A Review of Basic Patient Rights in Psychiatric Care

A Review of Basic Patient Rights in Psychiatric Care Related

Review A Review of Basic Patient Rights in Psychiatric Care related questions and content

You are dispatched to the scene of a one-vehicle motor collision. Upon your arrival at the scene, you note that the vehicle struck a tree on the driver side. The driver is the only patient, and she is still sitting in the driver seat of the vehicle. The vehicle is stable and has moderate damage noted to the driver side, which prevents the driver side door from opening. Which of the following would be the most appropriate way to extricate the patient from the vehicle?

  • A. Break the driver side window and attempt to remove the patient through the window
  • B. Open the rear driver side door and extricate the patient through the backseat
  • C. Use a crowbar and pry open the driver door
  • D. Open the passenger side door and extricate through the passenger side
Correct Answer: D

Rationale: The correct answer is D: Open the passenger side door and extricate through the passenger side. This is the most appropriate way to safely extricate the patient because the driver side door is blocked due to the damage from the collision. By opening the passenger side door, you can safely remove the patient without causing further harm. It is important to avoid moving the patient through a window or using force to pry open the damaged driver side door, as this could potentially worsen any injuries the patient may have sustained. Opening the rear driver side door may not provide enough space or be as safe as using the undamaged passenger side door for extraction.

You may also like to solve these questions

A 40 year old obese patient with GCS of 8 requires a CT scan. Before transfer to the scanner, you should:

  • A. Give more sedative drugs
  • B. Insert a definitive airway
  • C. Insert a multilumen esophageal airway
  • D. Request a lateral cervical spine film
Correct Answer: B

Rationale: Correct Answer: B - Insert a definitive airway

Rationale:
1. Patient has a low GCS of 8, indicating impaired consciousness and airway protection.
2. Obesity can further complicate airway management during sedation.
3. Inserting a definitive airway ensures adequate oxygenation and ventilation.
4. CT scan can cause respiratory depression, necessitating secure airway before transfer.
5. Multilumen esophageal airway is not indicated as it does not secure the airway.
6. Sedative drugs should be used cautiously due to the risk of respiratory depression.
7. Lateral cervical spine film is not necessary before CT scan in this scenario.

Your adult status asthmaticus patient requires rapid sequence intubation due to rapidly increasing airway constriction. Which of the following would be most appropriate following tube placement confirmation?

  • A. 3 mg of levalbuterol administered directly down the ET tube
  • B. 2-5 mg of albuterol administered directly down the ET tube
  • C. 2.5 mg of albuterol in 3-mL solution, nebulized and delivered with ventilation
  • D. 1.25 mg of levalbuterol in 3-mL solution, nebulized and delivered with ventilation
Correct Answer: B

Rationale: The correct answer is B (2-5 mg of albuterol administered directly down the ET tube). After rapid sequence intubation in an adult with status asthmaticus, albuterol can be administered directly down the endotracheal tube to rapidly dilate the airways. The dose of 2-5 mg is appropriate for adult patients in this situation.

Choice A (3 mg of levalbuterol administered directly down the ET tube) is incorrect because levalbuterol is not typically administered directly down the endotracheal tube, and the dose provided is not within the standard range for adult patients.

Choice C (2.5 mg of albuterol in 3-mL solution, nebulized and delivered with ventilation) is incorrect because nebulized albuterol may not be as effective in rapidly dilating the airways compared to direct administration down the endotracheal tube in this critical situation.

Choice D (

A nursing assistant's responsibility for the resident during discharge ends

  • A. When the doctor writes the discharge order
  • B. When the resident's belongings are packed
  • C. When the resident is seated in the vehicle
  • D. When the vehicle's doors are closed
Correct Answer: C

Rationale: The correct answer is C. A nursing assistant's responsibility for the resident during discharge ends when the resident is safely seated in the vehicle. This is because the nursing assistant's duty is to ensure the safe transfer of the resident from the facility to the vehicle. Once the resident is seated in the vehicle, the nursing assistant's direct responsibility for the resident's well-being ceases as the transportation process has been successfully completed.

Choice A is incorrect because the doctor writing the discharge order does not directly relate to the nursing assistant's responsibility for the resident's discharge process. Choice B is incorrect as the packing of the resident's belongings is not the main focus of the nursing assistant's duty during discharge. Choice D is incorrect because the closing of the vehicle's doors is not the key indicator for the completion of the nursing assistant's responsibilities; ensuring the resident's safe seating in the vehicle is the critical factor.

A student is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?

  • A. Pour urine from the collecting bag.
  • B. Remove the catheter and ask the patient to void.
  • C. Aspirate urine from the collecting bag.
  • D. Aspirate urine from the collection port.
Correct Answer: D

Rationale: Aspiration from the port maintains sterility.

Spirituality consists of

  • A. A defined group of people who all believe the same thing
  • B. The concerns of the spirit,the sacred
  • C. The fact that everyone believes in spirits
  • D. The belief in the paranormal
Correct Answer: B

Rationale: Step-by-step rationale:
1. Spirituality refers to concerns of the spirit and the sacred, encompassing beliefs, practices, and values related to the inner self and higher power.
2. It is not limited to a defined group with identical beliefs (Option A) or a belief in spirits (Option C).
3. While spirituality may involve paranormal aspects for some, it is primarily about the non-material aspects of existence (Option D).
4. Hence, Option B is correct as it best captures the essence of spirituality as the pursuit of the sacred and spiritual growth.