BSR
True or False:
All in-patients, age 2 and older, are currently screened for BSR upon admission to inpatient units
True
Based on the reading on WPV, name one workplace factor that increases the risk of WPV
Increased workplace stress, novice nurses, shift jobs, understaffing, pt's viewpoint regarding the nurse and their role, workplace environment
(-> delayed care, negligence of nurses)
This Quality Mental Health Care framework component focuses on providing timely and equitable care across the continuum, promoting prevention and early intervention, and ensuring community-based services are available.
Accessible
In our scenario, the nurse recognizes personal biases toward the patient’s schizophrenia and substance use before interacting with him. This reflects which Way of Knowing?
Personal knowing
The nurse explains to the patient’s family why visits may be restricted under Form 1. This demonstrates which CNO entry to practice competency?
Communicator
True or False:
Clinicians need to review the previous BSR care plan to determine relevance and take appropriate actions depending on the current risk
True
According to the reading on WPV, WPV decreases the quality of this "essential" nurse-patient element
Therapeutic relationship
A nurse attends a workshop on suicide risk assessment and shares what she learned with her team. What Quality Mental Health Care Framework principle is this?
Continuous learning and improvement
In our scenario, asking the patient “What do you think caused your mental health problem?” reflects using this tool to understand the patient’s perspective.
Kleinman Explanatory Model
Maintaining respect and empathy toward an aggressive patient under Form 1 demonstrates "this" competency of CNO Entry-to-Practice.
Professional
How can we identify if a patient has a BSR plan of care in place?
Visual communication tools (e.g. signage, stickers, magnets, wristband, Epic visuals)
Patients often perceive delayed care as "this", leading to violent behavior
Negligence by nurses
Name 5 of 10 Quality Mental Health Care Framework components
Accessible
Appropriate
Continuous Learning and Improvement
Trauma-Informed
Work Life Environment
Integrated
People-Centred
Recovery-Oriented
Safe
Stigma-Free and Inclusive
Which type of Form is this?
Called "Certificate of Involuntary Admission"
Completed if involuntary treatment is deemed necessary by a Physician following an assessment
Form 3
Give an example of a nurse demonstrating “professional” role of CNO competency in mental health setting.
Professional: " Registered nurses are professionals who are committed to the health and well-being of clients. Registered nurses uphold the profession’s practice standards and ethics and are accountable to the public and the profession"
i.e., Remains calm and respectful, Advocates for least restrictive interventions, Maintains confidentiality, Debriefs professionally
What does the BSR “SAFECARE” stand for?
S - Screen patients for behaviour risks and check for history
A - Assess risk
F- Focus on behaviours and calming actions
E - Engage family and care team to create care plan
C - Communicate risk
A - Ask for help when needed
R - Review plan with patient and family
E - Evaluate at shift change and transfer of accountability
Name the four categories of WPV’s negative impact on nurses.
1. Biophysiological
2. Cognitive
3. Emotional
4. Social
Provide one example of how a nurse can apply “integrated care” into their practice.
Integrated care:
“Care is continuous across the continuum. Transition into community settings is smooth. Family and/or patient’s support system is involved. Integration with services that address social determinants of health."
I.e., A nurse includes a client’s family in care planning and ensures smooth transition to community support
Which of the following two options are NOT parts of BSR assessmnet?
1. Known history of physical violence towards a person
2. Uncooperative/Irritable
3. Verbal Abuse
4. Aggression Towards Objects/Boisterous
5. Threats Verbal and/or Non-Verbal
6. Patient’s level of insight into their mental illness
7. Observed Physical Violence Towards a Person
8. Patient’s coping strategies for stress
6 & 8
Provide TWO examples of how a nurse can demonstrate the aspect of “Scholar” in Mr. Smith's scenario.
Scholar - "Registered nurses are scholars who demonstrate a lifelong commitment to excellence in practice through critical inquiry, continuous learning, application of evidence to practice, and support of research activities
i.e., Engaging in reflective practice after the Code White or restraint intervention
i.e., Integrating current evidence and organizational protocols into care planning
i.e., Sharing knowledge with colleagues about safe management of aggressive patients or culturally safe communication techniques
i.e. Seeking feedback the team and applying it to future care situations.