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

1. Suicide potential is minimized by the following:

A. accurate identification of all patients who have attempted suicide while on inpatient status

B. assessment of degree of suicidal potential at the time of discharge

C. reassessment on follow-up outpatient visits

All of the above

A and B only

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

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 it states that an assigned nursing employee is responsible for counting eating utensils before and after each meal or snack. This suggests that it is a part of the employee's job to ensure that the correct number of utensils are available and accounted for before and after each meal or snack. This practice is important for maintaining hygiene, preventing loss or theft of utensils, and ensuring that all residents or patients have access to the necessary utensils for their meals.

Explanation

The statement is true because it states that an assigned nursing employee is responsible for counting eating utensils before and after each meal or snack. This suggests that it is a part of the employee's job to ensure that the correct number of utensils are available and accounted for before and after each meal or snack. This practice is important for maintaining hygiene, preventing loss or theft of utensils, and ensuring that all residents or patients have access to the necessary utensils for their meals.

3. 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".

4. 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

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

5911

6911

7911

8911

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

Explanation

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

6. Glasses and dentures locations are documented in CPRS as part of the admission assessment.

True

False

The given statement is true because glasses and dentures are important personal items that need to be documented during the admission assessment in CPRS (Computerized Patient Record System). This documentation ensures that the healthcare team is aware of the patient's needs and can provide appropriate care. Additionally, knowing the location of these items can help prevent loss or damage during the patient's stay in the healthcare facility.

Explanation

The given statement is true because glasses and dentures are important personal items that need to be documented during the admission assessment in CPRS (Computerized Patient Record System). This documentation ensures that the healthcare team is aware of the patient's needs and can provide appropriate care. Additionally, knowing the location of these items can help prevent loss or damage during the patient's stay in the healthcare facility.

7. Where does one find a list that will inform you of which MD has privilleges for RHJ VAMC?

S drive

U drive

T drive

V drive

11. MD privileges: Located on the T drive under Privileges-- Scopes of Practices

Explanation

11. MD privileges: Located on the T drive under Privileges-- Scopes of Practices

8. What is the minimum CIWA-AR score that should be treated?

5

7

9

11

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

Explanation

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

9. How much Lorazepam should the patient receive for a CIWA-AR score of 14 on the initial assessment?

L mg

2 mg

3mg

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

Explanation

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

10. When assessing and obtaining a CIWA-AR score, what else should the nurse be obtaining?

B/P only

B/P and HR only

B/P, HR, and Respirations

Temperature only

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

Explanation

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

11. 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

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

Explanation

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

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

YES

NO

The correct answer is "YES" because by selecting this option, the individual is affirming their commitment to upholding the core values of honesty and integrity as outlined in the American Nurses Association Code of Ethics. Additionally, by answering "YES," the person confirms that they are the one taking the test, ensuring the accuracy and authenticity of their responses.

Explanation

The correct answer is "YES" because by selecting this option, the individual is affirming their commitment to upholding the core values of honesty and integrity as outlined in the American Nurses Association Code of Ethics. Additionally, by answering "YES," the person confirms that they are the one taking the test, ensuring the accuracy and authenticity of their responses.

13. 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

14. 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

15. Because CIWA-AR is a nurse driven policy, no order is needed to initiate the protocol.

True

False

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

Explanation

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

16. 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

17. Document the patient's behavior every 30 minutes on the standard observation sheet. Notify provider of behavioral, vital sign or respiratory changes.

True

False

The correct answer is False because the statement suggests that the patient's behavior should be documented every 30 minutes on the standard observation sheet and the provider should be notified of any changes in behavior, vital signs, or respiration. However, this may not be necessary for all patients as it depends on the individual's condition and the healthcare facility's protocols. It is important to follow specific guidelines and instructions provided by the healthcare team regarding documentation and notification of changes in patient's condition.

Explanation

The correct answer is False because the statement suggests that the patient's behavior should be documented every 30 minutes on the standard observation sheet and the provider should be notified of any changes in behavior, vital signs, or respiration. However, this may not be necessary for all patients as it depends on the individual's condition and the healthcare facility's protocols. It is important to follow specific guidelines and instructions provided by the healthcare team regarding documentation and notification of changes in patient's condition.

18. 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

The proper way to clean using CAVIWIPES 1 is to apply gloves, wipe the surface, and let it dry for 1 minute. This ensures that the surface is properly disinfected and any pathogens are effectively killed. Waiting for a longer duration may not be necessary as the product is designed to work within a specific timeframe.

Explanation

The proper way to clean using CAVIWIPES 1 is to apply gloves, wipe the surface, and let it dry for 1 minute. This ensures that the surface is properly disinfected and any pathogens are effectively killed. Waiting for a longer duration may not be necessary as the product is designed to work within a specific timeframe.

19. 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)

20. Suicide potential of those patients who have attempted suicide is minimized by addressing discharge planning needs including:

A. arranging continuity of care

B. ensuring/modifying the environment to which the patient will return to render it as safe as possible

C. formulating an adequate safety plan with patient and family involvemen

D. placed on the High Risk List

All of the above

All except D

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

21. Recommendations determined after the Suicide Attempt Assessment is completed are to be documented in the Medical Record or most perferably in the Discharge Summary.

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

22. The following statements are correct concerning continuity of care for all patients who have attempted suicide prior to admission and whose aftercare plan includes follow-up in the Menatl Health Service except:

An appointment with a Mental Health Clinical Provider within three daysweek of discharge date.

Any appropriate additional appointments for follow-upindividual/group therapy, maintenance ECT, etc.

Documentation in all ensuing progress notes of the presence of suicidal ideation, intent and/or plan.

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

23. 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

24. 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

25. 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

26. Renewal orders for behavioral restraints should be done within 4 hours.

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

27. According to the CPM 136-02, who does one call to obtain assistance fo 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

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

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.

The correct answer is E. All of the above are correct interventions. This means that all of the actions mentioned in options A, B, C, and D are appropriate for nursing personnel to take when dealing with patients exhibiting suicidal or homicidal thoughts. These actions include recognizing and reporting self-harm behaviors or threats, placing the patient on one-to-one observation, restricting the patient to the clinical area, and escorting the patient to necessary locations while maintaining observation.

Explanation

The correct answer is E. All of the above are correct interventions. This means that all of the actions mentioned in options A, B, C, and D are appropriate for nursing personnel to take when dealing with patients exhibiting suicidal or homicidal thoughts. These actions include recognizing and reporting self-harm behaviors or threats, placing the patient on one-to-one observation, restricting the patient to the clinical area, and escorting the patient to necessary locations while maintaining observation.

29. What is considered contraband?

Weapons

Non-prescription drugs

Knives

Rope

All of the above

None of the above

Contraband refers to items that are illegal or prohibited. The given options include weapons, non-prescription drugs, knives, and rope. All of these items are commonly considered contraband because they are either dangerous or have the potential to be used for illegal activities. Therefore, the correct answer is "all of the above".

Explanation

Contraband refers to items that are illegal or prohibited. The given options include weapons, non-prescription drugs, knives, and rope. All of these items are commonly considered contraband because they are either dangerous or have the potential to be used for illegal activities. Therefore, the correct answer is "all of the above".

30. 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

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

Explanation

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

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

Diuretics

Opioids

Antidiabetic

Antihistamines

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

Explanation

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

Submit

32. 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

33. Notification of clinical leadership by the charge nurse is done when the patient:

Has been in seclusion restraints > 12 hours

Has been in seclusion restraints for 3 or more episodes within 12 hours

Has been in seclusion restraints > 8 hours

Has been in seclusion restraints for 4 or more episodes within 12 hours

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

34. 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

35. A face-to-face doctor assessment is required within 8 hours of placing 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

36. 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

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

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

37. An RN may initiate a behavioral seclusion order, but It requires a telephone/written order within 2 hours after initiation:

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

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

True

False

The statement suggests that it is necessary to optimize safety by checking the patient's assigned room for items that are not permitted at least once per day. However, the correct answer is false, indicating that this statement is not true. This implies that optimizing safety does not necessarily require daily checks of the patient's room for prohibited items.

Explanation

The statement suggests that it is necessary to optimize safety by checking the patient's assigned room for items that are not permitted at least once per day. However, the correct answer is false, indicating that this statement is not true. This implies that optimizing safety does not necessarily require daily checks of the patient's room for prohibited items.

39. When can the CIWA-AR protocol be discontiuned?

CIWA-AR score of less than 4 for three consecutive times

CIWA-AR score of less than 6 for three consecutive times

CIWA-AR score of less than 8 for three consecutive times

CIWA-AR score of less than 10 for three consecutive times

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

Explanation

19. Alcohol Detoxification: this policy is located on the T drive--Clinical Guidelines and Protocols. Type in the search box "alcohol" and this will bring up the policy.

40. 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

41. 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

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

42. 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

43. 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

All of the above are correct

None of the above are correct

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

Explanation

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

44. All suicides (including in-patient suicides) or suspected suicides will be reported to the office of Quality Management (OOQM), Director's office, and the Mental Health Service Line executive within 12 hours of receiving the knowledge of a suicide.

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

45. 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

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

3

4

5

6

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

Explanation

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

47. The Suicide Attempt Assessment is to be completed prior to discharge or within _______ business days of admission to the in-patient psychiatric unit, whichever comes first.

2

3

4

5

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

48. 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

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

Explanation

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

Submit

49. 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

50. 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

51. 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

52. 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