Question

1. Put the following interventions in order from least restrictive to most restrictive by entering the corresponding number for each step. (1, 2, 3, 4, 5, 6, 7)

Deep breathing techniques

Court ordered out-patient therapy

Voluntary counseling

Voluntary out-patient therapy

Court ordered partial program

Voluntary partial program

Anti-depressant prescription from PCP

2. Put the following interventions in order by entering the corresponding number (8, 9, 10, 11, 12, 13) for each step.

Offer PO medication

Place patient in seclusion

Court ordered inpatient treatment

Place patient in restraints

Give IM medication for anxiety in inpatient units

Voluntary inpatient treatment

3. Situation: You encounter an angry patient. The patient approaches you because they were asked to leave the group after making offensive comments to other patients. What actions could you take to de-escalate the situation?

Verbal de-escalation

Threaten with medication

Try redirection to room

Encourage coping skills

Encourage deep breathing

Reprimand the patient

Try distraction

8 a. Despite attempts to calm the patient he continues to escalate yelling loudly, pacing the hallways and stating, “I’m so mad. If you don’t let me back in group I’ll hurt you.” What would the next actions be to de-escalate the patient?

1. Set firmer limits
2. Continue verbal de-escalation
3. Offer PO medications
4. Offer IM medications
5. Put patient in therapeutic hold

Answer 1

1. Put the following interventions in order from least restrictive to most restrictive by entering the corresponding number for each step. (1, 2, 3, 4, 5, 6, 7)

Ans:-

1. Deep breathing techniques

2. Voluntary out-patient therapy

3. Court ordered partial program

4. Voluntary partial program

5. Voluntary counselling

6. Court ordered out-patient therapy

7. Anti-depressant prescription from PCP

2. Put the following interventions in order by entering the corresponding number (8, 9, 10, 11, 12, 13) for each step.

Ans:

8. Voluntary inpatient treatment

9. Offer PO medication

10. Court ordered inpatient treatment

11. Give IM medication for anxiety in inpatient units

12. Place patient in restraints

13. Place patient in seclusion

3. Situation: You encounter an angry patient. The patient approaches you because they were asked to leave the group after making offensive comments to other patients. What actions could you take to de-escalate the situation?

Ans:-

Try distraction

Verbal de-escalation

Try redirection to room

Encourage deep breathing

Encourage coping skills

Explanation:

• Respect personal space while maintaining a safe position.
• Do not be provocative.
• Establish verbal contact.
• Be concise; keep the message clear and simple.
• Identify wants and feelings.
• Listen closely to what the person is saying.
• Agree or agree to disagree.
• Lay down the law and set clear limits.
• Offer choices and optimism.
• Try to look as non-threatening as possible.
• Debrief the patient and staff.

4. Despite attempts to calm the patient he continues to escalate yelling loudly, pacing the hallways and stating, “I’m so mad. If you don’t let me back in group I’ll hurt you.” What would the next actions be to de-escalate the patient?

Ans: - C. Continue verbal de-escalation

Explanation:

[Express anger in an appropriate way. Violence, name-calling, verbal abuse, and raising your voice are not okay in any setting. Talk about why you feel angry and what you need from your therapist. Most of the time, under the feelings of anger are feelings of hurt or fear.

Verbal De-escalation is what we use. During a potentially dangerous, or. Threatening, situation in an attempt to. Prevent a person from causing harm to us, themselves or others]