Quiz 1

Question 1

What is psychiatric-mental health nursing?

Answer 1

based on evidence related to:
- psychiatric disorders
- psychopharmacology
- therapeutic relationships

Question 2

What will a nurse do when using evidence based practice?

Answer 2

ask (find problem)
acquire (search literature)
appraise (evaluate/ summarize evidence)
apply (choose interventions)
assess (evaluate outcomes)

Question 3

What are clinical algorithms?

Answer 3

help to make a decision using a pathway (flowchart)

Question 4

What is a recovery model?

Answer 4

social model of disability

emphasized rehabilitation and recovery

consumer and family driven

Question 5

What is the main goal of a recovery model?

Answer 5

to recover and lead a full/satisfying life

Question 6

What are the key principles of trauma-informed care?

Answer 6

avoid re-traumatization

pt should be involved in care = pt compliance

empowerment and cultural respect

Question 7

What is the DSM-5-TR?

Answer 7

diagnostic and statistical manual of mental disorders

Question 8

Define resiliency

Answer 8

ability to recover from trauma or change

trait is developed

Question 9

How would one describe someone who is resilient?

Answer 9

self-aware
can learn from emotions
can cope well

Question 10

What is the mental health parity act (1996)?

Answer 10

insurance had to provide services for mental health that is equal to physical health

Question 11

What will a nurse do in regard to culture and mental illness?

Answer 11

self assessment of culture
pt assessment of culture

ask if practice will harm pt?

Question 12

What are culture bound syndromes?

Answer 12

appears only in certain cultures

ex: susto

Question 13

How are psychiatry and spirituality/religion related?

Answer 13

• hearing or seeing a deceased relative
• altered state of consciousness
• prayer

Question 14

What is a stigma?

Answer 14

negative stereotype that leads to an attitude or belief that would cause one to view person with mental illness as inferior

Question 15

What is the first choice for outpatient settings?

Answer 15

primary care providers

Question 16

What is the role of mental health nurse?

Answer 16

provide care for those with:

• psychiatric disorders
• substance use disorders
• intellectual disabilities

Question 17

What is the role of a psychiatric mental health advanced practice nurse (psych NP)?

Answer 17

prescribe
evaluate

Question 18

What is an inpatient setting for mental health?

Answer 18

• 24 hr locked unit
• crisis care
• resident txt programs
• state acute care systems
• psych unit (general hospital)
• private psych hospital acute care

Question 19

What is a psychiatrist?

Answer 19

medical physician

Question 20

What is a psychologist?

Answer 20

doctoral degree in psych

Question 21

What is the function of the parietal lobe?

Answer 21

sensory and motor

Question 22

What is the function of the frontal lobe?

Answer 22

thought processes

Question 23

What is the function of the limbic brain?

Answer 23

emotion

triggers fear and anxiety

Question 24

What is the function of the temporal lobe?

Answer 24

auditory

Question 25

What is the function of the occipital lobe?

Answer 25

vision

Question 26

What is the function of the cerebellum?

Answer 26

motor control

Question 27

What is an ethical dilemma?

Answer 27

balance between rights of patient and rights of society at large

Question 28

What is voluntary commitment?

Answer 28

self-admission right to leave at any time

Question 29

What is involuntary commitment?

Answer 29

emergency hospitalization cannot leave at any time

Question 30

What is the order of california legal holds?

Answer 30

5150 5250 5270 LPS conserved Probable cause hearing Writ of Habeus Corpus Reise Petition

Question 31

What is a 5150?

Answer 31

72 hour hold

Question 32

What is a 5250?

Answer 32

14 day hold

Question 33

What is a 5270?

Answer 33

30 day hold

Question 34

What qualifies someone to require a 5150 or a 5270?

Answer 34

one of the following: - danger to self - danger to others (in regard to mental illness) - gravely disabled

Question 35

Define gravely disabled

Answer 35

cannot provide or food, shelter, or clothing (they do not know how to do this - different from homelessness)

Question 36

What qualifies someone to require a 5270?

Answer 36

has to be gravely disabled

Question 37

Which holds can a provider renew if expired?

Answer 37

5150 5250

Question 38

What happens during the probable cause hearing?

Answer 38

determine if hold was made correctly (1st check)

Question 39

What happens during writ of habeus corpus?

Answer 39

in front of judge (2nd check)

Question 40

What is a reise petition?

Answer 40

provider will file: - pt doesn't have the capacity to make decision to take meds result: pt forced meds

Question 41

What will a nurse need for a 5150?

Answer 41

original copy in file of 5150 form

Question 42

What is done before restraints and seclusion is used?

Answer 42

verbal and environmental interventions ex: calm pt down, change environment

Question 43

What are chemical restraints?

Answer 43

emergency medication

Question 44

What should be done by the nurse for a patient in restraints or seculsion?

Answer 44

- document vitals every 15 mins (esp. RR) - offer food, elimination, hygiene matters every 2 hrs

Question 45

When will hard restraints be removed?

Answer 45

if pt is no longer a harm to self or others

Question 46

How often will a nurse check on patients with hard restraints?

Answer 46

adults: every 4 hr children or age 9-17: every 2 hr under age 9: every 1 hour

Question 47

If a nurse initiates restraints or seclusion, how soon must the provider see the patient?

Answer 47

within 1 hour

Question 48

Who should not be put into seclusion?

Answer 48

pt who is suicidal

Question 49

Who would be put into seclusion?

Answer 49

pt who is a danger to others

Question 50

What is breech of duty?

Answer 50

failure to report

Question 51

What is negligence?

Answer 51

action or inaction that can lead to harm