NR607 FINAL EXAM PRACTICE QUESTIONS
WITH VERIFIED SOLUTIONS
What is seclusion and when is this technique ok to be used? --CORRECT
ANSWER--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? --CORRECT ANSWER--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? --
CORRECT ANSWER--STABILIZATION-Stabilization starts with the least
restrictive interventions, including a calm environment, de-escalation, and
collaborative planning.
1|Page
,Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent, objects) -
-CORRECT ANSWER--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 --
CORRECT ANSWER--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. --CORRECT ANSWER--SEROTONIN SYNDROME
2|Page
,What is Somatic Symptom Disorder characterized by? --CORRECT ANSWER-
-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? --CORRECT ANSWER--More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an
individual? --CORRECT ANSWER--They cause major distress and/or
disruption of daily life.
________ 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 --CORRECT ANSWER--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. --
CORRECT ANSWER--Involuntary admission
3|Page
, 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 are some medications that can cause serotonin syndrome? --CORRECT
ANSWER--SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
opioids, cocaine,
St. Johns Wart
antiemetics
Always remember there HAS TO be a 5 week washout when switching from an
SSRI to an MAOI or the other way around.
What are some s/s of serotonin synrdome? --CORRECT ANSWER--AMS-
delirium, agitation, insomnia, hypervigilance
4|Page
WITH VERIFIED SOLUTIONS
What is seclusion and when is this technique ok to be used? --CORRECT
ANSWER--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? --CORRECT ANSWER--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? --
CORRECT ANSWER--STABILIZATION-Stabilization starts with the least
restrictive interventions, including a calm environment, de-escalation, and
collaborative planning.
1|Page
,Name some de-escalation techniques.
Do your AEIO risk assessment (agitation/arousal, environment, intent, objects) -
-CORRECT ANSWER--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 --
CORRECT ANSWER--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. --CORRECT ANSWER--SEROTONIN SYNDROME
2|Page
,What is Somatic Symptom Disorder characterized by? --CORRECT ANSWER-
-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? --CORRECT ANSWER--More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an
individual? --CORRECT ANSWER--They cause major distress and/or
disruption of daily life.
________ 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 --CORRECT ANSWER--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. --
CORRECT ANSWER--Involuntary admission
3|Page
, 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 are some medications that can cause serotonin syndrome? --CORRECT
ANSWER--SSRI's
MAOI's- severe cases
SNRI
Tricyclics
L-Trytophans
opioids, cocaine,
St. Johns Wart
antiemetics
Always remember there HAS TO be a 5 week washout when switching from an
SSRI to an MAOI or the other way around.
What are some s/s of serotonin synrdome? --CORRECT ANSWER--AMS-
delirium, agitation, insomnia, hypervigilance
4|Page
