NR 607 Midterm Exam | Diagnosis &
Management in Psychiatric-Mental
Health III Practicum Exam Study Guide
| Chamberlain
PTSD risk factors
- Correct Answer - -Complex symptoms of PTSD-common in clients who
have experienced
--childhood trauma,
--including sexual abuse,
--persons who have been unable to leave a violent situation,
--prisoners of war
--prolonged intimate partner violence
--victims of human trafficking.
tx for ptsd
- Correct Answer - -cognitive processing therapy (CPT)
-prolonged exposure (PE)
-A flexible, modular program: Skills Training in Affective and
Interpersonal Regulation (STAIR)
--allows pts the choice in identifying target problems /interventions
traumatic brain injury (TBI)
- Correct Answer - -alteration in normal brain function following some
type of trauma to the head.
-most improve w/in days-wks
,--some TBIs-result in mild, moderate/severe sxs for months-years and
may cause lasting disability.
-Repeated TBIs =lead to poorer outcomes, including chronic traumatic
encephalopathy!
define psychiatric emergency
- Correct Answer - -involve acute disturbances in thought, mood,
behavior /social interactions that negatively impact a pt's abil to function
in their environment and require immediate intervention to keep the
pt/others from harm
--a state of crisis that has overwhelmed their coping mechanisms
psychiatric emergencies occur when
- Correct Answer - -a danger to self
-a danger to others
-unable to meet their own basic needs for food/clothing/shelter d/t a
psychological impairment
common psych emergencies
- Correct Answer - suicidality, acute psychosis, agitation and aggression,
mania, substance-related concerns, decompensation r/t personality d/o,
severe anxiety, and med-related emergencies
early signs of aggressive behavior
- Correct Answer - threatening comments, clenched fists, shifts in body
position towards a fighting stance, loud vocalizations, agitated
movements / striking inanimate objects
interventions for aggressive behavior
,- Correct Answer - When aggression is unavoidable- prioritize security,
sedation, and supervision
AEIO risk assessment categories
- Correct Answer -
Agitation/Arousal: sit still? pacing? demonstrating aggressive
behaviors?
Environment: Is the pt in a safe location? Id potential exits, equipment
in the room, and the distance of the room from the rest of the unit.
Intent: pt have thoughts of harming themselves or others? pt having
psychotic experiences that may cause them to harm themselves/others?
Objects: pt have access to firearms, blades, medications, lighters, or
clothing items that could be used to harm themselves/others?
de-escalation techniques
- Correct Answer –
-is a first-line response to potential violence/ aggression in healthcare
settings
-aka conflict resolution/crisis management, involves strategies and
techniques to reduce a pt's agitation/aggression
--Clear, calm, empathetic, nonjudgmental communication
--Respect for personal space
--Non-confrontational approach
--Non-threatening nonverbal communication
--Response to pt's expressed problem/condition
--Clear limits
--Environmental controls: minimizing light, noise, and loud conversations
suicide warning signs
, - Correct Answer –
-A sense of hopelessness or no hope for the future
-Isolation/feeling alone
-Aggressiveness and irritability
-Possessing lethal means
-Feeling like a burden to others
-Drastic changes in mood and behavior
-Frequently talking about death
-Self-harm, like cutting behaviors
-Engaging in "risky" behaviors
-Making funeral arrangements
-Giving things away
-Substance abuse
-Making suicide threats
-Negative view of self
SAFE-T
- Correct Answer –
-- Suicide Assessment Five-Step Eval and Triage
-Identify risk factors
-Note those that can be modified to reduce risk
-Identify protective factors
-Note those that can be enhanced
-Conduct suicide inquiry
-Suicidal thoughts, plans, behavior, and intent
-Determine risk level/intervention
-Determine risk
-Choose appropriate intervention to address and reduce risk
