A 37-Year-Old Man with a History of Bipolar Disorder Is

question 83

Multiple Choice

A 37-year-old man with a history of bipolar disorder is brought to the emergency department by family members after they prevented him from going to a gun range, where he had planned to shoot himself.  On admission to the psychiatric unit, the patient reports being very depressed about breaking up with his girlfriend.  In addition, she has recently posted photos of herself with her new boyfriend on social media.  Since then, the patient has felt worthless and hopeless, believing that his life is not worth living.  On his third day in the hospital he is taken off 1-to-1 constant observation and changed to 30-minute checks.  That evening, he asks to speak with his former girlfriend by phone.  Following the phone call, the patient does not come out for dinner and is not seen in his room.  He is found hanging from a sheet fastened as a noose around the hinge of the bathroom door.  He is unresponsive and appears pale.  A staff member begins cardiopulmonary resuscitation while awaiting the rapid response team's arrival.  Despite resuscitative measures, the patient remains unresponsive and dies.  In responding to this incident, which of the following is the most appropriate next step for the hospital to prevent such occurrences in the future?

• A)Determine why the decision was made to discontinue constant observation
• B)Improve the rapid response team's arrival time
• C)Provide additional cardiopulmonary resuscitation training for all unit staff
• D)Remove the door hinges to decrease potential for hanging
• E)Supervise all patients during phone calls

Acknowledge different communication objectives depending on the stage of a crisis and the importance of customizing presentations for specific audiences.

Understand the principles and benefits of using various mediums (like handouts) for effective communication during workshops.

Identify the steps an organization should follow during a crisis to manage situations effectively.

Comprehend the essential components of an effective presentation structure.

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Definitions:

Person

An individual human being.

Avoid Payment

The act of intentionally preventing or escaping the obligation to pay for a service or fee.

Cycle Billing

A billing process where customers are assigned to groups, and invoices are sent out to each group at different times throughout the month.

Large Medical Practices

Medical organizations or groups with a significant number of healthcare professionals providing a wide range of medical services.