Psychopharmacology
The Mental Health Act
DSM-V-TR
Assessment & Safety
Legal & Ethical Considerations
100

This class of medications is considered the first-line treatment for depression and includes sertraline and escitalopram.

What are SSRIs?

100

This form allows a person who is involuntarily admitted to be treated without consent when they are incapable or refusing necessary psychiatric treatment.

What is Form G – Certificate of Inability to Consent?

100

This category of disorders includes panic attacks, excessive worry, and phobias, and is among the most commonly diagnosed groups in the DSM-5-TR.

What is Anxiety Disorders?

100

This type of observation level requires staff to remain within arm’s reach of the client at all times due to high risk for self-harm.

What is 1:1/constant observation?

100

When a client shares information with the nurse, the nurse is obligated to keep it private under this principle, unless safety is at risk.

What is confidentiality?

200

This common side effect of many antipsychotics causes significant weight gain, increased appetite, and metabolic changes such as elevated glucose and lipids.

What are metabolic side effects (or metabolic syndrome)?

200

This document allows community-based involuntary treatment, requiring the person to comply with a treatment plan while living outside the hospital.

What is a Community Treatment Order (CTO)?

200

This trauma-related disorder lasts longer than one month and includes intrusive symptoms, avoidance, negative mood, and hyperarousal.

What is Post-Traumatic Stress Disorder (PTSD)?

200

This is the FIRST priority when assessing any psychiatric client, especially one in crisis.

What is ensuring safety (your own, the client’s, and others’)?

200

A suicidal client says, “I have a plan, but don’t tell anyone.” What must the nurse do?

What is break confidentiality to ensure safety?

300

This antidepressant, commonly used for smoking cessation, should not be given to clients with a history of seizures or eating disorders.

What is bupropion (Wellbutrin)?

300

This oversight body hears appeals from patients who wish to challenge their involuntary status or treatment orders.

What is the Saskatchewan Review Panel?

300

This DSM-5-TR specifier is used when the clinician has strong clinical suspicion of a specific disorder but insufficient information to make a full diagnosis.

What is “Other Specified” or “Unspecified”?

300

This standardized tool is commonly used to assess alcohol withdrawal risk and guide medication dosing.

What is the CIWA-Ar?

300

A staff member mentions a client’s diagnosis in the hallway where visitors can overhear. This violates which legal standard?

What is privacy / HIPA compliance?

400

This serotonin-related medical emergency may cause confusion, agitation, diaphoresis, tremors, hyperreflexia, and fever.

What is Serotonin Syndrome?

400

This form under the Mental Health Services Act is used when a prior committal certificate is cancelled and the patient’s involuntary status is revoked.

What is Form H – Revocation of Certificate of Committal?

400

A client reports periods of increased activity, rapid speech, racing thoughts, and decreased need for sleep lasting 4–5 days, followed by periods of depression. The elevated periods cause some impairment but do not require hospitalization.

What is Bipolar II Disorder (Hypomania + Depression)?

400

These MSE findings—loose associations, derailment, and tangentiality—fall under this section of the exam.

What is thought process?

400

A client under a Community Treatment Order (CTO) stops attending appointments. The psychiatrist completes a Form F – Order for Return to Facility. What must nursing staff do?

What is notify police or designated authorities to return the client for assessment?

500

This antipsychotic has the highest risk of metabolic syndrome among atypicals and is strongly associated with weight gain and insulin resistance due to its potent H1 and 5-HT2C receptor antagonism.

What is olanzapine (Zyprexa)?

500

Under Saskatchewan's Mental Health Services Act, a nurse can place a voluntary patient on a temporary ________ hour hold if they believe the patient intends to leave and is likely to meet the criteria for involuntary admission.

What is 3 hour?

500

A 23-year-old client reports feeling “down” most days for two years, with low energy and poor concentration. Symptoms have never met the threshold for a major depressive episode.

What is Persistent Depressive Disorder (Dysthymia)?

500

The inability to stay still, often with pacing or repetitive movements, is referred to by this term and can indicate medication side effects or distress.

What is akathisia?

500

A client detained under Section 24 police apprehension arrives agitated and wants to call a lawyer immediately. Under SK law, what must the nurse do?

What is provide access to legal counsel as soon as reasonably possible?