NR607 FINAL EXAM BANK QUESTIONS AND
ACCURATE ANSWERS LATEST UPDATE
ACTUAL EXAM
What impact do the symptoms of Somatic Symptom Disorder have on an individual? - They
cause major distress and/or disruption of daily life.
What is Somatic Symptom Disorder characterized by? - An individual's significant focus on one
or more physical symptoms such as pain, fatigue, weakness, or shortness of breath.
How long must symptoms persist for a diagnosis of Somatic Symptom Disorder? - More than 6
months
________ may occur 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. This is the
preferred way because it gives the patient a sense of control over their life. The client will sign a
consent form agreeing to a hospital stay in a locked unit. Clients who voluntarily agree to
admission may not require a psychiatric hold; however, if the client requests discharge and the
provider determines the client is not yet safe, the provider may initiate an emergency involuntary
hold - A voluntary admission
_______ occurs when a client does NOT agree to hospitalization. Still, an evaluation by a
mental health professional indicates that the client may be at high risk of harming themselves or
, others. Other terms denoting an involuntary admission include involuntary commitment,
psychiatric hold, or civil admission. This means the patient is a danger to themselves or others.
- Involuntary admission
Involuntary civil commitment is a 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
What is seclusion and when is this technique ok to be used? - Different states have different
laws for seclusion so ensure to abide by state regulations.
Seclusion involves the involuntary confinement of an individual alone in a room or area from
which the individual is prevented from leaving. Seclusion or restraints should only be used to
ensure the IMMEDIATE physical safety of the client and others
What are some exceptions to informed consent? - 1.) incapacitation- find/ consult a surrogate
2.) life threatening emergencies
3.) clients voluntarily waiving their informed consent
What is the primary reason for a patient to admitted to the hospital? - STABILIZATION-
Stabilization starts with the least restrictive interventions, including a calm environment, de-
escalation, and collaborative planning.
Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent, objects) - When acutely
agitated patients present to the ED, the first priority is to address basic physiological and safety
needs by reducing environmental overstimulation and providing food and drink, if desired.
Patients should be included in the decision-making process as much as possible.
give them space- assess needs, listen to them, watch for the doors, provide nutrition/support,
speak calm, do not agitate, clear limits, minimize light/noise
What is the definition of a psychiatric emergency? name some examples - This is when a
patient is a danger to self/ danger to others, unable to meet their own needs for basic food,
clothing, shelter due to psychological impairment.
Suicide, acute psychosis, agitation/aggression, mania, substance use concerns,
decompensation related to personality disorders, severe anxiety, medication related
emergencies.
____ occurs when medication that alter the way serotonin is produced/metabolized by the body
causes EXCESSIVE levels of serotonin to build up in the body. - SEROTONIN SYNDROME
What are some medications that can cause serotonin syndrome? - SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
ACCURATE ANSWERS LATEST UPDATE
ACTUAL EXAM
What impact do the symptoms of Somatic Symptom Disorder have on an individual? - They
cause major distress and/or disruption of daily life.
What is Somatic Symptom Disorder characterized by? - An individual's significant focus on one
or more physical symptoms such as pain, fatigue, weakness, or shortness of breath.
How long must symptoms persist for a diagnosis of Somatic Symptom Disorder? - More than 6
months
________ may occur 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. This is the
preferred way because it gives the patient a sense of control over their life. The client will sign a
consent form agreeing to a hospital stay in a locked unit. Clients who voluntarily agree to
admission may not require a psychiatric hold; however, if the client requests discharge and the
provider determines the client is not yet safe, the provider may initiate an emergency involuntary
hold - A voluntary admission
_______ occurs when a client does NOT agree to hospitalization. Still, an evaluation by a
mental health professional indicates that the client may be at high risk of harming themselves or
, others. Other terms denoting an involuntary admission include involuntary commitment,
psychiatric hold, or civil admission. This means the patient is a danger to themselves or others.
- Involuntary admission
Involuntary civil commitment is a 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
What is seclusion and when is this technique ok to be used? - Different states have different
laws for seclusion so ensure to abide by state regulations.
Seclusion involves the involuntary confinement of an individual alone in a room or area from
which the individual is prevented from leaving. Seclusion or restraints should only be used to
ensure the IMMEDIATE physical safety of the client and others
What are some exceptions to informed consent? - 1.) incapacitation- find/ consult a surrogate
2.) life threatening emergencies
3.) clients voluntarily waiving their informed consent
What is the primary reason for a patient to admitted to the hospital? - STABILIZATION-
Stabilization starts with the least restrictive interventions, including a calm environment, de-
escalation, and collaborative planning.
Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent, objects) - When acutely
agitated patients present to the ED, the first priority is to address basic physiological and safety
needs by reducing environmental overstimulation and providing food and drink, if desired.
Patients should be included in the decision-making process as much as possible.
give them space- assess needs, listen to them, watch for the doors, provide nutrition/support,
speak calm, do not agitate, clear limits, minimize light/noise
What is the definition of a psychiatric emergency? name some examples - This is when a
patient is a danger to self/ danger to others, unable to meet their own needs for basic food,
clothing, shelter due to psychological impairment.
Suicide, acute psychosis, agitation/aggression, mania, substance use concerns,
decompensation related to personality disorders, severe anxiety, medication related
emergencies.
____ occurs when medication that alter the way serotonin is produced/metabolized by the body
causes EXCESSIVE levels of serotonin to build up in the body. - SEROTONIN SYNDROME
What are some medications that can cause serotonin syndrome? - SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
