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

1. 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.

YES

NO

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.

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.

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

True

False

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.

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.

3. Who may count the narcotic inventory in the Omnicelle?

Two RNs only

Two LPNs only

Two licensed nurses

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

Explanation

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

4. 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.

True

False

16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

Explanation

16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

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

True

False

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Explanation

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

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

Serious medical illness

Chronic intractable pain

Major failure at an important personal endeavor

Anniversary dates of experienced tramatic events

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

Explanation

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

Submit

7. What is the proper way to clean using CAVIWIPES 1?

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

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

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

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

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.

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.

8. What is the proper procedure to verify a patient's identification?

Ask the patient to state his/her full name and last four of social security number.

Ask the patient to state his/her lastl name and last four of social security number.

Ask the patient to state his/her full name and full social security number.

Ask the patient to state his/her full name and last full social security number.

7. Patient Identification: CPM 118-14-23. T-drive,--All CPMS----type the word “patient identification” in the search box

Explanation

7. Patient Identification: CPM 118-14-23. T-drive,--All CPMS----type the word “patient identification” in the search box

9. What is the timeframe for evaluating and documenting PRN medications?

30 minutes

60 minutes

90 minutes

120 minutes

3. CPM 119-27 Medication Management. Located on the T drive--All CPM--Pharmacy. Type in the search box "controlled substances".

Explanation

3. CPM 119-27 Medication Management. Located on the T drive--All CPM--Pharmacy. Type in the search box "controlled substances".

10. How often do the narcotics in the Omnicelle get inventoried?

Daily

Bi-weekly

Weekly

Monthly

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

Explanation

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

11. What is considered contraband?

Weapons

Knives

Non prescription medications

Rope

All of the above

None of the above

CPM 116-13-03 Suicidal Percautions

Explanation

CPM 116-13-03 Suicidal Percautions

12. Which department is responsibility for collecting the Posey Twice-as-Tough Cuffs-Key Lock restraints and sending them out for processing (cleaning)?

Infection Control Staff

Engineering Staff

Environmental Management Staff

Linen Room Staff

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.

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.

13. What is the proper way to clean using CAVIWIPES 1?

Apply gloves, wipe, and let dry 1 minutes

Apply gloves, wipe, and let dry 2 minutes

Apply gloves, wipe, and let dry 3 minutes

Apply gloves, wipe, and let dry 4 minutes

not-available-via-ai

Explanation

not-available-via-ai

14. 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:

Closed question

Leading question

Why question

Multiple question

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Explanation

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

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

True

False

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

Explanation

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

16. According to the CPM 136-02, who does one call to obtain assistance of a hard of hearing patient or a language interpreter?

AT&T Relay Service

TTY Phone

Bellsouth Relay Service

Both A and B

6. Communication with Hearing Impaired/non-English Speaking Individual. located on the T drive--Health Administration Office

Explanation

6. Communication with Hearing Impaired/non-English Speaking Individual. located on the T drive--Health Administration Office

17. A patient with a score of 48 is considered to be at __________ for Falls according to the Morse Fall Scale.

Low risk

Moderate risk

High risk

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

Explanation

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

18. Where is the location for administering electroconvulsive treatments?

OR

PACU

ACC

3A-Mental Health Ward

15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

Explanation

15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

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

3

4

5

6

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

Explanation

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

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

Excessive personal disclosure by the nurse

Demeaning harassing of the patient

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

Inappropriate amounts of time with the patient

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.

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.

Submit

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

True

False

9. Restraints—CPM 11 -13-18. T drive---Chief of Staff---use of restraint for seclusion

Explanation

9. Restraints—CPM 11 -13-18. T drive---Chief of Staff---use of restraint for seclusion

22. 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.

True

False

CPM Documentation-Nursing 118

Explanation

CPM Documentation-Nursing 118

23. According to policy, how often is IV tubing changed?

24 hours

48 hours

60 hours

72 hours

20. IV tubing. Mosby skills—go to Library on the intranet page, Mosby skills—type intravenous” in the search box

Explanation

20. IV tubing. Mosby skills—go to Library on the intranet page, Mosby skills—type intravenous” in the search box

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

5911

6911

7911

8911

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

Explanation

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

25. 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:

Personal items must be secured outside the patient’s assigned room.

Remove contraband

Distribute paper bags to eliminate plastic storage bags or trash bags from the environment

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.

All of the above are correct

None of the above are correct

atient Clothing. This policy is located at CPM 118-35, attachment B.

Explanation

atient Clothing. This policy is located at CPM 118-35, attachment B.

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

Diuretics

Opioids

Antidiabetic

Antihistamines

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

Explanation

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

Submit

27. Nursing personnel will take the following action on all patients exhibiting suicidal or homicidal thought except:

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. 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. Patient is restricted to clinical area

D. Staff will escort patient to restroom, medical procedures or evaluations remaining in one to one observation at all times.

E. All of the above are correct interventions

F. All except D are correct interventions.

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

Explanation

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

28. All patients that are placed on 1:1 Observation, nursing care include the following except:

An assigned staff member will provide a direct and visual observation of the patient’s behavior at all times

Educate the patient regarding unit restriction

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).

Complete a thorough search of the patient, his/her belongings and the environment (assigned room

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

Explanation

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

29. Posey Twice-as-Tough Cuffs-Key Lock can be used with patients having the following indications except:

Patient at risk of disrupting life-saving treatments

Patient at risk of line pulling which may prevent monitoring of vital signs

Patient assessed to be inextreme danger of injury to themselves

Patient who is or becomes suicidal or highly aggressive or combative

16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

Explanation

16. Posey Twice-as-Tough Cuffs-Key Lock Application and instruction

30. RHJ VAMC is a latex free facility.

True

False

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.

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.

31. Underlying suicide risk factors that are specific to Veterans include all of the following except:

Frequent deployment

Physical/sexual assault while in the service

Service related injury

Deployments to hostile environments

Financial and/or legal crisis.

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

Explanation

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

32. 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):

Ensure safety of patients

List names and condition of patients needing evacuation

Arrangement of security of all vital documents

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

13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

Explanation

13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

Submit

33. A typical battery of tests for a patient undergoing ECT would include the following (slelct all that apply)

CBC

PTT & PT

Sodium and Potassium

EKG

CT or MRI of brain

15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

Explanation

15. CPM 116-14-12: Electroconvulsive Therapy (ECT)

Submit

34. 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):

Ensure the safety of patients

Unplug all unneccessary equipment

Notify Facility Management

Notify Chief Nursing Officer

13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

Explanation

13. CPM 116-12-22 Mental Health Service Supplemental Emergency Plan

Submit

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

True

False

CPM 116-13-03 Suicidal Precautions

Explanation

CPM 116-13-03 Suicidal Precautions

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

Offer fluids

Offer foods

Offer toileting

Loosen restraints

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.

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.

37. THE FOLLWOING INTERVENTIONS ARE TO BE PERFORMED IN THE EVENT THAT AN IMPATIENT SUFER A FALL, CHECK ALL THAT APPLY:

ROM

Neuro check

Report to Patient Safety Hotline

Peripheral pulses in all extermities

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

Explanation

11. Falls ----CPM 118-13-18. T drive—all CPMS— Type “falls.” in the search box

Submit

38. Match the following definitions: (Self-Directed Violence Classification System)

Self-destructive act

Suicide

Suicide Attempt

Preparatory Behavior

Interrupted by self or others

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

Explanation

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

Submit

39. There are four types of open-ended questions that are useful when working with patients with a mental disorder. Match the following with the correct anaswer:

Cognitive question

Affective question

Behavioural question

time-oriented question

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Explanation

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Submit

40. Match the following terms used on the mental health ward:

Empathy

Reflecting

Sympathy

Paraphrasing

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Explanation

14. Article: Core Communication skills in Mental Health nursing: Useful open questions

Submit