Mental Health Annual Education Policy/Procedure/Protocol Review
- 1.Suicide potential is minimized by the following:
- A.
A. accurate identification of all patients who have attempted suicide while on inpatient status
- B.
B. assessment of degree of suicidal potential at the time of discharge
- C.
C. reassessment on follow-up outpatient visits
- D.
All of the above
- E.
A and B only
- 2.A large precentage of patient suicides occur within three months of discharge from acute inpatient care.
- A.
True
- B.
False
- 3.Suicide potential of those patients who have attempted suicide is minimized by addressing discharge planning needs including:
- A.
A. arranging continuity of care
- B.
B. ensuring/modifying the environment to which the patient will return to render it as safe as possible
- C.
C. formulating an adequate safety plan with patient and family involvemen
- D.
D. placed on the High Risk List
- E.
All of the above
- F.
All except D
- 4.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.
- A.
True
- B.
False
- 5.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
- 6.Recommendations determined after the Suicide Attempt Assessment is completed are to be documented in the Medical Record or most perferably in the Discharge Summary.
- A.
True
- B.
False
- 7.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:
- 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.
- 8.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.
- 9.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.
- 10.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
- 11.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
- 12.Document the patient’s behavior every 30 minutes on the standard observation sheet. Notify provider of behavioral, vital sign or respiratory changes.
- A.
True
- B.
False
- 13.An assigned nursing employee is responsible for counting eating utensils before and after each meal or snack.
- A.
True
- B.
False
- 14.Optimize safety, inventory patient’s assigned room for items not permitted at least once per day.
- A.
True
- B.
False
- 15.What does the letters RME represent?
- A.
Right Medical Equipment
- B.
Reliable Medical Equipment
- C.
Resusable Medical Equipment
- 16.Critical items require disinfection only with a disinfectant.
- A.
True
- B.
False
- 17.Non-critical items must be sterilzed between patient use.
- A.
True
- B.
False
- 18.What is the proper way to clean using CAVIWIPES?
- 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
- 19.RHJ VAMC is a latex free facility.
- A.
True
- B.
False
- 20.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.
- 21.What is the timeframe for evaluating and documenting PRN medications?
- A.
30 minutes
- B.
60 minutes
- C.
90 minutes
- D.
120 minutes
- 22.How often do the narcotics in the PYXIS get inventoried?
- A.
Daily
- B.
Bi-weekly
- C.
Weekly
- D.
Monthly
- 23.What is considered contraband?
- A.
Weapons
- B.
Glass
- C.
Medications
- D.
Rope
- E.
All of the above
- F.
None of the above
- 24.Who may count the narcotic inventory in the PYXIS?
- A.
Two RNs only
- B.
Two LPNs only
- C.
Two licensed nurses
- 25.According to policy, how often is IV tubing changed?
- A.
24 hours
- B.
48 hours
- C.
60 hours
- D.
72 hours
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