Crisis Intervention and Emergency Psychiatry Flashcards
6 cards from real Psychiatric-Mental Health Nurse Practitioner Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Crisis Intervention and Emergency Psychiatry flashcards as text
Which protective factor most strongly reduces suicide risk during crisis assessment?
Answer: Reasons for living and strong social support
Strong reasons for living and robust social support networks are among the most consistently identified protective factors against suicide.
A patient experiencing a serotonin syndrome crisis would most likely present with which triad of symptoms?
Answer: Neuromuscular abnormalities, autonomic instability, altered mental status
Serotonin syndrome's classic triad includes neuromuscular findings (clonus, hyperreflexia), autonomic instability, and altered mental status.
Which crisis intervention model focuses on assessing the patient's perception of the event, available supports, and coping mechanisms?
Answer: Aguilera and Messick's Balancing Factors Model
Aguilera and Messick's model identifies three balancing factors—perception of the event, situational supports, and coping mechanisms—that determine crisis resolution.
A PMHNP is completing a psychiatric hold. Which document must be completed to initiate involuntary evaluation in most US states?
Answer: 5150 or equivalent emergency detention certificate
Most US states use a form similar to California's 5150 (or equivalent emergency detention certificate) to legally authorize involuntary psychiatric holds.
During a manic crisis, a patient refuses medication and is destroying property. Which intervention is the MOST appropriate next step?
Answer: Initiate a least restrictive intervention and document behaviors
Least restrictive intervention with thorough documentation is required before escalating to more coercive measures.
A PMHNP identifies a patient as having homicidal ideation toward a specific person. Under Tarasoff duty, the clinician must:
Answer: Warn the identified victim and notify law enforcement
The Tarasoff ruling established the duty to protect identifiable potential victims, including warning them and notifying law enforcement.