NR 607/NR607 FINAL EXAM 2025/2026
BANK 400 QUESTIONS AND ACCURATE
ACTUAL EXAM WITH FREQUENTLY
TESTED QUESTIONS AND STUDY
GUIDE / EXPERTLY VERIFIED FOR
GUARANTEED PASS/LATEST UPDATE
ALREADY GRADED A+
Voluntary Admission - ....ANSWER...-when a client &
provider agree that client's symptoms meet criteria for
inpatient hospitalization & the client may benefit from
admission
-client will sign consent form agreeing to a hospital stay in
a locked unit
-not require a psychiatric hold
• if client requests discharge & provider determines the
client is not yet safe, the provider may initiate an
emergency involuntary hold
Involuntary Admission - ....ANSWER...-when a client
does not agree to hospitalization
-an evaluation by a mental health professional
indicates that the client may be at high risk of
1
,harming themselves or others
-Other terms denoting an involuntary admission
include involuntary commitment, psychiatric hold,
or civil admission
-most states, clients can be held for up to 72
hours involuntary if deemed an imminent
threat
• Providers must perform & document a detailed
eval & a risk assessment.
Involuntary civil commitment - ...... ANSWER...-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 of time
-maximum length of inpatient commitment varies by
state
-Outpatient commitment, or assisted outpatient
treatment (AOT), may consist of supported housing,
intensive case management, medications, and
frequent therapy
• tx may last for 6 to 12 months.
2
,Approximately % of clients with serious mental
illness are committed involuntarily each year after a
psychiatric hold - ....ANSWER. 0.1%
Standards for Involuntary Commitment (Assisted
Treatment) State-by-State -
....ANSWER...https://mentalillnesspolicy.org/nation
al- studies/state-standards-involuntary-
treatment.html
Keith is a 35-year-old who presents to the crisis clinic with
his wife, who is very concerned about Keith's recent
behavior. He believes his neighbors have been spying on
him using technology acquired from a secret government
source. He is agitated and states, "I just have to take them
out. I can't have them looking at us anymore. I'm going to
have to build a blaster to take them out." Keith's wife
confirms that there are no weapons in the home. Keith is
willing to initiate treatment but does not want to be
admitted as an inpatient at this time.
Does Keith require an emergency psychiatric hold?
yes
no
3
, varies according to state legislation - ....ANSWER...no
Yolanda is a 20-year-old client who was referred to the
PMHNP by her college health clinic for symptoms
consistent with bipolar II disorder. She initiates the
interview by stating that she is not willing to take any
medications but is willing to engage in counseling or other
therapies.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent -
....ANSWER...provide additional education
4
BANK 400 QUESTIONS AND ACCURATE
ACTUAL EXAM WITH FREQUENTLY
TESTED QUESTIONS AND STUDY
GUIDE / EXPERTLY VERIFIED FOR
GUARANTEED PASS/LATEST UPDATE
ALREADY GRADED A+
Voluntary Admission - ....ANSWER...-when a client &
provider agree that client's symptoms meet criteria for
inpatient hospitalization & the client may benefit from
admission
-client will sign consent form agreeing to a hospital stay in
a locked unit
-not require a psychiatric hold
• if client requests discharge & provider determines the
client is not yet safe, the provider may initiate an
emergency involuntary hold
Involuntary Admission - ....ANSWER...-when a client
does not agree to hospitalization
-an evaluation by a mental health professional
indicates that the client may be at high risk of
1
,harming themselves or others
-Other terms denoting an involuntary admission
include involuntary commitment, psychiatric hold,
or civil admission
-most states, clients can be held for up to 72
hours involuntary if deemed an imminent
threat
• Providers must perform & document a detailed
eval & a risk assessment.
Involuntary civil commitment - ...... ANSWER...-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 of time
-maximum length of inpatient commitment varies by
state
-Outpatient commitment, or assisted outpatient
treatment (AOT), may consist of supported housing,
intensive case management, medications, and
frequent therapy
• tx may last for 6 to 12 months.
2
,Approximately % of clients with serious mental
illness are committed involuntarily each year after a
psychiatric hold - ....ANSWER. 0.1%
Standards for Involuntary Commitment (Assisted
Treatment) State-by-State -
....ANSWER...https://mentalillnesspolicy.org/nation
al- studies/state-standards-involuntary-
treatment.html
Keith is a 35-year-old who presents to the crisis clinic with
his wife, who is very concerned about Keith's recent
behavior. He believes his neighbors have been spying on
him using technology acquired from a secret government
source. He is agitated and states, "I just have to take them
out. I can't have them looking at us anymore. I'm going to
have to build a blaster to take them out." Keith's wife
confirms that there are no weapons in the home. Keith is
willing to initiate treatment but does not want to be
admitted as an inpatient at this time.
Does Keith require an emergency psychiatric hold?
yes
no
3
, varies according to state legislation - ....ANSWER...no
Yolanda is a 20-year-old client who was referred to the
PMHNP by her college health clinic for symptoms
consistent with bipolar II disorder. She initiates the
interview by stating that she is not willing to take any
medications but is willing to engage in counseling or other
therapies.
Which of the following is the most appropriate action?
provide additional education
document refusal of treatment
initiate treatment without informed consent -
....ANSWER...provide additional education
4
