NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
1. Inpatient treatment primary goal: Crisis stabilization
2. define seclusion: involuntary confinement of an individual alone in a room or area from
which the individual is prevented from leaving
3. use of seclusion: -Imminent risk of harm to themselves/others
-Laws ditter state to state
-Only to ensure the immediate physical safety of pt and others
-Never as means of discipline, coercion, or for statt convenience
4. Evaluating a clients 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 psychi- atric disorders
-Identify values and cultural influences that may impact client decision making
-Ask questions: determine the pt'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. involuntary civil commitment: -legal intervention directed by a judge to order a
person w serious symptoms to either remain in psych hospital/ attend supervised outpt tx.
-May be initiated by family member/mental health professional/ law enforcement
-The person in question may have the right to appear at their hearing w counsel and present evidence to
dispute the case
-The max length of inpatient commitment varies by state.
-Outpatient commitment/assisted outpatient treatment (AOT)= may consist of supported housing, intensive
case management, meds, and frequent therapy
--Tx may last 6- 12 mo
6. use of restraints-seclusion criteria: -Only to ensure the immediate physical safety of
and others
-No evidence that restraints decrease risk of falls
-Last resort
-Never as means of discipline, coercion, or for statt convenience
-Face to face eval and written order required, eval must be completed within 1 hr of application of
restraint/seclusion
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
--not allowed PRN
--must reevaluate q24h
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
7. risk factors of suicide: -History of substance abuse
-Physical disability/illness
-Losing a friend or family member to suicide
-Ongoing exposure to bullying behavior
mental health condition
-Recent death of a family member/close friend
-Access to harmful means
-Relationship problems
-Previous suicide attempts
8. physical risk assessment: -quick visual exam to evaluate
--skin color, sweating, pupil size, level of consciousness, or obvious injuries to ensure adequate airway,
breathing, and circulation.
-Vital signs may be obtained if the pt permits; if not, continue assessment w/o getting vs.
9. define psychiatric emergency: -involve acute disturbances in thought, mood, behavior
/social inter- actions that negatively impact a pt's abil to function in their environment and require
immediate intervention to keep the pt/others from harm
--a state of crisis that has overwhelmed their coping mechanisms
10. psychiatric emergencies occur when: -a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t a psychological impairment
11. common psych emergencies: suicidality, acute psychosis, agitation and
aggression, mania, sub- stance-related concerns, decompensation r/t personality d/o, severe
anxiety, and med-related emergencies
12. early signs of aggressive behavior: threatening comments, clenched fists, shifts
in body position towards a fighting stance, loud vocalizations, agitated movements / striking
inanimate objects
13. interventions for aggressive behavior: When aggression is unavoidable-
prioritize security, sedation, and supervision
14. AEIO risk assessment categories: Agitation/Arousal: sit still? pacing?
demonstrating aggressive behaviors?
Environment: Is the pt in a safe location? Id potential exits, equipment in the room, and the distance of
the room from the rest of the unit.
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
Intent: pt have thoughts of harming themselves or others? pt having psychotic experiences that may caus
them to harm themselves/others?
ANSWERS.ALREADY GRADED A+
1. Inpatient treatment primary goal: Crisis stabilization
2. define seclusion: involuntary confinement of an individual alone in a room or area from
which the individual is prevented from leaving
3. use of seclusion: -Imminent risk of harm to themselves/others
-Laws ditter state to state
-Only to ensure the immediate physical safety of pt and others
-Never as means of discipline, coercion, or for statt convenience
4. Evaluating a clients 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 psychi- atric disorders
-Identify values and cultural influences that may impact client decision making
-Ask questions: determine the pt'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. involuntary civil commitment: -legal intervention directed by a judge to order a
person w serious symptoms to either remain in psych hospital/ attend supervised outpt tx.
-May be initiated by family member/mental health professional/ law enforcement
-The person in question may have the right to appear at their hearing w counsel and present evidence to
dispute the case
-The max length of inpatient commitment varies by state.
-Outpatient commitment/assisted outpatient treatment (AOT)= may consist of supported housing, intensive
case management, meds, and frequent therapy
--Tx may last 6- 12 mo
6. use of restraints-seclusion criteria: -Only to ensure the immediate physical safety of
and others
-No evidence that restraints decrease risk of falls
-Last resort
-Never as means of discipline, coercion, or for statt convenience
-Face to face eval and written order required, eval must be completed within 1 hr of application of
restraint/seclusion
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
--not allowed PRN
--must reevaluate q24h
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
7. risk factors of suicide: -History of substance abuse
-Physical disability/illness
-Losing a friend or family member to suicide
-Ongoing exposure to bullying behavior
mental health condition
-Recent death of a family member/close friend
-Access to harmful means
-Relationship problems
-Previous suicide attempts
8. physical risk assessment: -quick visual exam to evaluate
--skin color, sweating, pupil size, level of consciousness, or obvious injuries to ensure adequate airway,
breathing, and circulation.
-Vital signs may be obtained if the pt permits; if not, continue assessment w/o getting vs.
9. define psychiatric emergency: -involve acute disturbances in thought, mood, behavior
/social inter- actions that negatively impact a pt's abil to function in their environment and require
immediate intervention to keep the pt/others from harm
--a state of crisis that has overwhelmed their coping mechanisms
10. psychiatric emergencies occur when: -a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t a psychological impairment
11. common psych emergencies: suicidality, acute psychosis, agitation and
aggression, mania, sub- stance-related concerns, decompensation r/t personality d/o, severe
anxiety, and med-related emergencies
12. early signs of aggressive behavior: threatening comments, clenched fists, shifts
in body position towards a fighting stance, loud vocalizations, agitated movements / striking
inanimate objects
13. interventions for aggressive behavior: When aggression is unavoidable-
prioritize security, sedation, and supervision
14. AEIO risk assessment categories: Agitation/Arousal: sit still? pacing?
demonstrating aggressive behaviors?
Environment: Is the pt in a safe location? Id potential exits, equipment in the room, and the distance of
the room from the rest of the unit.
, NR 607- FINAL QUESTIONS WITH VERIFIED ACCURATE UPDATED
ANSWERS.ALREADY GRADED A+
Intent: pt have thoughts of harming themselves or others? pt having psychotic experiences that may caus
them to harm themselves/others?
