NR607 Final Exam Questions AND Correct Answers
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the
client via weekly interactive video sessions
Role? - ✔✔Telehealth
A in AEIO assessment - ✔✔Agitation/Arousal: Is the client able
to sit still? Are they pacing? Are they demonstrating
aggressive behaviors?
Advantages of LAI - ✔✔-improve client outcomes
-reduce the number of hospitalizations and emergency
department visits
-reduce healthcare costs
-provide a more stable drug plasma level
AEIO Risk Assessment stand for - ✔✔Agitation/arousal
Environment
Intent
Objects
Antipsychotics available as LAI - ✔✔-haloperidol
-risperidone
,-paliperidone
-aripiprazole
-olanzapine.
Barriers to using LAI - ✔✔-logistical issues
-cost of treatment
-availability of staff to provide injections
-client perception of LAI
-client aversion to needles
Client risk factors for nonadherence in schizophrenia - ✔✔-
History of nonadherence
-Poor insight into the disease process
-Substance use
-Cognitive impairment or developmental disability
-Negative attitude
Cognitive symptoms of schizophrenia - ✔✔-perform lower
than average on neurocognitive tasks like:
-processing speed
-attention
-learning
-memory
,-problem-solving
Common causes of death in schizophrenia - ✔✔suicide,
cancer, and cardiovascular disease
Contraindications for seclusion/restraints - ✔✔-Extremely
unstable medical and psychiatric conditions
-Delirious or demented patients who are unable to tolerate
decreased stimulation
-Overtly suicidal patients
-Patients with severe drug reactions or overdoses or who
require close monitoring of drug dosages
-For punishment or convenience of staff
Define chemical restraint - ✔✔include any substance used to
control a client's behaviors
Define physical restraint - ✔✔include both soft and leather
limb restraints which can be applied to wrists, ankles, or
both. Mittens are another form of less restrictive restraint
Define Psychiatric advanced directive - ✔✔unique legal
documents that guide a client's treatment preferences if they
are having a mental health crisis and are unable to make
decisions. PADs help protect a client's autonomy by detailing
, their preferred medications and treatment modalities, and by
giving advance consent for treatment or admission
Define risk assessment - ✔✔In a crisis, the PMHNP must
quickly determine the level of risk to the client and others
and minimize the risk as much as possible.
Define seclusion - ✔✔involves the involuntary confinement of
an individual alone in a room or area from which the
individual is prevented from leaving
Define treatment resistant depression - ✔✔two or more
unsuccessful trials of antidepressant pharmacotherapy
Define treatment resistant schizophrenia - ✔✔-active,
persistent symptoms that impair functioning for over three
months after at least six weeks of appropriate medication
therapy with two different antipsychotic medications
-may not be diagnosed until treatment adherence has been
confirmed
Describe akathisia - ✔✔-The subjective feeling of restlessness
with a compelling urge to move
-May include repetitive movements, such as finger tapping,
rocking, and crossing/uncrossing legs
A global pandemic limits face-to-face mental health visits, the
PMHNP determines that the patient requires ongoing mental
health treatment. The PMHNP arranges to meet with the
client via weekly interactive video sessions
Role? - ✔✔Telehealth
A in AEIO assessment - ✔✔Agitation/Arousal: Is the client able
to sit still? Are they pacing? Are they demonstrating
aggressive behaviors?
Advantages of LAI - ✔✔-improve client outcomes
-reduce the number of hospitalizations and emergency
department visits
-reduce healthcare costs
-provide a more stable drug plasma level
AEIO Risk Assessment stand for - ✔✔Agitation/arousal
Environment
Intent
Objects
Antipsychotics available as LAI - ✔✔-haloperidol
-risperidone
,-paliperidone
-aripiprazole
-olanzapine.
Barriers to using LAI - ✔✔-logistical issues
-cost of treatment
-availability of staff to provide injections
-client perception of LAI
-client aversion to needles
Client risk factors for nonadherence in schizophrenia - ✔✔-
History of nonadherence
-Poor insight into the disease process
-Substance use
-Cognitive impairment or developmental disability
-Negative attitude
Cognitive symptoms of schizophrenia - ✔✔-perform lower
than average on neurocognitive tasks like:
-processing speed
-attention
-learning
-memory
,-problem-solving
Common causes of death in schizophrenia - ✔✔suicide,
cancer, and cardiovascular disease
Contraindications for seclusion/restraints - ✔✔-Extremely
unstable medical and psychiatric conditions
-Delirious or demented patients who are unable to tolerate
decreased stimulation
-Overtly suicidal patients
-Patients with severe drug reactions or overdoses or who
require close monitoring of drug dosages
-For punishment or convenience of staff
Define chemical restraint - ✔✔include any substance used to
control a client's behaviors
Define physical restraint - ✔✔include both soft and leather
limb restraints which can be applied to wrists, ankles, or
both. Mittens are another form of less restrictive restraint
Define Psychiatric advanced directive - ✔✔unique legal
documents that guide a client's treatment preferences if they
are having a mental health crisis and are unable to make
decisions. PADs help protect a client's autonomy by detailing
, their preferred medications and treatment modalities, and by
giving advance consent for treatment or admission
Define risk assessment - ✔✔In a crisis, the PMHNP must
quickly determine the level of risk to the client and others
and minimize the risk as much as possible.
Define seclusion - ✔✔involves the involuntary confinement of
an individual alone in a room or area from which the
individual is prevented from leaving
Define treatment resistant depression - ✔✔two or more
unsuccessful trials of antidepressant pharmacotherapy
Define treatment resistant schizophrenia - ✔✔-active,
persistent symptoms that impair functioning for over three
months after at least six weeks of appropriate medication
therapy with two different antipsychotic medications
-may not be diagnosed until treatment adherence has been
confirmed
Describe akathisia - ✔✔-The subjective feeling of restlessness
with a compelling urge to move
-May include repetitive movements, such as finger tapping,
rocking, and crossing/uncrossing legs
