Question

1. What are the 3 major models that emergency psychiatric care is categorized as?
2. What is the role of the outpatient psychiatric mental health RN?
3. In an inpatient care setting, what are some common reasons why admission is reserved?
4. What is the difference in the role of the Psychiatrist and Psychologist in a multidisciplinary treatment team?
5. What are 3 interventions that are used for last resort when managing a behavioral crisis?
6. Give me an example of primary, secondary, or tertiary prevention in an outpatient setting.

Answer 1

1. What are the 3 major models that emergency psychiatric care is categorized as?

a) Mental Health Consultants in Medical Emergency Department - In this model the emergency department assede the present complaint of the patient and will do medical screening examination. If the patient required psychiatrict intervention a request will be made for a mental health consultant to assess the patient. If the consultant not available during the situation accessing a psychiatrist via telemedicine.

b) Dedicated Mental Health Wing of Medical Emergency Department - In this model the separate psychiatric emergency department with qualified team will take care the patint during emergency.

c) Psychiatric Emergency Services (PES) - It is a distinct operation that is solely dedicated to managing and treating psychiatric emergencies, which can accept patients directly from the field, or via police, ambulance, or selfpresentation

2.What is the role of the outpatient psychiatric mental health RN?

• assess the patient
• identify the nursing diagnosis
• treatment according to the nursing diagnosis as well as the doctors medication
• support the family members
• identify the riskfactors of the disorder
• evaluation

3.In an inpatient care setting, what are some common reasons why admission is reserved?

• Bed occupancy Ratio
• High population
• Non availability of other psychiatric speciality near by the area
• Inadequicy of seperate bed for complicated diseased patient.

4.What is the difference in the role of the Psychiatrist and Psychologist in a multidisciplinary treatment team?

Psychiatrist are Doctors and they can presribe medication and engaged with management of treatment

Psychologist focus on psychotherapy and treating emotional and mental suffering in patients with behavioral intervention.

If any behavioural changes in the patient the physician first refered to psychologist for behavioral therapy and the patient required any medication the psychologist refered to psychiatrist.

5.What are 3 interventions that are used for last resort when managing a behavioral crisis?

1. Achieving rapport
2. Begining of problem identification
3. Coping