? - answerDr, lawyer, pt advocate
How often can a review panel be requested? - answerAfter a person is certified and
after each renewal.
What is a form 20? - answerAuthorization for pt to leave of extended leave (invol pt)
,What are the 6 Ps of compartment syndrome? - answer1.) Pain (present on passive
movement and out of proportion to injury)
2.) Paresthesias (numbness, tingling, decreased sensation)
3.) Pallor (or cyanosis)
4.) Pressure (firm feeling muscle compartment, elevated pressure reading)
5.) Paralysis (late, ominous sign)
6.) Pulselessness (very late, ominous sign)
What is checked during a Peripheral Vascular Assessment? - answerColor,
temperature, capillary refill, peripheral pulses, & edema
What is checked during a Peripheral Neurological Assessment? - answerSensation,
motor function, & pain
What is osteoporosis? - answera chronic, progressive metabolic bone disease in which
the bones become brittle and fragile from loss of tissue, typically as a result of hormonal
changes, or deficiency of calcium or vitamin D.
What are the Classification of Fractures (#)? - answerClosed #: Intact skin over the #
site (no open skin)
Open #: A break in skin over the # site. Bone fragments stick out through the skin OR
wound penetrates down to the broken bone (worry about infc)
Complete or Incomplete #: bones are fully separated vs only going through one side of
the bone [children are more at risk of this].
Displaced: # displaces the bones out of the normal anatomic position [often bc of
muscle spasm]
Nondisplaced: goes through both bones but maintains normal placement.
What are the clinical manifestations of a fracture (#)? - answerDeformity, edema and
swelling, muscle spasm, pain and tenderness, ecchymosis or contusions (bruising), loss
of normal functioning, crepitation (bone on bone sound and sensation), neurovascular
impairment.
What are some Complications After Fracture and how do we tx and assess? -
answerInfection: (Discharge, colour, odor, heat, redness, swelling), BW (WBC, C+S of
wound, blood cultures), VS (fever), antibiotics (prophylaxis).
Compartment Syndrome: 6 Ps, neruovascular assessment, remove restrictive items, do
not elevate or apply cold.
Fat Embolism Syndrome (FES): broken bones release fat globules into systemic
circulation-> emboli can travel to heart, lungs, brain. S/S: dyspnea, petichaie,
tachypnea, CP, change in mental status. Apply O2, sit them up, monitor sppo2 and RR,
calling RT
Venous Thromboembolism: PE: thrombus in pulmonary arteries. anticoagulants-
heparin, dalteparin
,DVT: thrombus in deep veins of leg; pain/ tenderness in the leg <passive moving;
redness/ warmth, unilateral swelling.
What is Compartment syndrome? - answerelevated intracompartmental pressure c/in a
confined space leads to compression of blood vessels and nerves, then ischemia, then
healthy tis replaced c fibrotic tis.
What are some clinical manifestations of osteoarthritis? - answerWorsening joint pain
Limitation of movement
Crepitus (grating sensation/ sound of bone on bone rubbing)
Stiffness
Deformity
What are the components of the MSE? - answerAppearance, behaviour, affect, mood*,
speech, thought content*, thought process, perception*, cognitive functioning,
insight/judgement, risk assessment*.
What is Generalized anxiety disorder. - answerCharacterized by persistent and
excessive anxiety and worry about occupational/ social/ interpersonal situations.
Affects daily functioning.
Has physical symptoms.
GAD can be a debilitating disorder with a serious negative impact on quality of life.
Often associated with other disorders like Depression or substance abuse
Anxiety is associated with 3 or more of the following symptoms: - answerRestlessness
or feeling keyed up or on edge
Being easily fatigued
Difficulty concentrating or mind going blank
Irritability
Muscle tension
Sleep disturbance
What is OCD? - answerCharacterized by the presence of obsessions and compulsions.
Obsessions are recurrent, persistent unwanted thoughts that increase anxiety.
Compulsions are repetitive acts that the person does in hopes to relieve anxiety.
Most common reason that people with OCD seek help is for relationship problems,
GAD, drug & ETOH use, depression.
What is Panic disorder? - answerSudden short periods of intense fear or discomfort that
are accompanied by significant physical and cognitive symptoms. Mimic symptoms of a
heart attack. Restricted perceptual field, feeling disconnected
Peaks within 10 minutes.
Panic Attacks are often followed by a concern of experiencing more attacks.
what are some tx options for anxiety disorders? - answerRating scales, Identifying
triggers, Diet, Exercise, Breathing Control, Distraction, Positive Self Talk
, Progressive Muscle Relaxation, Meditation, Mindfulness.
Psychotherapies: CBT, exposure therapy.
what are some Symptoms of PTSD? - answerRe-experiencing the event: intrusive
thoughts and recollections (flashbacks), or recurrent dreams/nightmares
Avoidance behaviour: avoiding activities, situations and people associated with the
trauma. Feelings of guilt.
General numbness and loss of interest in surroundings
Hypersensitivity: inability to sleep, anxious feelings, overactive startle response,
hypervigilance, irritability, angry outbursts
what is shock? - answerThe failure of the circulatory system to maintain adequate
perfusion of the vital organs
Which types of shock involve low blood flow? - answerCardiogenic (cardiac output is
decreased)
Hypovolemic (not enough blood flowing)
Which types of shock involve maldistribution of blood flow? - answerAKA: blood not
going where it needs to go.
septic
anaphylactic
neurogenic
What are the General Signs of Shock? - answerHypotension*
Tachypnea
Tachycardia*
Cool, pale skin
Anxiety
Diaphoresis
Change in or loss of consciousness
Oliguria
What are the characteristicw of Bipolar I? - answerAt least 1 manic episode.
Multiple depressive episodes are common but not required for a dx of BADI .
Manic behaviour must last at least 1 week.
The mood disturbance is severe enough to cause marked impairment in social or
occupational funct.
Not caused by the effects of drugs or other medical conditions.
May include psychosis.
What are the characteristics of Bipolar II? - answerAt least 1 episode of hypomania.
One or more depressive episodes.
Never had a manic episode.
Usually begins with a depressive episode.
Depressive episodes are more debilitating over time.
