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Emergency Nursing Orientation 3.0: Behavioral Health Emergencies
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Emergency Nursing Orientation 3.0: Behavioral Health Emergencies
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Emergency Nursing Orientation 3.0:Behavioral Health Emergencies
Which disorder is least likely to cause death related to bulimia?
A. Neuroleptic malignant syndrome
B. Cardiac dysrhythmias
C. Esophageal rupture
D. Electrolyte imbalances - -A. Neuroleptic malignant syndrome
Death related to bulimia can result from cardiac dysrhythmias, esophageal
rupture, or emetic-related electrolyte imbalances. Cardiac dysrhythmias are
related to electrolyte imbalances. Esophageal rupture can result from
persistent vomiting. Neuroleptic malignant syndrome is a life-threatening
adverse effect of antipsychotic medications—not bulimia.
-Which statement accurately reflects the guidelines for behavioral restraint
and seclusion of adults?
A. Ensure continuous face-to-face observation for the first hour of restraint or
seclusion.
B. Assess patient safety and well-being every 30 minutes after the first hour
of restraint or seclusion.
C. Use a remote camera to avoid being in the same room as the patient
during restraint or seclusion.
D. Expect the order to state, "Restrain as needed." - -A. Ensure continuous
face-to-face observation for the first hour of restraint or seclusion.
The patient requires continuous face-to-face observation during the first hour
of behavioral restraint or seclusion. Use of a remote camera is not
acceptable as a sole means of monitoring because the nurse needs some
face-to-face contact with the patient. Assess and document the patient's
safety and well-being every 15 minutes. Expect time-specific orders.
"Restrain as needed" is not acceptable because it is not time specific.
-A cachectic female patient, age 16, is admitted to the emergency
department. Which assessment finding should cause you to suspect anorexia
nervosa?
A. Hypoactivity
B. Flat affect
C. Excessive hair growth
D. Periorbital edema - -B. Flat affect
Patients with anorexia nervosa are likely to display a flat affect, decreased
hair growth, hyperactivity, and peripheral (not periorbital) edema related to
the effects of starvation.
, -For a patient who presents with mental status changes, what is the most
important reason an emergency nurse should conduct a complete
medication history?
A. Many commonly prescribed medications can cause mental status
changes.
B. Regulatory agencies require a medication history for all emergency
patients.
C. A determination of patient compliance with the medication plan is needed.
D. A determination of the patient's ability to afford prescribed medications is
needed. - -A. Many commonly prescribed medications can cause mental
status changes.
Many commonly prescribed medications can cause mental status changes.
Although obtaining a medication history and determining the patient's
medication compliance and ability to afford medications are all important to
know, mental status changes take precedence in this patient's treatment
plan.
-Which problem can precede the onset of schizophrenia?
A. Substance abuse
B. Head trauma
C. Depression
D. Anxiety disorder - -A. Substance abuse
Substance abuse has been implicated as a cause of schizophrenia as well as
a result. Abuse of a substance, particularly a sympathomimetic or
hallucinogenic drug, can precede the onset of schizophrenia. Head trauma,
depression, and an anxiety disorder do not precede the onset of
schizophrenia.
-When caring for a violent or homicidal patient in the emergency
department, what is the nurse's most important priority?
A. Psychiatric evaluation
B. Law enforcement intervention
C. Restraint of the patient
D. Safety of the patient and staff - -D. Safety of the patient and staff
The safety of the patient and staff is the most important priority when caring
for a violent or homicidal patient. Psychiatric evaluation and patient restraint
do not take priority over safety. Intervention by hospital security, not law
enforcement, may be warranted in the emergency department.
-In a patient who presents to the emergency department, signs and
symptoms of which problem warrant emergency psychiatric consultation?
A. Acute psychosis
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