NR607 FINAL ACTUAL EXAM QUESTIONS
WITH VERIFIED SOLUTIONS TESTED AND
APPROVED!!!
____ 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. -- ANSWER--
SEROTONIN SYNDROME
What are some medications that can cause serotonin syndrome? -- 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? -- ANSWER--AMS- delirium,
agitation, insomnia, hypervigilance
ANS dysregulation: Tachycardia, high temp, SHIVERING, sweating, diarrhea,
Page | 1
,MYDRIASIS- DILATED PUPILS, HEADACHE, DYSRTHYMIAS,
OCULAR CLONUS
HYPERREFLEXIA IN LOWER LIMBS, MYOCLONUS- MUSCLE
TWITCHING, TREMORS!!!!!
how would you treat serotonin syndrome? -- ANSWER--1.) D/C THE
MEDICATION
2.) SUPPORTIVE TX IS DEPENDENT ON THE SEVERITY OF
SYMPTOMS
3.) HOSPITALIZATION FOR STABILITY
Is there any lab alterations that will help you to diagnose serotonin syndrome? --
ANSWER--
NOOOO!!
This is solely dependent on looking at s/s!!!
What is seclusion and when is this technique ok to be used? -- 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
Page | 2
,What are some exceptions to informed consent? -- 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? --
ANSWER-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) -
- 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 --
ANSWER--This is when a patient is a danger to self/ danger to others, unable to
Page | 3
, 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.
What is Somatic Symptom Disorder characterized by? -- 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? -- ANSWER--More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an
individual? -- 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
Page | 4
WITH VERIFIED SOLUTIONS TESTED AND
APPROVED!!!
____ 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. -- ANSWER--
SEROTONIN SYNDROME
What are some medications that can cause serotonin syndrome? -- 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? -- ANSWER--AMS- delirium,
agitation, insomnia, hypervigilance
ANS dysregulation: Tachycardia, high temp, SHIVERING, sweating, diarrhea,
Page | 1
,MYDRIASIS- DILATED PUPILS, HEADACHE, DYSRTHYMIAS,
OCULAR CLONUS
HYPERREFLEXIA IN LOWER LIMBS, MYOCLONUS- MUSCLE
TWITCHING, TREMORS!!!!!
how would you treat serotonin syndrome? -- ANSWER--1.) D/C THE
MEDICATION
2.) SUPPORTIVE TX IS DEPENDENT ON THE SEVERITY OF
SYMPTOMS
3.) HOSPITALIZATION FOR STABILITY
Is there any lab alterations that will help you to diagnose serotonin syndrome? --
ANSWER--
NOOOO!!
This is solely dependent on looking at s/s!!!
What is seclusion and when is this technique ok to be used? -- 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
Page | 2
,What are some exceptions to informed consent? -- 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? --
ANSWER-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) -
- 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 --
ANSWER--This is when a patient is a danger to self/ danger to others, unable to
Page | 3
, 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.
What is Somatic Symptom Disorder characterized by? -- 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? -- ANSWER--More than 6 months.
What impact do the symptoms of Somatic Symptom Disorder have on an
individual? -- 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
Page | 4
