Week 2 Exam: NR607 NR 607

Week 2 Exam: NR607 / NR 607

(Latest Update 2024 / 2025) Diagnosis & Management in Psychiatric-Mental Health III Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain

Question:

Antonia agrees to voluntary admission for evaluation and treatment. After searching the hospital system, the PMHNP finds that there is not an available inpatient bed for Antonia and that a bed may not be available for 24 hours or longer. Antonia states that she is not willing to remain in the emergency department for that long, and she instead wants to schedule an appointment with her counselor for the next day. Antonia states that she is willing to stay with her brother and his family in their home and will give him her prescriptions so that she does not have access to the bottles.Which of the following is the most appropriate recommendation for Antonia?

• discharge to home with resources for crisis care and recommendation for

follow-up

• increase sertraline to 75 mg daily
• 23-hour observation in the ED with Q15 minute checks
• involuntary admission

Answer: 1 / 3

discharge to home with resources for crisis care and recommendation for follow-up

Rationale: Antonia's symptoms indicate that she might benefit from

voluntary admission; however, since there is no appropriate inpatient bed, keeping her indefinitely in the ED for observation is not appropriate. Antonia can be discharged to the care of her brother with a safety plan, crisis resources, and a follow-up plan.

Question:

postvention

Answer:

-Responding to Grief, Trauma, and Distress after a Suicide

https://sprc.org/wp-

content/uploads/2022/12/Spotlight_Postvention_ResourceSheetv03.pdf

Question:

Serotonin Syndrome

Answer:

-medications cause excessive levels of serotonin to build up in the body.• antidepressants, illicit drugs, lithium, antibiotics.-Clinical symptoms typically occur within several hours of beginning a new

med or increasing dose of an existing med: 2 / 3

Symptoms:

-Neuromuscular abnormalities (greater in lower extremities) • Clonus • Hyperreflexia • Tremor • Seizure -Mental changes • Agitation • Pressured speech -Autonomic instability • Mydriasis • Tachycardia • Hypertension • Shivering • Diaphoresis • Diarrhea

Question:

Serotonin Syndrome Tx

Answer:

-discontinuing the causative medication -intensity of supportive tx depends on severity of symptoms

• / 3