Fy 15 LPN Mental Health Annual Education Policy/Procedure/Protocol Quiz

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Fy 15 LPN Mental Health Annual Education Policy/Procedure/Protocol Quiz - Quiz

Questions and Answers
  • 1. 

    A large precentage of patient suicides occur within  three months of discharge from acute inpatient care. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    12. Suicide Attempts: CPM 116-13-05. T drive --- all CPMs, type the word “suicide” in the search box

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  • 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.

    Correct Answer
    E. Financial and/or legal crisis.
    Explanation
    12. Suicide Attempts: CPM 116-13-05. T drive --- all CPMs, type the word “suicide” in the search box

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  • 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a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded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.

    Correct Answer
    E. E. All of the above are correct interventions
    Explanation
    12. Suicide Attempts: CPM 116-13-05. T drive --- all CPMs, type the word “suicide” in the search box

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  • 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

    Correct Answer
    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).
    Explanation
    12. Suicide Attempts: CPM 116-13-05. T drive --- all CPMs, type the word “suicide” in the search box

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  • 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

    Correct Answer
    E. All of the above are correct
    Explanation
    atient Clothing. This policy is located at CPM 118-35, attachment B.

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  • 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

    Correct Answer
    B. False
    Explanation
    CPM Documentation-Nursing 118

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  • 7. 

    An assigned nursing employee is responsible for counting eating utensils before and after each meal or snack.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because an assigned nursing employee is indeed responsible for counting eating utensils before and after each meal or snack. This task is important to ensure that all utensils are accounted for and to maintain hygiene standards in a healthcare setting. By counting the utensils before and after each meal or snack, the nursing employee can identify any missing or misplaced utensils and take appropriate action.

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  • 8. 

    Optimize safety, inventory patient’s assigned room for items not permitted at least once per day.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    CPM 116-13-03 Suicidal Precautions

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  • 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

    Correct Answer
    A. Apply gloves, wipe, and let dry 1 minutes
  • 10. 

    RHJ VAMC is a latex free facility.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    2. CPM 118-12-08 Latex Allergy/Sensitivity. This policy is located on the T drive--All CPMs---Nursing. Type "latex" in the search box.

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  • 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.

    Correct Answer
    C. Ask the patient to state his/her full name and full social security number.
    Explanation
    7. Patient Identification: CPM 118-14-23. T-drive,--All CPMS----type the word “patient identification” in the search box

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  • 12. 

    What  is the timeframe for evaluating and documenting PRN medications?

    • A.

      30 minutes

    • B.

      60 minutes

    • C.

      90 minutes

    • D.

      120 minutes

    Correct Answer
    D. 120 minutes
    Explanation
    3. CPM 119-27 Medication Management. Located on the T drive--All CPM--Pharmacy. Type in the search box "controlled substances".

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  • 13. 

    How often do the narcotics in the Omnicelle get inventoried?

    • A.

      Daily

    • B.

      Bi-weekly

    • C.

      Weekly

    • D.

      Monthly

    Correct Answer
    C. Weekly
    Explanation
    8. Pyxis (Omnicelle) : CPM 119-27. T-drive,--All CPMS----Pharmacy. type the word “medication management” ” in the search box

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  • 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

    Correct Answer
    E. All of the above
    Explanation
    CPM 116-13-03 Suicidal Percautions

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  • 15. 

    Who may count the narcotic inventory in the Omnicelle? 

    • A.

      Two RNs only

    • B.

      Two LPNs only

    • C.

      Two licensed nurses

    Correct Answer
    C. Two licensed nurses
    Explanation
    8. Pyxis (Omnicelle) : CPM 119-27. T-drive,--All CPMS----Pharmacy. type the word “medication management” ” in the search box

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  • 16. 

    According to policy, how often is IV tubing changed?

    • A.

      24 hours

    • B.

      48 hours

    • C.

      60 hours

    • D.

      72 hours

    Correct Answer
    D. 72 hours
    Explanation
    20. IV tubing. Mosby skills—go to Library on the intranet page, Mosby skills—type intravenous” in the search box

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  • 17. 

    What is this facility's (RHJ VAMC) emergency number? 

    • A.

      5911

    • B.

      6911

    • C.

      7911

    • D.

      8911

    Correct Answer
    C. 7911
    Explanation
    8. Hospital Emergency number. ITD 11-14: located on T drive—Master Index under information technology

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  • 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

    Correct Answer
    D. Both A and B
    Explanation
    6. Communication with Hearing Impaired/non-English Speaking Individual. located on the T drive--Health Administration Office

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  • 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

    Correct Answer(s)
    A. ROM
    B. Neuro check
    C. Report to Patient Safety Hotline
    Explanation
    11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 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

    Correct Answer
    C. High risk
    Explanation
    11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 21. 

    Which of the following medications are associated with risk for Falls (select all that apply:

    • A.

      Diuretics

    • B.

      Opioids

    • C.

      Antidiabetic

    • D.

      Antihistamines

    Correct Answer(s)
    A. Diuretics
    B. Opioids
    C. Antidiabetic
    D. Antihistamines
    Explanation
    11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

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  • 22. 

    Where is the location for administering electroconvulsive treatments?

    • A.

      OR

    • B.

      PACU

    • C.

      ACC

    • D.

      3A-Mental Health Ward

    Correct Answer
    B. PACU
    Explanation
    15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

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  • 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

    Correct Answer(s)
    A. CBC
    C. Sodium and Potassium
    D. EKG
    E. CT or MRI of brain
    Explanation
    15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

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  • 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

    Correct Answer
    B. Patient at risk of line pulling which may prevent monitoring of vital signs
    Explanation
    16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

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  • 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

    Correct Answer
    C. Environmental Management Staff
    Explanation
    The Environmental Management Staff is responsible for collecting the Posey Twice-as-Tough Cuffs-Key Lock restraints and sending them out for processing (cleaning). This department is typically in charge of managing and maintaining the cleanliness and hygiene of the facility, including handling and processing various items that require cleaning or disposal. Therefore, it makes sense that they would be responsible for collecting and sending out the restraints for processing.

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  • 26. 

    Prior to sending the Posey Twice-as-Tough Cuffs-Key Lock restraints out for cleaning, the nurse should fasten the hook and loop closures of all buckles.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

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  • 27. 

    How many Posey Twice-as-Tough Cuffs-Key Lock restraints are available on your unit? 

    • A.

      3

    • B.

      4

    • C.

      5

    • D.

      6

    Correct Answer
    D. 6
    Explanation
    The correct answer is 6. This suggests that there are six Posey Twice-as-Tough Cuffs-Key Lock restraints available on the unit.

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  • 28. 

    The "why" question may evoke a defensive answer from the patient.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    14. Article: Core Communication skills in Mental Health nursing: Useful open questions

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  • 29. 

    The following interaction was noted between nurse and patient: " I don't think you are very happy with your husband?". What type of question is this:   

    • A.

      Closed question

    • B.

      Leading question

    • C.

      Why question

    • D.

      Multiple question

    Correct Answer
    B. Leading question
    Explanation
    14. Article: Core Communication skills in Mental Health nursing: Useful open questions

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  • 30. 

    The following are considered "boundary violations (excursions across professional lines of behavior). Select all that apply::

    • A.

      Excessive personal disclosure by the nurse

    • B.

      Demeaning harassing of the patient

    • C.

      The nurse fails to reconginize feelings of sexual attraction to the patient

    • D.

      Inappropriate amounts of time with the patient

    Correct Answer(s)
    A. Excessive personal disclosure by the nurse
    B. Demeaning harassing of the patient
    C. The nurse fails to reconginize feelings of sexual attraction to the patient
    D. Inappropriate amounts of time with the patient
    Explanation
    The correct answer options for this question are excessive personal disclosure by the nurse, demeaning harassing of the patient, the nurse fails to recognize feelings of sexual attraction to the patient, and inappropriate amounts of time with the patient. These behaviors are considered boundary violations because they involve crossing professional lines of behavior and can compromise the nurse-patient relationship. Excessive personal disclosure can blur professional boundaries and shift the focus onto the nurse instead of the patient. Demeaning harassment is a violation of the patient's rights and can cause emotional harm. Failure to recognize feelings of sexual attraction can lead to inappropriate and unethical behavior. Spending inappropriate amounts of time with a patient can create dependency and hinder their autonomy.

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  • 31. 

    Major life stressors for Veterans include all of the following (select all that apply):

    • A.

      Serious medical illness

    • B.

      Chronic intractable pain

    • C.

      Major failure at an important personal endeavor

    • D.

      Anniversary dates of experienced tramatic events

    Correct Answer(s)
    A. Serious medical illness
    B. Chronic intractable pain
    C. Major failure at an important personal endeavor
    D. Anniversary dates of experienced tramatic events
    Explanation
    12. Suicide Attempts: CPM 116-13-05. T drive --- all CPMs, type the word “suicide” in the search box

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  • 32. 

    When ulities fail and the back-up system does not function within a reasonable amount of time, the policy of Mental Health Services will be as follows (select all that apply):

    • A.

      Ensure the safety of patients

    • B.

      Unplug all unneccessary equipment

    • C.

      Notify Facility Management

    • D.

      Notify Chief Nursing Officer

    Correct Answer(s)
    A. Ensure the safety of patients
    B. Unplug all unneccessary equipment
    C. Notify Facility Management
    Explanation
    13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

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  • 33. 

    In the event that Mental Health Service is required to evacuate all parts of their areas, the staff will do the following (select all that apply): 

    • A.

      Ensure safety of patients

    • B.

      List names and condition of patients needing evacuation

    • C.

      Arrangement of security of all vital documents

    • D.

      Reassign staff to the Manpower Pool to help with evacuation using sleds

    Correct Answer(s)
    A. Ensure safety of patients
    B. List names and condition of patients needing evacuation
    C. Arrangement of security of all vital documents
    D. Reassign staff to the Manpower Pool to help with evacuation using sleds
    Explanation
    13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

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  • 34. 

    The LPN assigned to provide care for a patient in behavioral restraints will do the following every 2 hours, select all that apply:

    • A.

      Offer fluids

    • B.

      Offer foods

    • C.

      Offer toileting

    • D.

      Loosen restraints

    Correct Answer
    D. Loosen restraints
    Explanation
    The LPN assigned to provide care for a patient in behavioral restraints will loosen the restraints every 2 hours. This is important to ensure the patient's comfort and prevent any potential harm or injury that may result from prolonged immobilization. By loosening the restraints periodically, the LPN can also assess the patient's circulation and skin integrity, as well as provide necessary care and assistance. However, it is worth noting that the other options (offering fluids, offering foods, and offering toileting) may also be important aspects of care for the patient, but they are not specifically mentioned in the question as tasks that should be done every 2 hours.

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  • 35. 

    With the permission of the RN, you may notify the doctor of a patient in behavioral restraints.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    9. Restraints—CPM 11 -13-18. T drive---Chief of Staff---use of restraint for seclusion

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  • 36. 

    What is the proper way to clean using CAVIWIPES 1?

    • A.

      Apply gloves, wipe, and let dry for 1 minute.

    • B.

      Apply gloves, wipe, and let dry for 2 minute.

    • C.

      Apply gloves, wipe, and let dry for 3 minute.

    • D.

      Apply gloves, wipe, and let dry for 4 minute.

    Correct Answer
    A. Apply gloves, wipe, and let dry for 1 minute.
    Explanation
    The proper way to clean using CAVIWIPES 1 is to apply gloves, wipe the surface, and then let it dry for 1 minute. This ensures that the disinfectant on the wipes has enough time to effectively kill any bacteria or viruses on the surface.

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  • 37. 

    I pledge to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By answering yes, you certify that you are the person taking this test.   

    • A.

      YES

    • B.

      NO

    Correct Answer
    A. YES
    Explanation
    The given correct answer is "YES" because by selecting this option, the person is pledging to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. Additionally, by answering "YES," the person is also certifying that they are the individual taking the test.

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