NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
1. Roles: Primary
Care - Pharmacologic
Intervention -
Psychotherapy -
Crisis Intervention -
Acute PMHNP Care -
Partial Hospitalization/Intensive Outpatient
Treatment - Case Management -
Community-Based
Care - Telehealth -
Self-Employment -
2. Six key core skills that are critical to ethical decision-making in
mental health care?: Ability to identify ethical issues
Ability to understand how one's values, beliefs, and sense of self, including implicit biases,
impact client care Ability to recognize personal limits to knowledge and expertise and
willingness to practice within limits Ability to recognize situations that present a high risk for
ethical dilemmas
Willingness to seek information and consultation in diflcult ethical or clinical
situations Ability to build ethical safeguards into one's practice
3. Exceptions to informed consent?: Incapacitation, situations involving life-threatening
emergencies
in which there is no time for informed consent, and the client's voluntary waiver of informed consent.
4. Steps in evaluating a client's capacity for decision-making?: Assess for
communication barriers: language, hearing or vision impairments, dysarthria
Evaluate for reversible causes of incapacity: infection, medications or other substances, acute neurologic
and psychiatric disorders
Identify values and cultural influences that may impact client decision making
Ask questions: determine the client's ability to understand the treatment and how treatment applies to
their situation. Identify a surrogate if needed: healthcare advance directive, medical power of attorney,
spouse, adult children, other close relatives
Document
5. Unrepresented clients are clients without advance directives and
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
available family or friends to make decisions typically take one
of three approaches
in choosing a decision-maker:: The physician or provider, an ethics committee, or a court-
appointed guardian
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
6. Outpatient commitment, or assisted outpatient treatment (AOT),
may consist of?: Supported housing, intensive case management, medications, and frequent
therapy. Treatment may last for six to 12 months.
7. Psychiatric advance directives (PAD): 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 may contain advance instructions, a health care power of attorney, or both. PADs help protect a
client's autonomy by detailing their preferred medications and treatment modalities, and by giving
advance consent for treatment or admission. PADs may be useful for clients who experience episodes of
acute psychosis, catatonia, mania, or delirium.
8. Chemical restraints include?: Any substance used to control a client's behaviors,
whereas physical
restraints are devices that restrict a client's movement.
9. Physical restraints include?: Both soft and leather limb restraints which can be applied to
wrists, ankles, or both. Mittens are another form of less restrictive restraint.
10. Seclusion involves?: The involuntary confinement of an individual alone in a room or
area from which the individual is prevented from leaving.
11. Restraints requirements?: A face-to-face evaluation and written order are required to
initiate restraints or seclusion for the management of violent or self-destructive behavior.
The evaluation must be completed within one hour of the application of restraint or seclusion, although some
state laws may be more restrictive.
Restraints cannot be ordered as needed.
Every 24 hours, an authorized licensed practitioner responsible for the client's care orders must evaluate
and document the continued need for restraints, though some state or hospital policies may be more
restrictive.
12. Some important risk factors for suicide: History of substance abuse
Physical disability or illness
Losing a friend or family member to
suicide Ongoing exposure to
bullying behavior Mental health
condition
Recent death of a family member or a close friend
Access to harmful means
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
Relationship
problems Previous
suicide attempts
13. What is the Ask Suicide-Screening Questions (ASQ) suicide risk
screening tool
and what does it assess?: The ASQ is a brief, four-item suicide risk screening tool designed t
quickly
THE ONLY CORRECT SOLUTIONS
1. Roles: Primary
Care - Pharmacologic
Intervention -
Psychotherapy -
Crisis Intervention -
Acute PMHNP Care -
Partial Hospitalization/Intensive Outpatient
Treatment - Case Management -
Community-Based
Care - Telehealth -
Self-Employment -
2. Six key core skills that are critical to ethical decision-making in
mental health care?: Ability to identify ethical issues
Ability to understand how one's values, beliefs, and sense of self, including implicit biases,
impact client care Ability to recognize personal limits to knowledge and expertise and
willingness to practice within limits Ability to recognize situations that present a high risk for
ethical dilemmas
Willingness to seek information and consultation in diflcult ethical or clinical
situations Ability to build ethical safeguards into one's practice
3. Exceptions to informed consent?: Incapacitation, situations involving life-threatening
emergencies
in which there is no time for informed consent, and the client's voluntary waiver of informed consent.
4. Steps in evaluating a client's capacity for decision-making?: Assess for
communication barriers: language, hearing or vision impairments, dysarthria
Evaluate for reversible causes of incapacity: infection, medications or other substances, acute neurologic
and psychiatric disorders
Identify values and cultural influences that may impact client decision making
Ask questions: determine the client's ability to understand the treatment and how treatment applies to
their situation. Identify a surrogate if needed: healthcare advance directive, medical power of attorney,
spouse, adult children, other close relatives
Document
5. Unrepresented clients are clients without advance directives and
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
available family or friends to make decisions typically take one
of three approaches
in choosing a decision-maker:: The physician or provider, an ethics committee, or a court-
appointed guardian
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
6. Outpatient commitment, or assisted outpatient treatment (AOT),
may consist of?: Supported housing, intensive case management, medications, and frequent
therapy. Treatment may last for six to 12 months.
7. Psychiatric advance directives (PAD): 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 may contain advance instructions, a health care power of attorney, or both. PADs help protect a
client's autonomy by detailing their preferred medications and treatment modalities, and by giving
advance consent for treatment or admission. PADs may be useful for clients who experience episodes of
acute psychosis, catatonia, mania, or delirium.
8. Chemical restraints include?: Any substance used to control a client's behaviors,
whereas physical
restraints are devices that restrict a client's movement.
9. Physical restraints include?: Both soft and leather limb restraints which can be applied to
wrists, ankles, or both. Mittens are another form of less restrictive restraint.
10. Seclusion involves?: The involuntary confinement of an individual alone in a room or
area from which the individual is prevented from leaving.
11. Restraints requirements?: A face-to-face evaluation and written order are required to
initiate restraints or seclusion for the management of violent or self-destructive behavior.
The evaluation must be completed within one hour of the application of restraint or seclusion, although some
state laws may be more restrictive.
Restraints cannot be ordered as needed.
Every 24 hours, an authorized licensed practitioner responsible for the client's care orders must evaluate
and document the continued need for restraints, though some state or hospital policies may be more
restrictive.
12. Some important risk factors for suicide: History of substance abuse
Physical disability or illness
Losing a friend or family member to
suicide Ongoing exposure to
bullying behavior Mental health
condition
Recent death of a family member or a close friend
Access to harmful means
, NR607 FINAL NEED TO KNOW.QUESTIONS AND ANSWERS WITH
THE ONLY CORRECT SOLUTIONS
Relationship
problems Previous
suicide attempts
13. What is the Ask Suicide-Screening Questions (ASQ) suicide risk
screening tool
and what does it assess?: The ASQ is a brief, four-item suicide risk screening tool designed t
quickly
