.png){kind=logo}
NR607 ACTUAL FINAL EXAM 200 QUESTIONS
AND CORRECT DETAILED ANSWERS -
LATEST MOST TESTED QUESTIONS COVERED
ALREADY GRADED A+
What is the foundation of a therapeutic relationship with a psychiatric patient? - CORRECT ANSWER- Approaching professional relationships with compassion, caring, and respect, acknowledging the dignity and worth of each individual, and advocating to overcome negative stigmas toward psychiatric diagnoses to ensure access to care.
When is it appropriate to initiate treatment without informed consent in a psychiatric emergency? - CORRECT ANSWER-When a client does not have the capacity to provide consent due to active psychiatric symptoms (e.g., hallucinations, agitation) and immediate action is needed for the safety of the client and others.
What are the criteria for using restraints or seclusion in psychiatric emergencies? - CORRECT ANSWER-Only to ensure the immediate physical safety of the client and others, and only after less restrictive interventions have been ineffective. Restraints and seclusion should never be used for discipline, coercion, retaliation, or staff convenience.
What is the primary goal of acute inpatient psychiatric care? - CORRECT ANSWER-Crisis stabilization for acutely ill clients who are unable to meet basic needs due to a mental health condition or are at risk of harming themselves or others.
What are the criteria for admission to inpatient psychiatric care? - CORRECT ANSWER-The client is unable to meet basic needs or is at risk of harming themselves or others due to a mental health condition.
What is the difference between voluntary and involuntary admission? - CORRECT ANSWER- Voluntary admission: client agrees to hospitalization and signs consent. Involuntary admission: client does not agree, but is admitted due to risk of harm to self/others or grave disability, as determined by a mental health professional.
What are the criteria for a psychiatric hold (involuntary admission)? - CORRECT ANSWER-Immediate risk to self or others, or grave disability (unable to care for basic needs). Criteria and duration (often up to 72 hours) vary by state.
- / 3
When is seclusion used in psychiatric care? - CORRECT ANSWER-When a client is at risk of imminent harm to themselves or others and less restrictive interventions have failed.
What is the principle of informed consent in psychiatric care? - CORRECT ANSWER-Clients have the right to receive information and ask questions about recommended treatments to make decisions consistent with their beliefs, values, and goals.What are the guidelines for safety for others in psychiatric settings? - CORRECT ANSWER-Safety is prioritized for both the client and others; interventions (including restraints or seclusion) are used only when necessary to prevent harm.
When should restraints be used in psychiatric care? - CORRECT ANSWER-Only as a last resort, when less restrictive interventions have failed and there is an immediate risk of harm.
What is required to initiate restraints or seclusion? - CORRECT ANSWER-A face-to-face evaluation and a written order by an authorized licensed practitioner, with evaluation within one hour of application. Orders must be re-evaluated at least every 24 hours.
Tell me about informed consent - CORRECT ANSWER-Clients have the right to receive information and ask questions about recommended treatments to make decisions about their care that are consistent with their beliefs, values, and treatment goals
What does the Joint Commision require regarding informed consent - CORRECT ANSWER-The client must understand the diagnosis or situation; the recommended treatment and alternatives, including risks and benefits; and voluntarily communicate treatment choices.
How does the PMHNP determine if a client has capacity to make decisions? - CORRECT ANSWER- assessing the client's understanding of the situation, the consequences of their choices, and the ability to communicate their wishes
What are the steps to evaluate decision making? - CORRECT ANSWER-1. Assess for communication
barriers: language, hearing or vision impairments, dysarthria
- Evaluate for reversible causes of incapacity: infection, medications or other substances, acute
- 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
neurologic and psychiatric disorders
applies to their situation. 2 / 3
- Identify a surrogate if needed: healthcare advance directive, medical power of attorney, spouse,
- Document
adult children, other close relatives
When does voluntary admission occur? - CORRECT ANSWER-when a client and provider agree that the client's symptoms meet the criteria for inpatient hospitalization and that the client may benefit from admission. The client must sign consent form to be admitted to locked unit
When does involuntary commitment occur? - CORRECT ANSWER-when a client does not agree to hospitalization, but a mental health professional indicates that the client may be at high risk of harming themselves or others
Define Psychiatric advanced directive - CORRECT ANSWER-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
Who are psychiatric advanced directives useful for? - CORRECT ANSWER-clients who experience episodes of acute psychosis, catatonia, mania, or delirium
Define seclusion - CORRECT ANSWER-involves the involuntary confinement of an individual alone in a room or area from which the individual is prevented from leaving
Define chemical restraint - CORRECT ANSWER-include any substance used to control a client's behaviors
Define physical restraint - CORRECT ANSWER-include both soft and leather limb restraints which can be applied to wrists, ankles, or both. Mittens are another form of less restrictive restraint
When should seclusion/restraints be used? - CORRECT ANSWER-Seclusion or restraints should only be used to ensure the immediate physical safety of the client and others. Do not use to decrease falls. Restraints should be used as a last resort only when less restrictive interventions have been ineffective to prevent harm.
What risks do restraints carry? - CORRECT ANSWER-carry a risk of injury, including extremity fractures, suffocation, and even death
- / 3
.png)