NR 607 Week 8 Final Exam Study Guide
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• Admission criteria (select who should be admitted) • Voluntary vs. involuntary • Psychiatric hold criteria (select who should be admitted for hold ) • Use of seclusion Ethical considerations • Safety for others in specific settings • Informed consent (acceptance, exemptions, refusal of treatment guidelines) • Decision making capacity guidelines • Civil Commitment Use of restraints- selection criteria Week 2: Risk assessment – physical, environmental psychiatric emergency identification aggressive behavior • Early signs • Interventions AEIO risk assessment categories- be able to select appropriately in a case scenario De-escalation techniques – see week 2 at end of document Psychiatric Emergency management • Select appropriate next steps • Suicidal ideation management • Self harm management • Lithium toxicity Clozapine Initiation and what to monitor Serotonin Syndrome and neuroleptic malignant syndrome: differentiation • Physical signs • Medication management • See week 2 attached at the back of document Week 3: Schizophrenia • Support social programs • Medication adverse effect identification (presentations) • Medication AE management (muscular AE related to antipsychotic use) o Parkinsonism, tardive dyskinesia o Metabolic concerns related to medications- includes management. • Treatment failure • LAI- risks and benefits, initiation techniques • risk factors • treatment – includes CAM Traumatic Brain injury Chronic Encephalopathy risk factors and treatment 3. Recommended Resources • Textbook Chapters: o Boland, R., & Verduin, M. L.(2022). Kaplan and Sadock's synopsis of psychiatry (12th ed.). Wolters Kluwer. ▪ Chapter 5: Schizophrenia ▪ Chapter 11: Dissociative Disorders ▪ Chapter 12: Somatic Symptom and Related Disorders ▪ Ch. 25: Consultation-Liaison Psychiatry ▪ Ch. 26: Level of Care ▪ Ch. 27: Ethics and Professionalism ▪ Ch. 28: High-Risk Clinical Situations-hospitalization o Wheeler, K. (2022). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer. ▪ Chapter 17: Stabilization for Trauma and Dissociation o Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press. ▪ Ch 8: Anxiety, Trauma, and Treatment ▪ Review the following sections: ▪ Symptom The Amygdala and the Neurobiology of Fear ▪ Treatments for Anxiety Disorder Subtypes-PTSD ▪ Figure 8-5 posttraumatic stress disorder (PTSD) o American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed . text rev.). https://doi-org.chamberlainuniversity.idm.oclc.org/10.1176/ appi.books.9780890425787 ▪ Dissociative Disorders ▪ Somatic Symptom and Related Disorders o American Psychiatric Association. (2019). Treating women who have experienced intimate partner violence Links to an external site.Open this document with ReadSpeaker docReader . https://www.psychiatry.org/File%20Library/Psychiatrists/Cultural- Competency/IPV-Guide/APA-Guide-to-IPV-Among-Women.pdf o Carlat Podcast: Breaking down Tarasof f and our Duty to Protect .. https://www.thecarlatreport.com/podcast/breaking- down- tarasoff-and-our-duty-to-protect/ o DeAngelis, T. (2021). Menta l illness and violence: Debunking myths, addressing realities. . Monitor on Psychology, 52(3), 31. https://www.apa.org/monitor/2021/04/ce-mental-illness 4. Exam Logistics & Reminders • Platform: ExamSoft • Open/Closed Book: Closed • Proctoring Method: Assessment monitoring software with environmental scan • Assessment Integrity: You are expected to comply with the Student Code of Conduct, the Chamberlain University Technical Requirements found in the Academic Catalog, all University Assessment Requirements during testing, the third-party assessment platform’s End User License
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