Need Assistance 1. What information should be

Need Assistance 1. What information should be communicated under Situation/Immediate Concern during handoff communication? A. The most recent high-risk behavior B. The most immediate concerns & risks C. Attacking patients & staff. D. Suicide threats F. Debriefing E. All of the above 2. What information should be communicated for patient Background? A. concise communication of why patient is in hospital and treatment goals. B. patient medical history C. risks/precautions D. All of the above 3. What information should be communicated for patient Assessment? A. what I found/what I believe the problem is. B. current assessment: behavior, pain, falls. C. strengths/interventions used and outcomes. D. All of the above 4. What information should be communicated for patient Recommendation? A. continuation of care: treatment due, medication reconciliation, treatment plan interventions, outstanding tasks B. orders to clarify/receive/follow up (restraint packets) C. patient advocacy needs. D. all of the above 5. What does SBAR stand for? A. Situation, Background, Assessment Recommendation B. Status, Background, Ailments, Requests C. Scenario, Blood Type, Assessment, Room Number 6. Room 101A/Mr. Smith: He was admitted involuntarily last night for homicidal behavior towards his adult daughter. He is loud and verbalizing threats to staff and patients to “break out” of the hospital. He has a long history of schizophrenia and recently became non-compliant with his medication, stopping his medications after his wife passed away. He thinks his daughter is dating a terrorist. He is an Iraq war veteran. He has good family support but is becoming increasingly unstable at home. He is grandiose, delusional, and intrusive. He is difficult to redirect and requires frequent redirection. He is unpredictable as he is very labile. He angers easily. He has not made any threats to physically hurt anyone thus far nor any attempts to elope. He is obese with history of COPD and diabetes. He has been up all night with no sleep. V/S are stable. He is not experiencing any SOB and respirations are even and regular. He is on assault and elopement precautions along w/medical risk associated with COPD & diabetes. His blood sugar was 98 this morning and no sliding scale insulin required. This is not his first time being admitted to the hospital for aggression/violent behavior and he has a past history of requiring restraints. He has not seen a psychiatrist yet. His home medications have been verified and reconciled. The physician did not continue medications and will evaluate this morning. Dr. Hernandez ordered unit restriction. He needs sleep and medications. The initial treatment plan is completed. Staff need to be mindful to have a heighten awareness of threats for elopement. He reported he uses a CPAP machine, but it is not at the hospital. The family needs to be contacted to bring his CPAP machine to the hospital. His daughter’s phone number is in the chart. For this scenario, which statement(s) is best examples of situation, background, assessment, and recommendation? A. Situation/immediate concern: _______________________________________________________ B. Background: _____________________________________________________________________ C. Assessment: ______________________________________________________________________ D. Recommendation(s):_______________________________________________________________ 7. Room 106B/Angela Andrews is a 14y/o female admitted for suicide attempt by an overdose of Tylenol, after her boyfriend broke up with her. She slept well last night and is awake performing her ADL’s. She has been here for 3 days. Her father found her in the middle of night throwing up and crying uncontrollably. She told him she wanted to die and took a “bunch of Tylenol.” He took her to the local ED where they pumped her stomach. This is her first admission to a behavioral health facility and has been guarded. She has no history of psychotropic medications or mental health care. Her mother committed suicide when she was 11 years old. She lives with her father and his new wife. She is starting to interact more with her peers and affect is brighter. She has no medical comorbidities, and her lab is normal including liver function tests. She is making progress in treatment. She reported remorse of her actions and denies thoughts of wanting to hurt herself. She needs to continue participating in groups. Recommend opportunities to process and share the attempted suicide. Recommend grief counseling for the loss of her mother, and her father remarrying as part of her discharge planning. A. Situation/immediate concern: ____________________________________________________________ B. Background: _________________________________________________________________________ _ C. Situation: _____________________________________________________________________________ D. Recommendation(s): ____________________________________________________________________ SCIENCE

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