WorksheetsTopic 1.1: Inpatient Psychiatry Tasks & Procedures
Total questions: 27
Worksheet time: 41mins
What procedure consists of monitoring patients in milieu, escorting patients, admissions, taking daily vital signs, infection control, and supply ordering?
Inpatient Process
BHT Responsibilities
Patient Orientation
Patient Admissions
Which of the following are BHT responsibilities:
1. Admissions
2. Obtain vital signs
3. Supply ordering
4. Security
1, 2, 3
1, 3, 4
1, 2, 3, 4
2, 3, 4
What entails patient orientation, patient search, and personal effects inventory?
Supply ordering
Patient search
Admissions
Orientation
Which of the following is a part of the patient admission process:
1. Have patients change their clothes into hospital pajamas upon admission.
2. Patients are closely observed while changing to ensure they are not carrying or hiding something.
3. Must be conducted unprofessionally.
4. Explain the process of the patient search to the patient and specifically ask if they have any restricted items in their possession.
1, 2, 3, 4
1, 2, 3
1, 3, 4
1, 2, 4
To preserve the patient’s rights and avoid suspicion of impropriety, two staff members of the same gender as the patient are present are part of what process?
Patient admission process
Special Watches
Inventory check
Wingman Policy
Which of the following are not allowed:
1. Alcohol
2. Prescription Medication
3. Pens
4. Belt or shoelaces
5. Over the counter medications
1, 3, 4, 5
1, 2, 3, 4
1, 2, 3, 4, 5
1, 2, 4, 5
Patients are allowed to keep uniforms and boots without laces, but it will be kept in a locker until they are discharged.
True
False
Search the belongings thoroughly, to include inside pockets of clothing, all compartments on luggage, and other potential hiding places.
False
True
It has four types of observation categories based on patient assessment.
Special Watches
Smart Watches
Watches
It entails observing/monitoring a patient at regular intervals (exact time is clearly defined in the provider’s order and notes).
Intermittent observations
Continuous observations
One-to-one observation (1:1)
It entails closing observing or monitoring a patient. Also describes the status of a patient who poses imminent danger to self/others and must be kept under continuous observation/monitoring to ensure their safety.
One-to-one observation (1:1)
Continuous observation
Intermittent observation
It is the direct, continuous observation/monitoring of only one individual considered a very high safety risk to self or others. The observer must always be located within arms-length of the patient.
Intermittent observations
Continuous observations
One-to-one observation (1:1)
It is when a patient demonstrates severe impairment in judgment and some impulsivity or behavioral discord but accepts verbal redirection and maintains behavior control with an observer close by (6-10 feet).
One-to-one observation (1:1)
Continuous observation
Intermittent observation
Line of sight (LOS)
In LOS procedures, the observer maintains an impeded view (line of sight/eyesight) of the patient at all times.
True
False
It is when the staff member does the following:
1. Observe/interacts with patient every 15 minutes.
2. Document the patient’s location and behaviors during assigned watch on the unit specific observation sheet.
3. Environmental hygiene: assess milieu for hospital hazards; secure doors and patient areas.
15-minute checks
30-minute checks
Quarterly checks
Special 15 checks
It is when the staff member does the following:
1. Observe/interacts with patient every 30 minutes.
2. Document the patient’s location and behaviors during assigned watch on the unit specific observation sheet.
15-minute checks
30-minute checks
Half-hour checks
Hourly rounding
When the time comes for the Board to change hands, the person coming off the duty will replace the Rounds Board into the hands of the person coming on, and give a brief report of the last hour to the new person assigned.
30-minute checks
Hourly checks
Hourly rounding
Shifts
During hourly rounding, all doors must be checked to confirm that they are locked/secured.
True
False
A staff member is properly relieved from unit rounds when another staff member physically relieves them of this responsibility.
True
False
Under detoxification, the severity of symptoms of alcohol withdrawal or quantified by:
Clinical Institute Withdrawal Assessment of Alcohol (CIWA)
Clinical Opiate Withdrawal Scale (COWS)
Under detoxification, the severity of symptoms of opiate withdrawal are quantified by the:
Clinical Institute Withdrawal Assessment of Alcohol (CIWA)
Clinical Opiate Withdrawal Scale (COWS)
The patient’s blood alcohol level (BAL) should be less than 90 at the time of admission.
True
False
Patients experiencing mild to moderate withdrawal have a CIWA score less than 19.
False
True
All patients receiving IV therapy should be placed on 1:1 observation during IV administration.
False
True
When patients are escorted off the unit, there must be an appropriate number of staff remaining on the unit, proportionate to the number of remaining patients.
True
False
It is the act of running away or escaping; considered fleeing, or leaving without permission.
Elopement
Escape plan
Breakout
Flee
The following are behavioral cues associated with patient elopement:
1. Treats hospitalization seriously.
2. Angry, hostile, or upset about hospitalization.
3. Accepts treatment.
4. Talks openly of leaving.
2, 4
2, 3, 4
1, 4
2, 4
