Care of the patient in the Quiet Area
Patient Care & Symptom Presentations
Treatment
100

True or False: A patient is screaming while you are with them in the Quiet Area. It is acceptable to wear AirPods to quiet the noise

False

100

State one example of depression 

  • Persistent feelings of sadness, emptiness, or hopelessness
  • Loss of interest or pleasure in activities previously enjoyed
  • Changes in appetite or weight
  • Sleep disturbances (insomnia or excessive sleeping)
  • Fatigue
  • Difficulty concentrating or making decisions
  • Feelings of guilt or worthlessness
  • Thoughts of death or suicide
100

Patients must be kept ____ the night before ECT

NPO

200

True or False: Restraints can be on the bed while a patient is in seclusion

False

200

State one example of mania

Increased activity and restlessness

Impulsive or risky behaviors 

Decreased need for sleep

Talking excessively or rapidly

Difficulty concentrating or making decisions

Neglecting personal hygiene or responsibilities

Flight of Ideas

200

What ADLs can you encourage for a confused patient on a 1:1

teeth brushing 

bathing 

changing clothes 

changing bed linens

ensure patient has access to assistive devices (i.e. hearing aids, glasses, walker) 

300

A patient in restraints states they need to use the bathroom. What is your response?

I will let your nurse know

300

State two examples of anxiety 

nail biting

restlessness, irritability

increased respirations 

hyperventilations 

pacing, running

300

What alert would you call for a patient who is having a seizure? 

Medical Alert, Rapid response, specific unit and location

400

You are in the Quiet Area with a violent patient, requiring IMMEDIATE support. What should you say on the walkie-talkie?

Security Alert, Security Assist, Specific Location and Unit

400
Name two common side effects of psychatric medications 

Drowsiness, Dry mouth, Weight gain, Blurred vision, Constipation, Insomnia, Nausea, Headache, and Fatigue

400

What is the role of the MHT on 1:1 observation?

Maintain visual observation at all times, including when the patient is using the restroom and shower. Must be close enough to intervene 

500

A patient while in the quiet area is attempting to spit on you. What can you use?

a towel placed 6-12 inches from a patients face

500

Name 3 items listed on the Patient Observer Communication Log 

risk of suicide

patient behavior 

diversional activies 

ADLs

comfort measures 

patient diet

500

Name 2 items listed on the Patient Observation and Documentation for a 1:1 patient?

Patients' behavior and location 

MHT observation initials every 15 minutes 

RN hourly initials 

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