Fy 16 RN Mental Health Annual Education Policy/Procedure/Protocol Quiz
- 1.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.
- A.
2
- B.
3
- C.
4
- D.
5
- 2.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:
- A.
An appointment with a Mental Health Clinical Provider within three days week of discharge date.
- B.
Any appropriate additional appointments for follow-up individual/group therapy, maintenance ECT, etc.
- C.
Psychopharmacological agents with relatively safe overdose profiles are considered, including a reduction in the amount of pills available to the patient, not to exceed 30 days of dosage.
- D.
Documentation in all ensuing progress notes of the presence of suicidal ideation, intent and/or plan.
- 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a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded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.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
- 7.Which of the following medications are associated with risk for Falls (select all that apply:
- A.
Diuretics
- B.
Opioids
- C.
Antidiabetic
- D.
Antihistamines
- 8.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 if abnormality is suspected
- 9.The "why" question may evoke a defensive answer from the patient.
- A.
True
- B.
False
- 10.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
- 11.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
- 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.
- A.
YES
- B.
NO
- 13.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:
- A.
EKG
- B.
Give pain medication as ordered
- C.
Check glucose
- D.
Enter order for contrast head CT scan in CPRS
- E.
Start oxygen via nasal cannula to keep SpO2>95%
- 14.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.
- A.
True
- B.
False
- 15.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.
- A.
True
- B.
False
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