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Behavioral indicators of victims of abuse include all of the following EXCEPT:

Emotional abuse includes:

High risk behaviors of caregivers may include:

High risk family system indicators include all of the following EXCEPT:

Immersion burns generally have a well-defined delineation indicating the depth to which the body part was immersed.

Indicators of physical abuse include:

Risk factors for abuse include:

Signs of Exploitation DO NOT include:

Signs of Neglect may include:

When suspecting a patient is the victim of abuse, staff should first notify:

Although developing at a faster physical rate than their peers can cause anxiety and frustration, girls often have a more difficult time dealing emotionally with the changes.

Each of the following are considered a normal part of the social development of an adolescent except:

It is important to have open and honest communication about sexuality with the adolescent because:

Since testing boundaries is a normal part of emotional development, consistent rules and boundaries set by adults can often interfere with normal development.

The “growth spurt” for a boy comes a few years earlier than that for a girl.

Which of the following are considered normal emotional growth in the adolescent:

Which of the following will help encourage positive and healthy cognitive development:

A skin assessment is performed by the RN and documented on the Nursing Admission Assessment Form.

Car keys, medications, and any item that could be used as a weapon will
be secured in a locker while a patient participates in the out-patient
program.

Do not encourage the patients to participate because some of them won’t want to attend group.

During the admission body search the patient is to change into a hospital gown removing all outer and underwear for the procedure.

During the admission body search two staff members MUST be present.

Elderly people may prefer the words “discussion” or “class” rather than “group”.

Group should last as long as patients want to talk.

Groups have three stages. Approximately how long should the first stage last?

Groups should have a topic.

Involuntary patients have the right to refuse to submit to any search.

It is not important to have the group on a specific schedule since it is considered a fun activity.

Refusal of a voluntary patient to undergo the search protocol may result in the patient not being voluntarily admitted.

Searches “for cause” should have a doctor’s order and shall have two staff present.

Searches are performed prior to leaving a patient unattended in locked seclusion or at the time of being placed in mechanical restraint.

Several factors are important when planning a group. Which of the following is not?

The Exam Room door is to remain shut during the admission search to protect the patient’s personal privacy and dignity.

The leader can also have behaviors that have a negative effect on the group.

The third stage or “wrap up” stage should last approximately how long?

There is no need for a search after the patient returns from an emergency pass.

Which of these patients is not appropriate for group?

Elderly people may prefer the words “discussion” or “class” rather than “group”.

Group should last as long as patients want to talk.

Groups have three stages. Approximately how long should the first stage last?

Groups must always have a co-leader.

Groups should have a topic.

Several factors are important when planning a group. Which of the following is not?

The main group the nurse will be leading is a Self-help/Support group.

The third stage or “wrap up” stage should last approximately how long?

There are many different kinds of groups. Which ones are nurses likely to lead?

Which of these patients is not appropriate for group?

Although many of the symptoms are similar, Dementia and Delirium cannot coexist.

Dementia generally has a slow onset, while Delirium has a rapid onset, often hours or days.

Dementia, Delirium and Depression can have many of the same causes and exhibit similar symptoms.

Diagnostic criteria for Dementia include:

Memory problems that may suggest Alzheimer’s include:

Normal memory problems include:

Which of the following are considered irreversible causes of Dementia?

Which of the following are considered reversible causes of Dementia?

Which of the following is an etiology of Dementia?

Which of the following is/are techniques important to use with patients with Dementia?

A patient’s inability to function and carry out activities of daily living is not admission criteria since there is no danger to self or others.

Documentation is important for the following reasons:

Documenting words/phrases such as “attention seeking” and “med seeking” are very important because all disciplines will clearly understand the patient’s problems.

It is most important to document patient’s need for continued stay in the:

Patients with hallucinations should always be hospitalized because they are clearly psychotic.

Progress notes do not need to identify specific problems identified by the team because they are found in the master treatment plan.

Progress notes should always contain which of the following:

Severe weight loss could not be criteria for admission to a psychiatric unit because it is a medical issue.

The “first line of defense” in documenting medical necessity for admission is the:

After an elopement staff may begin a search for the patient in the local neighborhood area.

All of the significant information and actions taken are recorded in the progress notes.

Failure to return in 24 hours will result in a discharge of the involved patient.

If a patient is voluntary the physician may decide to continue the search and hold the bed for 24 hours or discharge the patient.

If a patient leaves BHS grounds without authorization it is considered elopement.

Involuntary patients are considered as “at risk for elopement”, thus limiting unsecure outside activities.

Post an actual elopement event, the RN is to contact the attending physician or their physician-designee for immediate instructions regardless of the legal status of the involved patient.

When the patient returns, he/she is checked for injuries and contraband via the body search and skin assessment.

According to Erikson’s theory, challenges or conflicts that are not successfully resolved in a particular stage can reappear as problems in future stages.

During what stage do individuals become more intimate with others, form comfortable relationships and feel a sense of commitment and safety within a relationship?

During which stage do we reflect on our lives and evaluate our accomplishments?

Maladaptive behaviors or personality traits such as having “limited moral principles” or “being without compassion” does not develop until the Young Adult Stage.

Our ego identity is constantly changing throughout our lives due to new experiences and information that we acquire in our interactions with others.

Our sense of trust first begins developing during which age range or stage?

Promiscuity is a maladaptive behavior that can result when there is unsuccessful completion of the Young Adult Stage (Intimacy vs. Isolation).

Which characteristics are true of the Middle Adult Stage (Generativity vs. Stagnation)?

Fall prevention strategies include all of the following except:

Falls in the elderly most commonly occur during activities that are:

Falls in the home most commonly occur in:

Identification of persons at risk for falls is the responsibility of the:

Intrinsic factors that contribute to falls include:

Most elderly patients who fall:

Normal physiological changes of aging that predispose the elderly to falls include:

The most common site of fracture sustained after a fall in older persons is the:

The nursing evaluation of a patient who sustained a fall needs to include:

The relationship of medication use to falls in the elderly is:

Fall prevention strategies include all of the following except:

Falls in the elderly most commonly occur during activities that are:

Most elderly patients who fall:

Most falls in the elderly are predictable, preventable and not due to normal aging

The most common site of fracture sustained after a fall in older persons is the:

Although many older adults routinely complain of pain, only approximately 25% actually suffer from pain as a result of a medical issue.

Assessing the patient’s dentures, chewing and swallowing is all part of the nutritional assessment.

Depression is often reported as somatic complaints but the patient denies being depressed.

Grief is a normal emotional process unless it interferes with the activities of daily living.

Interruptions in sleep can be caused by the following:

Pneumonia is one of the leading causes of death in the elderly.

Postural hypotension is a side effect of medications only and not a normal part of aging.

The same symptoms associated with a heart attack can also be seen in which of the following disorder?

Treatment for Osteoporosis includes:

Women often present with different symptoms of a heart attack than a man.

All the following behaviors are clues a patient may be getting agitated except:

Ancillary Department Staff (dietary, housekeeping) should help the Psychiatric unit staff with an “acting out” situation.

Housekeeping staff can leave their cart unattended in the hallway when entering the patient’s room for cleaning.

If a patient becomes very angry and agitated, staff should demand in a loud voice that they calm down?

If a patient is “aggressively acting out” and threatening the staff, you
should:

If a staff member observes a patient becoming angry or upset, the staff should:

Patients coming through the Emergency Department do not need their belongings searched after they arrive on the Psychiatric Unit.

When checking a patient’s belongings, staff may note items they have but should never take items away from them.

Which of the following actions should not be used as a first step to calm an upset or potentially violent patient?

Which one of the following statements are true?

A loud and stimulating environment is very therapeutic because many of the patients are admitted with depression.

Goals of a therapeutic milieu include:

Milieu therapy consists of a structured environment where the staff is clearly in charge and patients are continuously reminded about hospital policies and that they must follow the rules.

Staff behaviors that can be toxic to the milieu include:

Which of the following are true?

Axis I disorders include:

Axis III includes physical and medical disorders that can influence Axis I.

The DSM IV is the standard used by mental health professionals and includes the following:

To capture the complexity of mental disorders, the DSM IV focuses on five dimensions of mental disorders known as the multiaxial assessment.

Which of the following are true?

A patient must require “active treatment” for their psychiatric disorder in order to be admitted.

All of the following are Axis I diagnoses except:

All of the following make hospitalization necessary except:

If the patient’s medical needs take precendence over their psychiatric needs, they may not be admitted.

It is necessary to assess a patient’s medical condition when doing a pre-admission screening.

Psychiatric hospitalization would be appropriate for a patient who:

The decision to admit a patient to the inpatient psych unit must be made by a staff psychiatrist.

The patient meets criteria for inpatient admission if he/she has been taking illegal drugs for the last year.

What documentation is not necessary to justify admission?

Which of the following symptoms are not associated with major depression?

A violation of boundaries can result in a report being made to the licensure board. This is an example of what type of violation?

Addressing the patient as “Honey” or “My friend” is an appropriate intervention to help gain trust and develop a therapeutic relationship.

Areas of concern related to professional boundaries include:

Helpful actions to prevent or correct boundary violations include:

Patient traits that could make them more vulnerable to boundary violations include:

Potential boundary consequences to the patient include:

Professional boundaries can be described as the unspoken physical and emotional limits of the relationship between staff and the patient.

Using frequent hugs and touch as an intervention for patients who feel worthless or unloved can be very therapeutic. This is not considered a boundary violation.

You gave a patient your personal phone # and told them to call if they “need” you. This is a violation of professional boundaries.

A patient with dementia is unable to recognize a familiar object, such as a watch. This is known as:

What term is used to describe a patient who eats substances that have no nutritional value, such as dirt or paper?

What term is used to describe the disorder when two people, often dependent upon one another (such as a mother and daughter), have a shared psychosis?

What term is used when a patient exhibits a nearly continuous flow of rapid speech with sudden changes from topic to topic that is usually based on distracting stimuli?

When a patient digresses in replying to a question and the response has superficial relevance to the original question or subject of the conversation, this term is known as:

“Growing old” is a stereotypical phrase that is universally spoken with respect.

According to Erikson, if the older adult is successful in the last stage of life, he/she will feel a sense of fulfillment and meaning in the world.

Although the older adult can learn new information, solving new problems can be very difficult if the person has no previous experience with solving that problem.

Although the speed of learning may decline, the elderly are able to learn new things.

During one to one interactions with the patient, it is important to allow enough time for the patient to think and respond.

It is never a good idea to give an older adult choices since they are unable to process too much information and easily become confused and overwhelmed.

It is normal for an elderly person to become withdrawn when he/she cannot process all of the information and stimulus in the environmental.

It is normal for an older adult to become more decisive and have a strong sense of self-worth but become more introverted with age.

Knowledge and experience that has been collected and stored in the brain over several years is generally first to decline or disappear as a person’s cognitive ability declines.

The older adult should not be encouraged to use past experiences to solve problems since they need to learn new coping skills.

A patient is being given Abilify to achieve control of the acute psychotic symptoms. Which of the following would not be a side-affect of the drug?

Advantages of the SSRI antidepressants over other classes of antidepressants include:

After long term antipsychotic therapy, some patients develop a syndrome characterized by purposeless repetitious movements of the face, tongue and extremities called:

Depakote and Tegretol are anti-convulsant medications frequently used in the treatment of mood disorders.

Patients taking MAOI drugs risk hypertensive crisis if they eat foods containing tyramine, such as:

PRN anti-cholinergic medications of choice for alleviating extrapyramidal symptoms are:

SSRI’s are used for treatment of depression. Which side effects would you expect to see most commonly?

Symptoms of Lithium toxicity that should be reported to the physician include:

Tricyclic antidepressants are the first choice in treating the elderly because they have no sedative effects

Two major side effects of Prozac are decreased appetite and decreased libido.

Advantages of the SSRI antidepressants over other classes of antidepressants include:

After long-term antipsychotic therapy, some patients develop a syndrome characterized by purposeless repetitious movements of the face, tongue and extremities called:

Anti-cholinergic medications are used for:

Depakote and Tegretol are anti-convulsants sometimes used in the treatment of mood disorders.

Lithium is the primary medication used to treat:

Neurontin is often used in Adolescents for anxiety because it is not addictive.

SSRI medications are the frontline or first choice in treating Adolescents for depression.

Which of the following medications are used for symptoms of psychosis?

Which of the following medications is commonly used for ADHD?

Which of the medications below are considered stimulants?

An example of a participation restriction would be _______________________

Currently the 75% rule is set at _______________% compliance for all admissions to the rehab facility.

The following legislation have shaped rehabilitation structure since the early 1980’s EXCEPT:

The pre-screen assessment or evaluation is a time sensitive document that must be completed within a _______________ hour (day) time frame prior to the admission.

The rehab physician must validate the patient’s pre-screen evaluation information within 72 hours of the patient’s admission.

The World Health Organization defines an activity as ___________________________

_______ moves the stool along the gut and is influenced by the ANS (autonomic nervous system), activity, recent intake of food, and some medications.

A spinal cord injury rehab patient with injury above T10-L2 (UMN) would be expected to experience what type of neurogenic bowel and bladder.

Functional ADL training and support could perhaps be the key to a successful continence management program. What following intervention(s) would be beneficial for ensuring a positive outcome?

In an “overflow” urinary incontinence, the primary issue or reason for incontinence is:

Management of continence requires the approach of an interdisciplinary team?

Post residual voids are used to determine…

The desired outcomes for a bladder management program would consist of the following goals:

The following focus areas would be beneficial when evaluating or assessing incontinence problem in a rehab patient.

The following populations are at risk for developing bladder and bowel continence/management issues:

The urinary/bowels external sphincter is straited muscle and under voluntary control via the pudendal nerve which exits the spinal cord at what level:

All of the following are types of strokes except:

Controllable risk factors in the development of diseases processes that often lead to stroke include all of the following except:

Expressive aphasia usually indicates damage to which area of the brain in most individuals?

Hemorrhagic strokes account for 10-15% of all strokes and actually are associated with a higher mortality rate than a cerebral infarction?

If a patient demonstrates right-sided DAMAGE; which cluster of deficits would the rehab team members be most likely to see?

Patient centered rehabilitation goals or the initial plan of care for an inpatient rehabilitation unit should be established and documented in the rehab record by day _____ of the rehab stay?

Patient who demonstrate a receptive aphasia (Wernicke’s type aphasia) would be able to produce verbal language but the content would be meaningless; often incorrect or inappropriate content?

Patients who suffer from a stroke often demonstrate an inability to concentrate or have a decreased attention span. An intervention rehab team members can use to assist the patient would be:

Which of the following arteries if became blocked would result in increased deficits in the upper extremities such as an arm (either right or left involvement)?

Which of the following deficits would prove most challenging when teaching safety compensation techniques?

Based on the case study, what criteria/intensity qualify him for inpatient rehabilitation services

Rehab specific admissions orders are required to document and support the patient’s need for rehabilitation level of intensity and to meet the patient’s specific rehabilitation and medical needs.

The most recent CMS guidelines/regulations specific for rehab documentation was implemented on records discharged after:

Therapy must be initiated within 36 hours of midnight of day of admission and the initial plan of care must be documented within ____ days of admission.

Which of the following documentation entries would be considered “non-supporting or lacking quality medical or functional information”:

Which of the following information would a rehab team member include in daily progress notes:

“Trial admissions” of 3-10 days used to determine the patient’s appropriateness to rehabilitation are allowed under the new changes?

“Mirror treatment” (using mirrors to mirror a missing limb) can be utilized to treat…

A patient who has experienced damage or had a part of the hippocampus (deep brain structure) removed would most likely have deficits related to

An inability to interpret or understand language is referred to ______ aphasia

If a patient has damage to the right side of the brain, most specifically the parietal and/or occipital lobes, what would you expect the patient to have difficulty distinguishing?

Pain registering neurons in the cortex can become sensitized so that they produce the experience of pain even when there is no external source or cause of pain.

The “WADA” test can be utilized to determine