CNO Competencies
Pre-readings
Learning Gaps
Tidal Model
100

List all 9 entry-to-practice competencies 


1. Clinician

2. professional

3. Communicator

4. Collaborator 

5. Coordinator 

6. Leader 

7. Advocate 

8. Educator 

9. Scholar

100

Provide a definition of 'attempted suicide' 

a potentially self-injurious action with a non-fatal outcome for which there is evidence, either explicit or implicit, that the individual intended to kill himself or herself. The action may or may not result in injuries

100

Name one modifiable and non-modifiable risk factor



Modifiable

- suicidal ideation

- Hopelessness

- depressed mood

- panic attacks or anxiety

- social withdrawal/isolation 

- substance use

- psychosocial stressors 

- decreased self esteem 


Non-modifiable

- prior suicide ideation 

- prior suicidal attempt/behavior

- hx of deliberate self harm

-  family hx of suicide 

- trauma 

- past and present psychiatric diagnoses

100

What is the name of the individual who created the Tidal Model 



Phil Bar

200

This approach emphasizes providing care that is respectful of and responsive to individual client preferences, values, and needs.

Client centered care

200

Suicide is the __ leading cause of death


15th

200

List 3 roles/resposibilities of the nurse in caring for patients with suicidal ideation

-Conduct timely, accurate and comprehensive assessments to determine level of risk and develop appropriate plans of care 

-Implement appropriate treatment/management interventions

-Collaborate with client to develop an individualized safety/care plan 

-Develop a therapeutic relationship 

-Regularly assess client’s mental health status and monitor changes in suicidal ideation 

-Involve the client in the decision making process and advocating for the client’s needs and preferences

-Providing education on coping strategies, stress management, and accessing mental health resources.

200

List 3 roles/resposibilities of the nurse in caring for patients with suicidal ideation




300

What is recovery-oriented nursing care and what role is this under? 


Clinician

-a perspective that recognizes that recovery is a personal process for individuals with mental health issues, in order to help them gain back control, meaning and purpose in their life 

300

What type of study, and what design was used for the pre-reading

A qualitative study, interpretive hermeneutic phenomenological approach

300

What is Form 1? How long is it effective for?

Form 1 is a legal document used to request a psychiatric assessment for individuals believed to be at risk to themself or others, and require urgent mental health care. It is used to determine whether the individual needs to be admitted for further care in a psychiatric facility or should be discharged. 

Once signed, the form is effective for 7 days. 

300

What is Form 1? How long is it effective for?



Form 1 a legal document used to request a psychiatric assessment for individuals believed to be at risk to themself or others, and require urgent mental health care. It is used to determine whether the individual needs to be admitted for further care in a psychiatric facility or should be discharged. 

Once signed, the form is effective for 7 days.



400

The registered nurse encounters a patient who states they are having thoughts of suicide. The nurse conducts a C-SSR and mental status exam. The patient states they do not want the doctor to know about their thoughts so they can be discharged as planned. The nurse informs the doctor anyway as nurses are mandated reporters by law. What roles does this represent?

Collaborator, Coordinator, Leader, Professional, Clinician, Communicator

400

Q: Name one of the main themes of the study, and describe it


A: Mental pain, social challenges, need for love and belonging

400

What is a safety plan? What component of the safety plan is defined by the description “pre-determined, agreed-upon actions/strategies that an individual plans to implement when they recognize their distress signs?”

A safety plan is a personalized, proactive strategy designed to help individuals manage and cope with periods of heightened emotional/mental distress or crisis. The component that is described is ‘Coping strategies.

400

Name and describe 1 of the 10 commitments, and apply this commitment to the care scenario 


1. Value the voice

2. Respect the language

3. Develop genuine curiosity

4. Become the apprentice

5. Utilize the available toolkit

6. Craft the step beyond

7. Give gift of time

8. Reveal your personal wisdom

9. Understand change is constant

10. Be transparent