Psychiatric-Mental Health Nurse Practitioner Exam Crisis Intervention and Emergency Psychiatry 2

Question 1

Which protective factor most strongly reduces suicide risk during crisis assessment?

Accepted Answer

Reasons for living and strong social support

Answer

Financial stability

Answer

Previous psychiatric hospitalizations

Answer

Current antidepressant use

Question 2

A patient experiencing a serotonin syndrome crisis would most likely present with which triad of symptoms?

Accepted Answer

Neuromuscular abnormalities, autonomic instability, altered mental status

Answer

Bradycardia, hypothermia, miosis

Answer

Rigidity, fever, elevated CK from neuroleptic malignant syndrome only

Answer

Sedation, respiratory depression, pinpoint pupils

Question 3

Which crisis intervention model focuses on assessing the patient's perception of the event, available supports, and coping mechanisms?

Accepted Answer

Aguilera and Messick's Balancing Factors Model

Answer

Roberts' Seven-Stage Crisis Intervention Model

Answer

The ABC Model of Crisis Intervention

Answer

Caplan's Crisis Theory

Question 4

A PMHNP is completing a psychiatric hold. Which document must be completed to initiate involuntary evaluation in most US states?

Accepted Answer

5150 or equivalent emergency detention certificate

Answer

Advance directive

Answer

HIPAA release form

Answer

Competency evaluation

Question 5

During a manic crisis, a patient refuses medication and is destroying property. Which intervention is the MOST appropriate next step?

Accepted Answer

Initiate a least restrictive intervention and document behaviors

Answer

Wait for the episode to resolve naturally

Answer

Discharge the patient immediately

Answer

Ignore the behavior to avoid reinforcing it

Question 6

A PMHNP identifies a patient as having homicidal ideation toward a specific person. Under Tarasoff duty, the clinician must:

Accepted Answer

Warn the identified victim and notify law enforcement

Answer

Maintain confidentiality and document only

Answer

Refer the patient to social work only

Answer

Increase medication doses and monitor