Fy 16 RN Mental Health Annual Education Policy/Procedure/Protocol Quiz

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Milly

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| Attempts: 87 | Questions: 18

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1. 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

About This Quiz

Fy 16 RN Mental Health Annual Education Policy/Procedure/Protocol Quiz - Quiz

This quiz assesses knowledge on policies and procedures related to mental health care in a clinical setting, focusing on suicide risk assessment, patient safety, and continuity of care... see morepost-discharge. It is essential for nursing personnel specializing in mental health. see less

2. 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

3. 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

Submit

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

Empathy

Reflecting

Sympathy

Paraphrasing

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

5. 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

The given correct answer is "YES" because by selecting "YES," the person is pledging to demonstrate the core values of honesty and integrity, as stated in the American Nurses Association Code of Ethics. This answer signifies that the person understands and agrees to uphold these values, and also confirms their identity as the test taker.

Explanation

Submit

6. Medications scheduled to be administered every 8 hours will be administered within plus or minus 2 hours of scheduled times unless otherwise noted by the provider.

True

False

CPM 118-14-50 Administration of Medications by Nursing

Explanation

CPM 118-14-50 Administration of Medications by Nursing

Submit

7. 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

Submit

8. 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 Mental Health Services 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.

Psychopharmacological agents with relatively safe overdoseprofiles are considered, including a reduction in the amount of pills available to the patient,... Psychopharmacological agents with relatively safe overdoseprofiles are considered, including a reduction in the amount of pills available to the patient, not to exceed 30 days of dosage.

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

Submit

9. 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 if abnormality is suspected

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

Explanation

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

Submit

10. 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... 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... 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.

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 should be taken by nursing personnel when dealing with patients exhibiting suicidal or homicidal thoughts. These actions include recognizing and reporting any 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 constant observation.

Explanation

Submit

11. 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.... 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

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

Submit

12. When providing interventions for a patient showing signs and symptoms of a stroke, vital signs will be done every 15 minutes and neuro checks will be done every 30 minutes.

True

False

Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (AIS)

Explanation

Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (AIS)

Submit

13. 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.

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

14. 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... 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

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.

Submit

15. 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

16. 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

17. 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

18. The following are interventions that should be ordered if your assessment determines that your patient is showing signs and symptoms of a stroke, select all that apply:

EKG

Give pain medication as ordered

Check glucose

Enter order for contrast head CT scan in CPRS

Start oxygen via nasal cannula to keep SpO2>95%

Nursing Protocol: Sign and Symptoms of Acute Ischemic Stroke (ASI)

Explanation

Nursing Protocol: Sign and Symptoms of Acute Ischemic Stroke (ASI)

Submit

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