Week 1 Exam: NR607 / NR 607
(Latest Update 2024 / 2025) Diagnosis & Management in Psychiatric-Mental Health III Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Acute inpatient care
Answer:
short-term treatment to provide care for acutely ill clients who are unable to meet basic needs due to a mental health condition or are at risk of harming themselves or others -focus is crisis stabilization -may be voluntary or involuntary
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Question:
Voluntary Admission
Answer:
-when a client & provider agree that client's symptoms meet criteria for inpatient hospitalization & the client may benefit from admission -client will sign consent form agreeing to a hospital stay in a locked unit -not require a psychiatric hold • if client requests discharge & provider determines the client is not yet safe, the provider may initiate an emergency involuntary hold
Question:
Involuntary Admission
Answer:
-when a client does not agree to hospitalization -an evaluation by a mental health professional indicates that the client may be at high risk of harming themselves or others -Other terms denoting an involuntary admission include involuntary commitment, psychiatric hold, or civil admission -most states, clients can be held for up to 72 hours involuntary if deemed an imminent threat • Providers must perform & document a detailed eval & a risk assessment.
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Question:
Involuntary civil commitment
Answer:
-legal intervention directed by a judge to order a person with serious symptoms of continued danger to self or others, grave disability, or serious deterioration to either remain in a psychiatric hospital or attend supervised outpatient treatment for a period of time -maximum length of inpatient commitment varies by state -Outpatient commitment, or assisted outpatient treatment (AOT), may consist of supported housing, intensive case management, medications, and frequent therapy • tx may last for 6 to 12 months.
Question:
Approximately ____% of clients with serious mental illness are committed involuntarily each year after a psychiatric hold
Answer:
0.1%
Question:
Standards for Involuntary Commitment (Assisted Treatment) State-by-State
Answer:
https://mentalillnesspolicy.org/national-studies/state-standards-
involuntary-treatment.html 3 / 4
Question:
Keith is a 35-year-old who presents to the crisis clinic with his wife, who is very concerned about Keith's recent behavior. He believes his neighbors have been spying on him using technology acquired from a secret government source. He is agitated and states, "I just have to take them out. I can't have them looking at us anymore. I'm going to have to build a blaster to take them out." Keith's wife confirms that there are no weapons in the home. Keith is willing to initiate treatment but does not want to be admitted as an inpatient at this time.Does Keith require an emergency psychiatric hold?
- Yes
- No
- varies according to state legislation
Answer:
no
Rationale: Keith does not meet the criteria for an emergency psychiatric
hold. Although he is experiencing active delusions, his behavior does not threaten the safety of himself or others. Education, resources, and a plan for follow-up care should be established.
Question:
Dakota is a 24-year-old who presents to the emergency department with his sister. He endorses taking a "handful" of pills after a fight with his boyfriend.He states that he regrets taking the pills, and he does not want to end his life.He denies active suicidal ideations or a plan. Dakota plans to stay with his sister for the next few days.
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