NURS 3710 EXAM 1 OLOL QUESTIONS WITH
ANSWERS 100% SOLVED
-Provides guidelines for identifying and categorizing mental illness
-All psychiatric illnesses are listed with diagnostic criteria
-Multi-axial system for categorizing mental disorders - ANSWER DSM V (5)
when can you admit a patient against their will? - ANSWER danger to themselves,
danger to others, gravely disabled and cannot perform ADL's
when can you administer medication against a pt's will? - ANSWER agitated, belligerent,
or a danger to themselves or others
psych HIPPA confidentiality includes- - ANSWER -not listed on hospital census
-no cameras, recording
-no information given over phone without CODE
exceptions to psych confidentiality - ANSWER Duty to warn *notify person threatened
Duty as mandatory reporter of abuse: of children and elderly
(not allowed to call police if adult has been abused: domestic violence)
Involuntary Commitment: Physician's Emergency Certificate (PEC) - ANSWER held up to
72 hours. May NOT be discharged until the coroner sees them or the coroner doesn't go
Involuntary Commitment: Coroner's Emergency Certificate (CEC) - ANSWER May be
held up to 15 days (may be combined with PEC, "time served")
Involuntary Commitment: Judicial Commitment - ANSWER Patient requiring longer than
,15 days; review is submitted to the judge every 90 days
Formal Voluntary Admission - ANSWER This does not necessarily mean they can leave
when they want to. *stay for a minimum of 72 hours
Must apply for discharge by signing a 72 Hour Notice. They are entitled to be evaluated
within 72 hours. If not safe is converted to Involuntary admission.
Order of Protective Custody (OPC) - ANSWER NOT a legal status for inpatient
admission; it allows the police to take a patient involuntarily to the hospital for
evaluation.*anyone can initiate OPC
Must be seen by physician within 8 hours of arrival
Restraints time limits & when to document - ANSWER adults- 4 hours
children- 1 hour
document- every 15 minutes
-When all normal coping mechanisms have been overwhelmed
-Profound disruption of normal psychological homeostasis - ANSWER crisis
crisis assessment - ANSWER -perception of event
-support systems
-coping skills
crisis intervention - ANSWER 1. safety (make sure not a threat to self or others)
2. anxiety reduction
3. identify support systems
4. create new problem solving skills
5. develop a new plan of action
, Normal, in response to stressful situations
Heightened senses, problem solving improves - ANSWER mild anxiety
Perceptual field narrows, selective inattention, learning more difficult
SNS begins to kick in - ANSWER moderate anxiety
Perceptual field greatly reduced, ability to notice environment impaired
Learning and problem solving not possible, instinctual behavior - ANSWER severe
anxiety
Markedly disturbed behavior
Unable to process environmental stimuli, out of touch with reality - ANSWER panic
anxiety
Developmentally inappropriate levels of concern over being away from a significant
other - ANSWER separation anxiety
panic disorder - ANSWER panic attacks
Excessive anxiety or fear about being in places or situations from which escape might
be difficult or embarrassing - ANSWER agoraphobia
Severe anxiety or fear provoked by exposure to a social or a performance situation that
will be evaluated negatively by others - ANSWER social anxiety
Excessive worry that lasts for months - ANSWER generalized anxiety disorder
Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed
from the mind - ANSWER obsession
ANSWERS 100% SOLVED
-Provides guidelines for identifying and categorizing mental illness
-All psychiatric illnesses are listed with diagnostic criteria
-Multi-axial system for categorizing mental disorders - ANSWER DSM V (5)
when can you admit a patient against their will? - ANSWER danger to themselves,
danger to others, gravely disabled and cannot perform ADL's
when can you administer medication against a pt's will? - ANSWER agitated, belligerent,
or a danger to themselves or others
psych HIPPA confidentiality includes- - ANSWER -not listed on hospital census
-no cameras, recording
-no information given over phone without CODE
exceptions to psych confidentiality - ANSWER Duty to warn *notify person threatened
Duty as mandatory reporter of abuse: of children and elderly
(not allowed to call police if adult has been abused: domestic violence)
Involuntary Commitment: Physician's Emergency Certificate (PEC) - ANSWER held up to
72 hours. May NOT be discharged until the coroner sees them or the coroner doesn't go
Involuntary Commitment: Coroner's Emergency Certificate (CEC) - ANSWER May be
held up to 15 days (may be combined with PEC, "time served")
Involuntary Commitment: Judicial Commitment - ANSWER Patient requiring longer than
,15 days; review is submitted to the judge every 90 days
Formal Voluntary Admission - ANSWER This does not necessarily mean they can leave
when they want to. *stay for a minimum of 72 hours
Must apply for discharge by signing a 72 Hour Notice. They are entitled to be evaluated
within 72 hours. If not safe is converted to Involuntary admission.
Order of Protective Custody (OPC) - ANSWER NOT a legal status for inpatient
admission; it allows the police to take a patient involuntarily to the hospital for
evaluation.*anyone can initiate OPC
Must be seen by physician within 8 hours of arrival
Restraints time limits & when to document - ANSWER adults- 4 hours
children- 1 hour
document- every 15 minutes
-When all normal coping mechanisms have been overwhelmed
-Profound disruption of normal psychological homeostasis - ANSWER crisis
crisis assessment - ANSWER -perception of event
-support systems
-coping skills
crisis intervention - ANSWER 1. safety (make sure not a threat to self or others)
2. anxiety reduction
3. identify support systems
4. create new problem solving skills
5. develop a new plan of action
, Normal, in response to stressful situations
Heightened senses, problem solving improves - ANSWER mild anxiety
Perceptual field narrows, selective inattention, learning more difficult
SNS begins to kick in - ANSWER moderate anxiety
Perceptual field greatly reduced, ability to notice environment impaired
Learning and problem solving not possible, instinctual behavior - ANSWER severe
anxiety
Markedly disturbed behavior
Unable to process environmental stimuli, out of touch with reality - ANSWER panic
anxiety
Developmentally inappropriate levels of concern over being away from a significant
other - ANSWER separation anxiety
panic disorder - ANSWER panic attacks
Excessive anxiety or fear about being in places or situations from which escape might
be difficult or embarrassing - ANSWER agoraphobia
Severe anxiety or fear provoked by exposure to a social or a performance situation that
will be evaluated negatively by others - ANSWER social anxiety
Excessive worry that lasts for months - ANSWER generalized anxiety disorder
Thoughts, impulses, or images that persist and recur, so that they cannot be dismissed
from the mind - ANSWER obsession
