Midterm Exam: NR607/ NR 607 (Latest
2025/ 2026 Update) Diagnosis &
Management in Psychiatric Mental
Health III Complete Review (Weeks 5-8)
Questions and Verified Answers| 100%
Correct | Grade A – Chamberlain
Inpatient treatment primary goal - ANSWER Crisis stabilization
define seclusion - ANSWER involuntary confinement of an
individual alone in a room or area from which the individual is prevented from
leaving
use of seclusion - ANSWER -Imminent risk of harm to
themselves/others
-Laws differ state to state
-Only to ensure the immediate physical safety of pt and others
-Never as means of discipline, coercion, or for staff convenience
,Evaluating a clients capacity for decision making - ANSWER -
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 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
involuntary civil commitment - ANSWER -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
use of restraints-seclusion criteria - ANSWER -Only to ensure the
immediate physical safety of pt and others
-No evidence that restraints decrease risk of falls
-Last resort
-Never as means of discipline, coercion, or for staff convenience
,-Face to face eval and written order required, eval must be completed within 1 hr
of application of restraint/seclusion
--not allowed PRN
--must reevaluate q24h
risk factors of suicide - ANSWER -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
physical risk assessment - ANSWER -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.
define psychiatric emergency - ANSWER -involve acute
disturbances in thought, mood, behavior /social interactions 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
, psychiatric emergencies occur when - ANSWER -a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t a psychological
impairment
common psych emergencies - ANSWER suicidality, acute
psychosis, agitation and aggression, mania, substance-related concerns,
decompensation r/t personality d/o, severe anxiety, and med-related emergencies
early signs of aggressive behavior - ANSWER threatening
comments, clenched fists, shifts in body position towards a fighting stance, loud
vocalizations, agitated movements / striking inanimate objects
interventions for aggressive behavior - ANSWER When
aggression is unavoidable- prioritize security, sedation, and supervision
AEIO risk assessment categories - ANSWER 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.
2025/ 2026 Update) Diagnosis &
Management in Psychiatric Mental
Health III Complete Review (Weeks 5-8)
Questions and Verified Answers| 100%
Correct | Grade A – Chamberlain
Inpatient treatment primary goal - ANSWER Crisis stabilization
define seclusion - ANSWER involuntary confinement of an
individual alone in a room or area from which the individual is prevented from
leaving
use of seclusion - ANSWER -Imminent risk of harm to
themselves/others
-Laws differ state to state
-Only to ensure the immediate physical safety of pt and others
-Never as means of discipline, coercion, or for staff convenience
,Evaluating a clients capacity for decision making - ANSWER -
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 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
involuntary civil commitment - ANSWER -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
use of restraints-seclusion criteria - ANSWER -Only to ensure the
immediate physical safety of pt and others
-No evidence that restraints decrease risk of falls
-Last resort
-Never as means of discipline, coercion, or for staff convenience
,-Face to face eval and written order required, eval must be completed within 1 hr
of application of restraint/seclusion
--not allowed PRN
--must reevaluate q24h
risk factors of suicide - ANSWER -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
physical risk assessment - ANSWER -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.
define psychiatric emergency - ANSWER -involve acute
disturbances in thought, mood, behavior /social interactions 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
, psychiatric emergencies occur when - ANSWER -a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t a psychological
impairment
common psych emergencies - ANSWER suicidality, acute
psychosis, agitation and aggression, mania, substance-related concerns,
decompensation r/t personality d/o, severe anxiety, and med-related emergencies
early signs of aggressive behavior - ANSWER threatening
comments, clenched fists, shifts in body position towards a fighting stance, loud
vocalizations, agitated movements / striking inanimate objects
interventions for aggressive behavior - ANSWER When
aggression is unavoidable- prioritize security, sedation, and supervision
AEIO risk assessment categories - ANSWER 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.
