NURS 4010 Unit 1 Exam - Part 3 Questions
With 100% Correct Answers
Tarasoff law
"DUTY TO WARN"; assessing and predicting a pt's danger or violence towards someone; Identifying
specific individuals being threatened and appropriate actions to protect victims; Make sure you know
who they're going after, if we don't know "they might have to stay longer" ; It's our ethical and legal
duty to step in when a pt expresses wanting to kill someone
Physical and emotional exhaustion, fear, guilt, loss of self esteem, irritability, anxiety, nightmares,
grief, acute stress disorder, and risk for PTSD and depression
Nurse reaction to suicide/violent occurrence
Elopement (EFF - Elopement from Facility)
When a patient or resident leaves the agency without staff knowledge: At risk: someone who is
demanding to leave (usually the pts who voluntarily sign in and no longer want to be there)
Constantly watching the door, confides in another pt that they want to escape
Behavioral indicators of potential elopement
Shift change, visiting hours, and weekends
High elopement periods
Identify those at high risk, place notices, inform all staff, close observation of patient, set limits on
patients, and watch doors as persons enter and leave
EFF procedures
1. Alert security
2. Perform a lockdown of other areas of facility
3. Stay with patients on unit
4. Send someone to search for patient on unit (needs to be person who is closest to the patient)
Nursing responsibilities when an elopement occurs
1. Complete a new history/physical and a new drug screening (for someone who left facility and been
gone for hours)
2. Move them to a more secure area
3. Closely monitor patient
4. Process the event with the patient
5. Staff review of Elopement
Steps in recovery of the eloped patient
Schizophrenia
Chronic illness that affects 1% of the US population; Higher amounts of cases in cities, low income,
and homeless populations; Onset: men 15-25, women 25-35; More likely to harm themselves than
hurt others (12-20% increase risk for self harm)
DSM-5
, the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition; a widely used system for classifying psychological disorders
Delusions, hallucinations, disorganized speech, grossly disorganized/catatonic behavior, and negative
symptoms
DSM-5 criteria for Schizophrenia: At least 2 of the following present for a significant portion of time
during a 1 month period and at least one must be
Delusinos, hallucinations, disorganized thinking, disorganized speech
Positive (+) symptoms of schizophrenia (adding something to the mind)
Flat affect, apathy, poverty of ideas, loss of drive, social isolation, and anhedonia
Negative (-) symptoms of schizophrenia (reduction in usual or expected function)
Anhedonia
Can't experience pleasure (don't enjoy the activities they used to)
Phase I: Schizoid Personality
Phase II: Prodromal
Phase III: Active Illness
Phase IV: Residual Phase
Developmental Phases of Schizophrenia
Phase I (Schizoid Personality) of Schizophrenia
Described as "odd" or eccentric; Quiet, introverted, kept to themselves, classic "loner"
Phase II (Prodromal) of Schizophrenia
The in-between (increase in symptoms); Trouble sleeping, difficulty concentrating, mild psychosis; +
signs and symptoms may develop (i.e. ideas of reference)
Phase III (Active Illness) of Schizophrenia
Schizophrenia (psychotic signs and symptoms are present); Make sure their symptoms aren't better
explained by something else (substance abuse)
Phase IV (Residual Phase) of Schizophrenia
S/sx of the acute stage are absent or no longer present; S/sx may remain, and flat affect and poor
social skills remain
Twins, parents, siblings/offsprings
Genetic causes of schizophrenia
Enlarged ventricles, sulci, atrophy
Anatomical causes of schizophrenia
Too much dopamine!
With 100% Correct Answers
Tarasoff law
"DUTY TO WARN"; assessing and predicting a pt's danger or violence towards someone; Identifying
specific individuals being threatened and appropriate actions to protect victims; Make sure you know
who they're going after, if we don't know "they might have to stay longer" ; It's our ethical and legal
duty to step in when a pt expresses wanting to kill someone
Physical and emotional exhaustion, fear, guilt, loss of self esteem, irritability, anxiety, nightmares,
grief, acute stress disorder, and risk for PTSD and depression
Nurse reaction to suicide/violent occurrence
Elopement (EFF - Elopement from Facility)
When a patient or resident leaves the agency without staff knowledge: At risk: someone who is
demanding to leave (usually the pts who voluntarily sign in and no longer want to be there)
Constantly watching the door, confides in another pt that they want to escape
Behavioral indicators of potential elopement
Shift change, visiting hours, and weekends
High elopement periods
Identify those at high risk, place notices, inform all staff, close observation of patient, set limits on
patients, and watch doors as persons enter and leave
EFF procedures
1. Alert security
2. Perform a lockdown of other areas of facility
3. Stay with patients on unit
4. Send someone to search for patient on unit (needs to be person who is closest to the patient)
Nursing responsibilities when an elopement occurs
1. Complete a new history/physical and a new drug screening (for someone who left facility and been
gone for hours)
2. Move them to a more secure area
3. Closely monitor patient
4. Process the event with the patient
5. Staff review of Elopement
Steps in recovery of the eloped patient
Schizophrenia
Chronic illness that affects 1% of the US population; Higher amounts of cases in cities, low income,
and homeless populations; Onset: men 15-25, women 25-35; More likely to harm themselves than
hurt others (12-20% increase risk for self harm)
DSM-5
, the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition; a widely used system for classifying psychological disorders
Delusions, hallucinations, disorganized speech, grossly disorganized/catatonic behavior, and negative
symptoms
DSM-5 criteria for Schizophrenia: At least 2 of the following present for a significant portion of time
during a 1 month period and at least one must be
Delusinos, hallucinations, disorganized thinking, disorganized speech
Positive (+) symptoms of schizophrenia (adding something to the mind)
Flat affect, apathy, poverty of ideas, loss of drive, social isolation, and anhedonia
Negative (-) symptoms of schizophrenia (reduction in usual or expected function)
Anhedonia
Can't experience pleasure (don't enjoy the activities they used to)
Phase I: Schizoid Personality
Phase II: Prodromal
Phase III: Active Illness
Phase IV: Residual Phase
Developmental Phases of Schizophrenia
Phase I (Schizoid Personality) of Schizophrenia
Described as "odd" or eccentric; Quiet, introverted, kept to themselves, classic "loner"
Phase II (Prodromal) of Schizophrenia
The in-between (increase in symptoms); Trouble sleeping, difficulty concentrating, mild psychosis; +
signs and symptoms may develop (i.e. ideas of reference)
Phase III (Active Illness) of Schizophrenia
Schizophrenia (psychotic signs and symptoms are present); Make sure their symptoms aren't better
explained by something else (substance abuse)
Phase IV (Residual Phase) of Schizophrenia
S/sx of the acute stage are absent or no longer present; S/sx may remain, and flat affect and poor
social skills remain
Twins, parents, siblings/offsprings
Genetic causes of schizophrenia
Enlarged ventricles, sulci, atrophy
Anatomical causes of schizophrenia
Too much dopamine!
