Prioritizing Patient Safety Concerns
10. A 65-year-old female was discovered in her apartment by police, who
called an ambulance for transport to the hospital, after her neighbors had
not seen her in several days. The patient received IV hydration, and her
labs show microcytic hypochromic anemia. She is admitted to inpatient
psychiatry for evaluation and treatment of what is thought to be a
hoarding disorder. Which need is of primary concern to the PMHNP?
A. Adequate nutrition, hydration, and safety planning
B. The patient feeling a sense of belonging
C. The patient attends psychosocial rehab groups
D. The patient requires forms for the Family Medical Leave Act
Prioritizing Patient Safety Concerns
11. A 60-year-old man with alcohol use disorder in remission presents to the
psychiatric ED and is very distraught. He tells the PMHNP that he was at
his daughter’s wedding and called upon to make a toast. The waiter had
handed him the champagne glass, and he took a sip of alcohol for the
first time in 10 years. He tells the PMHNP that he is concerned he may
relapse and go back to his old ways. What is the best response by the
PMHNP?
A. “Don’t worry; it was only one drink.”
B. “How have you been able to maintain your sobriety for so long?”
C. Tell the patient he will be admitted to inpatient rehab.
D. Start the patient on naltrexone 50 mg daily for alcohol use disorder
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Prioritizing Patient Safety Concerns
12. A 25-year-old female, admitted to an extended observation psychiatric unit,
observes that another patient is placed on 1:1 observation status after
expressing suicidal ideations to her psychiatrist. During her meeting with
the PMHNP, the patient tells him that she would like to have 1:1
observation because she too is feeling suicidal. What is the best response
by the PMHNP?
A. “What is your plan to commit suicide?”
B. “I will place you on 1:1 status, your safety is very important to us.”
C. Order Haldol 5 mg, and Ativan 2 mg PO X 1 now.
D. Put the patient in therapeutic seclusion to prevent self-harm. APA
