When does the C-SSRS NOT need to be completed?

When the patient has a RASS of </=-2

When is not a time something should be escalated?

your patient complains of hunger when NPO for a procedure

What will be ordered to treat a high CIWA Ar score?

Phenobarbital and a benzodiazepine

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Prisma Health Behavioral Health 2025

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Questions 21

Answers

1
Who consents for a patient who does not have a healthcare power of attorney when unable to consent for themselves?
First born child, when spouse is estranged
Estranged Spouse
Parent, when spouse is estranged
Parent, when divorced and adult child
2
What is NOT an element to consider when structuring the conversation?
Setting/Channel
Use of "I think or I believe"
Finding a shared meaning/purpose
Practice conversation
3
The CIWA-Ar assessment is for what type of withdrawal?
Barbiturates
Heroin
Alcohol
Nicotine
4
Who should be in the room when the C-SSRS assessment is completed?
Primary nurse and patient only
Patient and loved ones
Patient and 4 other nurses helping to admit the patient
No one, let them answer the questions on the computer without you present
5
There is a Prisma Health policy on Chain of Command and Physican Notification.
False
True
6
Your patient would like to fill out a Power of Attorney. Who do you contact?
Social Work Department
Ethics Committee
Patient Advocacy
Spiritual Care Department
7
When does the C-SSRS NOT need to be completed?
When the patient has a RASS of </=-2
When the patient is over 75
When the patient is under 25
When the patient is being admitted post-suicide attempt
8
How many times do you need to press the Strongline badge button to call security to your area?
2, within 5 second
5
2, within 2 seconds
2, within one shift
9
What is the proper chain of command?
AOD, NM, ANM, CN
CN, ANM, NM, AOD
NM, ANM, CN, AOD
Administrator on Duty, Assistant Nurse Manager, Nurse Manager, Charge Nurse
10
What are elements of a crucial conversation?
All of the above
High stakes
Strong emotions
Varying opinions
11
What is the score range of the Broset Violence Checklist?
0-3
0-6
0-15
0-9
12
When is a C-SSRS assessment to be completed?
Only if they have a history of suicidal ideation
On day 2 of admission
Never
Upon admission
13
When is not a time something should be escalated?
non-adherence to organizational policies, procedures, and/ or standards
emergent patient safety issues
your patient complains of hunger when NPO for a procedure
noncompliance in responding to the request to protect patient safety
14
What will be ordered to treat a high CIWA Ar score?
Phenobarbital
Phenobarbital and a benzodiazepine
Barbiturate
A benzodiazepine
15
When does a patient need to be observed while on suicide precautions?
All of the above
Only when a patient observer is available
Only when the patient is hearing voices encouraging them to self-harm
When sleeping
16
Your patient needs a walker and bedside commode for discharge home. Who do you contact?
Patient Advocacy
Social Work Department
Lippincott
Ethics Committee
17
Who is someone you may need to have a difficult conversation with?
Care team
Providers
Family
All
18
A tele-sitter can be used for a suicide prevention patient.
False
True
Only if the patient is close to the nurse's station as well
Depends on patient sitter availability
19
What rights to involuntarily committed patients lose upon admission?
Right to a Patient Advocate
Right to Information
Right to Leave AMA
Right to Refuse Treatment
20
Where does the Strongline badge work?
Medical clinic offices
Hospitals and parking garages
Only patient rooms of hospitals
All areas of hospitals
21
What should you do to stay safe when a patient is escalating?
Stay at a safe distance.
Work by yourself in the situation
Yell at patient to stop their actions
Maximum stimuli to confuse patient

Prisma Health Behavioral Health 2025 Flashcards | StudBud