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

Strong reasons for living and robust social support networks are among the most consistently identified protective factors against suicide.

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

Serotonin syndrome's classic triad includes neuromuscular findings (clonus, hyperreflexia), autonomic instability, and altered mental status.

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

Aguilera and Messick's model identifies three balancing factors—perception of the event, situational supports, and coping mechanisms—that determine crisis resolution.

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

Most US states use a form similar to California's 5150 (or equivalent emergency detention certificate) to legally authorize involuntary psychiatric holds.

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

Least restrictive intervention with thorough documentation is required before escalating to more coercive measures.

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

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