1. What is resilience
The process of adopting to Trauma
The ability to obtain resources they need to support the clients well being
2. A patient is experiencing marked distress. What does this patient most likely have?
Most likely has a mental illness
3. A patient is showing signs of a mental disorder. What is the nurse's primary intervention
to ensure the good health of the patient?
Administer medication
Other considerations→ How can a patient be cured? The patient is corrected by
increasing personal insight and understanding
Other considerations→ The goal for the mental health patient is to→ Get them back to a
level to where they can function and complete ADL’s/ Work
4. What does the DSM-5 provide? (KNOW)
Provides criteria for psychiatric disorders and the development of comprehensive
and appropriate interventions
5. A patient does not want to take their medications and tells the nurse, “I will not take the
medications.” What is the nurse primary action?
DO NOT ADMINISTER MEDICATION
6. Review Sigmund Freud and Ericksons
7. Know Harry stack sullivan's theory
8. A patient is severely mentally delayed. Which of the following behavior therapies does
the nurse not want to do?
Modeling
Systematic desensitization
Other considerations→ The nurse should enforce operant conditioning. Offering rewards
is a great way for ALL types of people “I will give you a cigarette if…”
9. A patient has a history of alcoholism. The patient has been prescribed Disulfiram
(antabuse) to make the patient feel nauseous and feel headaches when drinking alcohol.
What kind of behavior therapy is this?
Aversion Therapy
Other considerations→ DO NOT USE FOR MENTALLY DELAYED
10. KNOW THE ORDERS OF MASLOWS
11. A patient is on restraints. Which of the following is the patient lacking in humanistic
theory (Maslows)?
Lacking Physiologic needs
12. . A patient is on a 5150. How long does this last for the patient?
72 hours
13. . A patient has been put on a hold for 5150. The nurse states “ I want to leave and I do
not want to harm myself anymore.” What is the nurse's primary intervention?
Tell the patient that they CANNOT leave
Reasoning→ Patients on a 5150 must stay for a minimum of 72 hours
14. A patient has been admitted to the ED for mental health issues. Which of the following
are reasons a patient would be admitted for mental health issues? (SATA)
DTS→ Danger to self (actively suicidal)
DTO→ Danger to others (confusion present/ wanting to harm others)
GD→ Gravely disabled (cannot meet basic needs to care for themself)
15. A patient daughter was brought into the ED by the parents. What type of hold is this?
Voluntary hold
16. A patient was put on a 5150. 72 hours have passed. What happens when the hold
expires?
Physician may as for pt to sign for voluntary
17. A patient is put on a 5250. How long does a 5250 last for?
14 days
18. A patient is put on a 5270. How long does a 5270 last for?
30 days (most common in the hospital)
19. A patient has been put on a 5150, 5250, 5270. How long has the patient been on a hold
for approximately?
40 days
20. A patient has been put on a hold for a 5270. Post 5270 the patient is still not meeting
basic needs to take care of themselves and is experiencing severe mental health issues.
What action will take part for the patient?
Conservatorship
21. A patient is on a conservatorship. How long does this last for the patient? (know)
1 year→ 365 days
22. A patient is in conservatorship. The patient is denied medication and tell the nurse “ I do
not want to take my medication, it does not work.” What is the nurse's primary action?
Administer medication
Reasoning→ Patient on conservatorship DO NOT HAVE the right to deny
medications
23. A patient is in conservatorship. The patient is denying medication and is starting to
become aggressive. What should the nurse prepare to to do?
Administer IM injection (Haul Dolls)
24. A patient has entered the ED on a 5150 hold. The patient is stating “ I don't want that
medication.” The patient came in involuntarily. What is the nurses primary action.
Do not administer the medication
Other considerations→ Patient on a 5150 HOLD are not required to take medication.
Patients are only required to take medication if they’re under conservatorship, Riese,
emergency situations
25. A patient cam in on a 5150. The patient was seen breaking windows at a 7-11. They’ve
been at the hospital for 7 days. After the 7 days. The patient mental status is
progressing. The nurse should understand that which of the following will most likely be
the next steps for the patient?
Riese hearing
Other considerations→ KNOW patient on a Riese hearing cannot refuse medications
26. A patient is in the ED and is becoming to take violent actions. The patient is hitting and
screaming at everyone. What is the nurses primary action?
Call back up
Other considerations→ The nurse should also prepare to administer a 10-2-50 (haldol)
27. A nurse is preparing to administer a 10-2-50. The nurse should understand that which
medications are needed to create the 10-2-50?
Haldol-ativan- diphenhydramine
28. A patient is about to administer haldol to a patient. The nurse should understand that
which of the following adverse reactions can be caused by the administration of the
medication?
EPS
29. A nurse should understand that the nurse has rights. Which of the following are rights of
the patients?
Right to be treated with dignity
Right to be involved in planning and decisions
Right to refuse treatment→ including medications
Right to leave
Right to be protected against harming oneself
Right to timely evaluation, upon involuntary hospitalization
Right to legal counsel
Right to social activities and recreation
Right to communicate privately
Right to LEAST RESTRICTIVE MEANS OF TREATMENT
Right to choose or refuse visitors
Right to be informed of research and to refuse to participate
Right to the least restrictive means of treatment
Right to send and receive mail and to present during and inspection of any
packages received
Right to keep personal belongings (unless dangerous)
Right to lodge a complaint through a plainly publicisized procedure
Right to take part in religious workship
30. Know the Basic principles
- Beneficence→ To do good for others
- Autonomy→ To allow the patient to take personal actions
- Justice→ To treat everyone fair
- Fidelity→ To keep promises
- Veracity→ To tell the truth/ honesty
31. An 18 year old patient has been ordered restraints. The nurse should understand how
long the restraints can be kept on for a maximum length of which of the following?
4 hours
32. When a patient is on restraints and can understand basic commands. The patient is in
an overall good mood and calm. The nurse should understand that which of the following
actions is a priority?
Remove the restraints
Reasoning→ When a patient is able to understand/ obey commands this is a good
indication to remove restraints
33. A patient has been ordered to be put on restraints. The nurse should understand when
they need to renew the order for restraints by the doctor?
Q 24 hours
34. What is the goal of Peplau's theory?
All social interactions decrease social anxiety
35. What is Tarasoff?
A rule that allows to notify 3rd party of threats
36. A child is ordered to be put on restraints due to being aggressive and pulling IV’s out
during medication administration. The doctor orders us to put restraints onto the patient.
The nurse should understand how long the restraints should be administered for?
1 hour limits
Reasoning→
18+ → 4 hours max
9-17→ 2 hours max
< 9 years old → 1 hours
Theories
Erikson's Theory
Goal→
1st stage- Trust vs. mistrust (“When I cry, will someone come”)
age → (0-1 ½ yrs) INFANT
2nd stage-