Provincial Violence Prevention Training Curriculum Online Quiz for Module 8: Behavioural Care Planning for Violence Prevention Questions: 1) A PVRA is: a. Short for Patient Violence Risk Appraisal b. An assessment that deals specifically with a patient s potential for violence or observed violent behaviours c. Conducted as part of a general patient assessment d. Used by clinical staff to help create a behavioural intervention schedule and B and C 2) Conducting a PVRA allows you to identify known risks, them, and develop appropriate interventions. a. Prevent b. Communicate c. Isolate 3) The benefits of conducting a PVRA include: a. Helping to gather information to establish baseline behaviour b. Helping to determine if a violence alert is needed c. Providing a basis for creating a behavioural violence prevention care plan d. Allowing for care to be provided in a way that ensures staff and patient safety, B and D and C 1
4) You should conduct a PVRA when: a. Screening indicates a stressor b. A patient exhibits agitated or violent behaviours c. A patient exhibits a change in physical, mental, or emotional condition that affects their behaviour d. A patient has a history of violence and B, C and D 5) How a PVRA is conducted will depend on your organization/sector s risk assessment practices. 6) A comprehensive PVRA evaluates the patient based on their: a. Mental and/or emotional state b. Observed behaviours c. Ability to communicate d. Ability to prevent harm e. Stressors, B and E, C, D and E, B, C and E 7) Identifying and, and treating the patient according to their assigned risk status is the first step in behavioral violence prevention care planning. The next steps involve developing ways to address the risks in the care plan. a. Managing risks b. Documenting risks c. Preventing stressors d. Evaluating stressors o D 2
8) If you identify the risk for violence through a PVRA, you are responsible for communicating the risk by: a. Entering it on the patient s chart b. Verbally reporting it at shift change c. Reporting it to a physician d. Removing a violence alert, B and D and C 9) Different care sectors use interventions for providing care to potentially violent patients. Once interventions are developed, they are included in the care plan. a. Multiple b. Different c. Violence d. Complex o D 10) Charting can help prevent violence by: a. Communicating the risk of violence to visitors b. Verifying why care could not be provided or had to be altered c. Helping your department/organization get the required violence prevention resources d. Communicating the successes and lessons learned about effective care approaches e. Documenting patterns of behaviour to help identify risks, B, C and D, C, D and E, C, D and E, B, D and E 3
11) Charting can help you and your co-workers after a violent incident by supporting a WorkSafeBC claim or legal claim if you or a co-worker are injured while caring for a patient. 12) Charting can help the patient by helping workers develop the best treatment plans and provide consistent care. 13) Documenting the following specific types of information consistently will help make charting a more effective violence prevention tool: a. Physical behaviours other people observed b. Exactly what was said (i.e., quoting what your heard), even if it is vulgar c. The interventions or safety precautions that were taken and the patient s response(s) d. How the patient s treatment or care was affected e. Attempts that were made to contact a physician for help, C, D and E, B, D and E, C, D and E, B, and E 14) Charting can help healthcare organizations by: a. Identifying needs for more effective violence prevention procedures, policies and resources b. Providing information about potential biological hazards c. Providing information that can be used to support you if legal actions occur as a result of a violent incident d. Identifying complex working conditions and B only and C and D 4
15) When you are charting, you should: a. Use subjective terms b. Use medical jargon and abbreviations c. Label the patient and include inflammatory comments d. Describe in detail what you observed and heard e. Include your personal opinion and C, D and E o D and E o D only 5