Fy 15 LPN Mental Health Annual Education Policy/Procedure/Protocol Quiz
- 1.A large precentage of patient suicides occur within three months of discharge from acute inpatient care.
- A.
True
- B.
False
- 2.Underlying suicide risk factors that are specific to Veterans include all of the following except:
- A.
Frequent deployment
- B.
Physical/sexual assault while in the service
- C.
Service related injury
- D.
Deployments to hostile environments
- E.
Financial and/or legal crisis.
- 3.Nursing personnel will take the following action on all patients exhibiting suicidal or homicidal thought except:
- A.
A. All unit personnel must be able to recognize him or her and report any suicidal self-harm behaviors or threats to the Nurse Manager and physician.
- B.
B. Patient will be placed on one to one observation pending a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded
- C.
C. Patient is restricted to clinical area
- D.
D. Staff will escort patient to restroom, medical procedures or evaluations remaining in one to one observation at all times.
- E.
E. All of the above are correct interventions
- F.
F. All except D are correct interventions.
- 4.All patients that are placed on 1:1 Observation, nursing care include the following except:
- A.
An assigned staff member will provide a direct and visual observation of the patient’s behavior at all times
- B.
Educate the patient regarding unit restriction
- C.
Remove undergarments including t-shirt and change into hospital pajamas. If patient request undergarments, only mesh underwear will be issued. (Patient can wear own undergarments if they have extra with them).
- D.
Complete a thorough search of the patient, his/her belongings and the environment (assigned room
- 5.A thorough search of the patient, his/her belongings and the environment (assigned room). Particularly, belongings must be inventoried utilizing Attachment B of CPM 118-35, Patient, Clothing, Valuables, Incidentals and Services, this inclues all of the following except:
- A.
Personal items must be secured outside the patient’s assigned room.
- B.
Remove contraband
- C.
Distribute paper bags to eliminate plastic storage bags or trash bags from the environment
- D.
Observe patient closely when using writing tools (pen, pencil, marker etc.), staple, razor, curling iron, paperclip, plastic container, nail clipper or products that contain alcohol such as mouthwash, perfume, body wash and/or hair spray. Secure these items after single use.
- E.
All of the above are correct
- F.
None of the above are correct
- 6.A patient on behavioral restraints should have documentation done every 30 minutes on the standard observation sheet. Notify provider of behavioral, vital sign or respiratory changes to the RN.
- A.
True
- B.
False
- 7.An assigned nursing employee is responsible for counting eating utensils before and after each meal or snack.
- A.
True
- B.
False
- 8.Optimize safety, inventory patient’s assigned room for items not permitted at least once per day.
- A.
True
- B.
False
- 9.What is the proper way to clean using CAVIWIPES 1?
- A.
Apply gloves, wipe, and let dry 1 minutes
- B.
Apply gloves, wipe, and let dry 2 minutes
- C.
Apply gloves, wipe, and let dry 3 minutes
- D.
Apply gloves, wipe, and let dry 4 minutes
- 10.RHJ VAMC is a latex free facility.
- A.
True
- B.
False
- 11.What is the proper procedure to verify a patient's identification?
- A.
Ask the patient to state his/her full name and last four of social security number.
- B.
Ask the patient to state his/her lastl name and last four of social security number.
- C.
Ask the patient to state his/her full name and full social security number.
- D.
Ask the patient to state his/her full name and last full social security number.
- 12.What is the timeframe for evaluating and documenting PRN medications?
- A.
30 minutes
- B.
60 minutes
- C.
90 minutes
- D.
120 minutes
- 13.How often do the narcotics in the Omnicelle get inventoried?
- A.
Daily
- B.
Bi-weekly
- C.
Weekly
- D.
Monthly
- 14.What is considered contraband?
- A.
Weapons
- B.
Knives
- C.
Non prescription medications
- D.
Rope
- E.
All of the above
- F.
None of the above
- 15.Who may count the narcotic inventory in the Omnicelle?
- A.
Two RNs only
- B.
Two LPNs only
- C.
Two licensed nurses
- 16.According to policy, how often is IV tubing changed?
- A.
24 hours
- B.
48 hours
- C.
60 hours
- D.
72 hours
- 17.What is this facility's (RHJ VAMC) emergency number?
- A.
5911
- B.
6911
- C.
7911
- D.
8911
- 18.According to the CPM 136-02, who does one call to obtain assistance of a hard of hearing patient or a language interpreter?
- A.
AT&T Relay Service
- B.
TTY Phone
- C.
Bellsouth Relay Service
- D.
Both A and B
- 19.THE FOLLWOING INTERVENTIONS ARE TO BE PERFORMED IN THE EVENT THAT AN IMPATIENT SUFER A FALL, CHECK ALL THAT APPLY:
- A.
ROM
- B.
Neuro check
- C.
Report to Patient Safety Hotline
- D.
Peripheral pulses in all extermities
- 20.A patient with a score of 48 is considered to be at __________ for Falls according to the Morse Fall Scale.
- A.
Low risk
- B.
Moderate risk
- C.
High risk
- 21.Which of the following medications are associated with risk for Falls (select all that apply:
- A.
Diuretics
- B.
Opioids
- C.
Antidiabetic
- D.
Antihistamines
- 22.Where is the location for administering electroconvulsive treatments?
- A.
OR
- B.
PACU
- C.
ACC
- D.
3A-Mental Health Ward
- 23.A typical battery of tests for a patient undergoing ECT would include the following (slelct all that apply)
- A.
CBC
- B.
PTT & PT
- C.
Sodium and Potassium
- D.
EKG
- E.
CT or MRI of brain
- 24.Posey Twice-as-Tough Cuffs-Key Lock can be used with patients having the following indications except:
- A.
Patient at risk of disrupting life-saving treatments
- B.
Patient at risk of line pulling which may prevent monitoring of vital signs
- C.
Patient assessed to be inextreme danger of injury to themselves
- D.
Patient who is or becomes suicidal or highly aggressive or combative
- 25.Which department is responsibility for collecting the Posey Twice-as-Tough Cuffs-Key Lock restraints and sending them out for processing (cleaning)?
- A.
Infection Control Staff
- B.
Engineering Staff
- C.
Environmental Management Staff
- D.
Linen Room Staff
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