Morning Huddle
You've arrived early to the office. What to you do?
A. Chat with Bill, Collin, Susan, or Citlaly (all of whom are likely there early too).
B. Print out flash reports, cut up and highlight chart reviews, and maybe complete census.
C. Sit in car and chat with mom!
D. Milieu therapy!
B. Print out flash reports, cut up and highlight chart reviews, and maybe complete census.
What do you do with Patient Self Inventories once completed?
A. Put on identifying stickers from the patients' binders and then file them in the patients' physical charts.
B. Give them directly to Charge Nurse.
C. Put on identifying stickers from the patients' binders and then give them directly to Charge Nurse.
D. Give them directly to Dr. Nouri.
C. Put on identifying stickers from the patients' binders and then give them directly to Charge Nurse.
Gary attends your psychoeducation group on time and engaged in check in question by stating, " I am feeling anxious. I am having difficulty sleeping." He leaves the group after this statement and does not return. You should...
A. Write a refusal note and state "pt initially attended group but left."
B. Write a BIRP note and include pt's statement and that he left early.
C. Write a refusal but check in with pt afterwards and write a Supportive Stabilization note.
D. Write a BIRP note and check in with pt after the group.
D. Write a BIRP note and check in with pt after the group.
What to do when a patient refuses to meet for safety plan?
A. Update the DTS/DTO log on Teams, update the safety plan agreement form on Evident, and document via IP Psychology/AD/TSSC Progress Note and Family Education Note.
B. Update the DTS/DTO log on Teams and the safety plan agreement form on Evident, but no need to document a progress note.
C. Move on to the next safety plan to get those numbers up!
D. Write a refusal note and then update the DTS/DTO log on Teams by writing "Attempted" along with the date in the "Date DTS Completed" column. Also make sure to fill out the top of the safety plan agreement form on Evident.
A. Update the DTS/DTO log on Teams, update the safety plan agreement form on Evident, and document via IP Psychology/AD/TSSC Progress Note and Family Education Note.
What are the steps to take after obtaining informed consent from a patient to engage in individual therapy?
A. Put the signed consent form directly into the patient's chart and then update the white board and individual therapy log.
B. Do not update the white board or log until your supervisor has signed off on the consent form!
C. Add the patient's name to the white board; update the individual therapy log on Teams; write down your name and patient's name on the bottom of the Morning Huddle sheet to update the bed board; and alert the Charge Nurse.
D. Add the patient's name to the white board; update the individual therapy log on Teams; write down your name and patient's name on the bottom of the Morning Huddle sheet to update the bed board; and alert the social worker.
D. Add the patient's name to the white board; update the individual therapy log on Teams; write down your name and patient's name on the bottom of the Morning Huddle sheet to update the bed board; and alert the social worker.
What are the electronic forms that need to be completed in a chart review?
A. Master Treatment Plan, Master Treatment Plan Update, and Master Treatment Plan Signature Page (only for Psych dept if not trained in AD).
B. Master Treatment Plan and Master Treatment Plan Update only (both Psych dept and AD dept).
C. Master Treatment Plan Signature Page and Master Treatment Plan Update (both Psych dept and AD dept).
D. Master Treatment Plan, Master Treatment Plan Update, and Master Treatment Plan Signature Page (both Psych dept and AD dept).
D. Master Treatment Plan, Master Treatment Plan Update, and Master Treatment Plan Signature Page (both Psych dept and AD dept).
What do you do if South is still on patio break when Community Meeting is supposed to start?
A. Alert Dr. J about it, and he will follow up with Nursing Department.
B. Conduct Community Meeting during patio break.
C. Skip community meeting because group takes precedence.
D. Wait until patio break is over and then invite all patients to Community Meeting. If necessary, Community Meeting and group can be combined.
D. Wait until patio break is over and then invite all patients to Community Meeting. If necessary, Community Meeting and group can be combined.
What precautions should you take if a patient is deemed to be inappropriate for group by Charge Nurse?
A. Give 'em a chance and invite anyway.
B. Alert the Mental Health Workers on the floor to assist with not allowing that patient into group, but if the patient ends up coming into group anyway, then cautiously allow it.
C. When prompting, politely tell the patient that while they cannot attend group right now, we can try again tomorrow.
D. Alert the Mental Health Workers on the floor to assist with not allowing that patient into group, but if the patient ends up coming into group anyway, then politely tell the patient that while they cannot attend group right now, we can try again tomorrow.
D. Alert the Mental Health Workers on the floor to assist with not allowing that patient into group, but if the patient ends up coming into group anyway, then politely tell the patient that while they cannot attend group right now, we can try again tomorrow.
What goes in the Safety Intervention section of Treatment Plan Problem Sheets #2 and #3 of the Master Treatment Plan?
A. Danger to Self/Others Safety Plan completed
B. Building Support
C. DTS/DTO Plan initiated
D. Danger to Self/Others Safety Plan initiated
D. Danger to Self/Others Safety Plan initiated
What are three things you can do if you have some free time during the workday?
A. Milieu therapy, updating Time 2 Track or Tevera, and reading through some of the literature on the shelf.
B. Milieu therapy, Gestalt therapy, and retail therapy.
C. Milieu therapy, help with refusals, and attempt DTS/DTOs that have not been attempted.
D. Milieu therapy, preparation for groups, and preparation for leaving right after afternoon huddle ends.
C. Milieu therapy, help with refusals, and attempt DTS/DTOs that have not been attempted.
What's involved in volunteering for the CAPE Survey?
A. Wouldn't know. Never signed up for it!
B. Getting list of discharging patients, writing down their medical record numbers, and then using the tablet to assist them in completing the CAPE survey, PHQ-9, and BDI-1.
C. Getting list of discharging patients, writing down their medical record numbers, and then using the tablet to assist them in completing the CAPE survey, PHQ-9, and GAD-7.
D. Getting list of discharging patients, writing down their medical record numbers, and then having them use the tablet to complete the CAPE survey, PHQ-9, and GAD-7.
C. Getting list of discharging patients, writing down their medical record numbers, and then using the tablet to assist them in completing the CAPE survey, PHQ-9, and GAD-7.
When prompting for Community Meeting, a number of patients state that they will "maybe" attend. You should...
A. Conduct Community Meeting with the door open so it's easy for them to access.
B. Conduct Community Meeting as normal (with door closed) and let patients in late if/as appropriate.
C. Wait to conduct Community Meeting until all patients are present and then close the door.
D. Make them come anyway. Community Meeting is important!
B. Conduct Community Meeting as normal (with door closed) and let patients in late if/as appropriate.
Joe is being disruptive in group. What might NOT be a good way to manage this behavior?
A. "Hey Joe, I noticed you’ve been chatting with your neighbor Sally over there, and I want to remind you of our group rule of no cross-talking. Is there something you could share with the group?”
B. “Hey Joe, remember what we said about cross-talking. If you keep talking to Sally while other people are speaking I am going to ask you to leave the group.”
C. "Hey Joe, I noticed you continue to talk over others when they're speaking, which is rude. If you keep doing that, then I'm going to have to ask you to leave."
D. “Hey Joe, it seems like you’re having a tough time focusing on the group discussion, why don’t you go ahead and step out for the rest of the group and try again tomorrow.”
C. "Hey Joe, I noticed you continue to talk over others when they're speaking, which is rude. If you keep doing that, then I'm going to have to ask you to leave."
Erica is upset about being admitted to the South unit and would like to transfer to MHU. You should:
A. Obtain a blank Patient Concern Notification Form from the nursing station, have her fill it out, and then give it to Dr. J.
B. Obtain a blank Grievance Form from the nursing station, have her fill it out, and then provide to Unit Clerk.
C. Provide empathic support, validate feelings, and explain to Erica that you will put in a request with the Charge Nurse to change units though it is not guaranteed due to factors like bed availability.
D. Obtain a blank Patient Concern Notification Form from the nursing station, have her fill it out, and then give it to Dr. Noorollah.
C. Provide empathic support, validate feelings, and explain to Erica that you will put in a request with the Charge Nurse to change units though it is not guaranteed due to factors like bed availability.
What does the Utilization Review department do? (select all that applies)
A. Coordinates Treatment team meetings for inpatient
B. Provide direct patient care and resources
C. Submit clinical updates to insurance reviewers
D. Ensure appropriate level of care
A and C
What is the correct order of operations for comparing the Flash?
A. Retrieve previous day's flash; read through clinical comments of current day's flash in order to highlight safety concerns; transfer "N/As" and "Cs" from previous day; double-check for discrepancies; and hand over completed flash to person in charge of updating.
B. Retrieve previous day's flash; copy over "N/As" and "Cs" from previous day to current day; and hand over completed flash to person in charge of updating.
C. Rest easy. Monica's got it!
D. Retrieve previous day's flash; read through clinical comments of current day's flash in order to highlight safety concerns; transfer "N/As", "Cs", and check marks from previous day; double-check for discrepancies; and hand over completed flash to person in charge of updating.
A. Retrieve previous day's flash; read through clinical comments of current day's flash in order to highlight safety concerns; transfer "N/As" and "Cs" from previous day; double-check for discrepancies; and hand over completed flash to person in charge of updating.
What do you do when you notice that a patient has endorsed thoughts of harming themselves or others on their Patient Self Inventory?
A. Ask to check in with the patient after Community Meeting and then meet with them as soon as possible (provided you do not have to run group) to further assess safety risk. Alert Charge Nurse after meeting with patient.
B. Ask to check in with the patient after Community Meeting and then meet with them as soon as possible (regardless of timing) to further assess safety risk. Alert Charge Nurse after meeting with patient.
C. Tell Mental Health Workers to keep a close eye on them.
D. Check in with the patient during Community Meeting to make sure they meant what they wrote and then alert Charge Nurse.
A. Ask to check in with the patient after Community Meeting and then meet with them as soon as possible (provided you do not have to run group) to further assess safety risk. Alert Charge Nurse after meeting with patient.
Only one person ends up attending your group. You should:
A. Go with it and treat it as an individual session.
B. Ask the patient to kindly wait a couple minutes while you re-prompt the unit, utilizing your best customer service skills to engage patients in treatment.
C. Run the group as an individual session but with the door open in case anyone changes their mind.
D. Cancel group because it's not technically a group.
B. Ask the patient to kindly wait a couple minutes while you re-prompt the unit, utilizing your best customer service skills to engage patients in treatment.
What is the difference between filing a Patient Concern Notification form and filing a grievance with Jewish Family Services?
A. The Patient Concern Notification Form makes sure that the hospital can stay out of trouble.
B. The Patient Concern Notification Form is always the first step to take with regard to patients' concerns, though if the concerns are not being addressed effectively, then you should assist the patient in filing a grievance.
C. The Patient Concern Notification Form may be used in instances when a patient's concern can be addressed most effectively with assistance from the Patient Representative, Dr. Noorollah. The grievance may be used if instances when a patient's concern may necessitate assistance from an investigation conducted by a Patient Advocate.
D. They can be used interchangeably as they are both powerful forms of empowering patients to advocate for their needs.
C. The Patient Concern Notification Form may be used in instances when a patient's concern can be addressed most effectively with assistance from the Patient Representative, Dr. Noorollah. The grievance may be used if instances when a patient's concern may necessitate assistance from an investigation conducted by a Patient Advocate.
Clark, a patient on the South unit, wants to go outside for his session. You should...
A. Tell Charge Nurse and Mental Health Worker doing rounds before taking Clark outside.
B. Make sure there isn't already a group on MHU patio and then tell Charge Nurse and Mental Health Worker doing rounds before taking Clark outside.
C. Make sure there isn't already a group on MHU patio and then tell Mental Health Worker doing rounds before taking Clark outside. No need to alert Charge Nurse.
D. Take Clark outside and then leave him out there briefly while you go in to tell the Charge Nurse and Mental Health Worker doing rounds.
B. Make sure there isn't already a group on MHU patio and then tell Charge Nurse and Mental Health Worker doing rounds before taking Clark outside.
When updating the DTS/DTO log, what patients should be moved up to the highlighted section of the log?
A. Any patients without an N/A or C by their name on the current day Flash.
B. Patients who have discharged since the previous day or who have completed safety plans.
C. If you are doing the update right, this should happen automatically.
D. If you always sign up for the flash comparison then you never have to worry about this duty!
B. Patients who have discharged since the previous day or who have completed safety plans.
Which of these is NOT an accurate unit rule?
A. Phones are available from 8AM – 10PM and are turned off and not available during group times.
B. Laundry facilities are available and laundry can be done between group times.
C. Night time hours: if you are anxious or unable to sleep, you may seek staff assistance; however, no TV or socializing is allowed.
D. Community meetings and groups are optional and you do not have to attend unless mandated by your doctor or the charge nurse.
D. Community meetings and groups are optional and you do not have to attend unless mandated by your doctor or the charge nurse.
How to document use of CyraCom in session?
A. "Interpreter (name and ID#) was present."
B. "CyraCom (name and ID#) services was used."
C. "Utilized a language interpretation application (name and ID#)"
D. "Used electronic translation services (name and ID#)"
C. "Utilized a language interpretation application (name and ID#)"
You have attempted to engage Brent in completing a safety plan, but he is sleeping despite multiple verbal prompts. You should...
A. Document it as a refusal, making sure to update the DTS/DTO log and the safety plan intervention plan on Evident.
B. Document the interaction, but as this is not technically a refusal, do not update the DTS/DTO log or the safety plan intervention plan on Evident.
C. Do not document, but plan to try again later when the patient is awake.
D. Do not document, as there is technically nothing to document.
B. Document the interaction, but as this is not technically a refusal, do not update the DTS/DTO log or the safety plan intervention plan on Evident.
What does MAR stand for?
A. Medication Administration Record
B. Monthly Activity Record
C. Medical Administration Review
D. Manifesting Amazing Rewards
A. Medication Administration Record