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A-level
ENA. Handling Psychiatric Emergencies 1.1 – Clinical Considerations. A+ Graded
End Term Exam with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
AQA/ETM/FTEDF
, Which of the following strategies can improve emergency department psychiatric care?
A. Designated overflow rooms for high census times
B. Cross-training of hospital staff for the emergency department
C. A multidisciplinary team with specialized training to implement ongoing improvement projects
D. An advanced degree nurse to care for the psychiatric patient - ✔✔C. A multidisciplinary team with specialized training
to implement ongoing improvement projects
Which of the following should be part of a psychiatric patient's plan of care?
A. Consults that occurred during previous hospitalizations
B. A list of the nurses and security staff members in the department
C. Planned disposition status with updates as needed
D. Medications the patient used to take - ✔✔C. Planned disposition status with updates as needed
When caring for a psychiatric patient who is boarding involuntarily, a nurse should consider which of the following?
A. The patient has no choice regarding procedures and medications.
B. The emphasis is always on patient safety.
C. The patient will frequently require chemical and physical restraint.
D. Documentation is not necessary because the patient is not in a psychiatric facility. - ✔✔B. The emphasis is always on
patient safety.
When caring for a psychiatric patient who is boarding involuntarily, which of the following should an emergency nurse
know?
A. Information regarding the patient's last admission
B. Statutes of the state
C. The length of time the patient has been in the emergency department
D. The on-duty, emergency department physician's treatment philosophy regarding involuntary patients - ✔✔B. Statutes
of the state
Which of the following statements about delirium tremens is correct?