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 symptom cluster in a trauma patient indicates acute stress disorder (ASD) rather than acute PTSD?
Answer: Symptoms occurring within one month of the traumatic event
ASD is diagnosed when PTSD-like symptoms occur within 3 days to 1 month following trauma; PTSD is diagnosed when symptoms persist beyond 1 month.
A patient presents to the ED after a suicide attempt by overdose. After medical stabilization, the PMHNP's priority assessment is:
Answer: Level of suicidal intent before, during, and after the attempt
Assessing the intent level before, during, and after the attempt provides critical information about ongoing suicide risk.
Neuroleptic malignant syndrome (NMS) is a psychiatric emergency characterized by which four findings?
Answer: Hyperthermia, muscle rigidity, autonomic instability, altered consciousness
NMS is characterized by hyperthermia, lead-pipe rigidity, autonomic instability, and altered mental status following antipsychotic use.
A PMHNP is conducting a safety planning intervention. Which element should be placed FIRST on the safety plan?
Answer: Warning signs that a crisis may be developing
Warning signs are placed first on safety plans so patients can recognize early signals and activate coping strategies before reaching crisis level.
Which antidote is given for benzodiazepine overdose in a psychiatric emergency?
Answer: Flumazenil
Flumazenil is a competitive GABA-A receptor antagonist that reverses benzodiazepine sedation and respiratory depression.
A psychiatric patient in crisis states, 'I have a plan and I have the means.' According to risk stratification, this patient is best classified as:
Answer: High risk
Having a specific plan with access to the means significantly elevates suicide risk to high, warranting immediate intervention.