NURS 243 Exam 2 study guide UPDATED
ACTUAL Questions and CORRECT
Answers
CH 22. Suicide Prevention - CORRECT ANSWER - --
Key terms : Suicide - CORRECT ANSWER - Intentional self-inflicted death
(it means patient is already dead-completed death)
Key terms: Suiciality - CORRECT ANSWER - Suicide think & act
(I want to kill myself - thinking or acting)
Key terms: What 2 category falls under "Suicidality"? - CORRECT ANSWER - Suicidal ideation,
Suicidal attempt
Key terms : What is suicidal ideation? - CORRECT ANSWER - Thoughts of wanting to die
(Thinking about it)
Key terms : What is Suicidal attempt? - CORRECT ANSWER - Person already tried to kill, it just
didn't work out (non-fatal)
meaning "Suicidal attempt" is more severe than "Suicidal ideation"
What do we have to know about Suicidal attempt in terms of gender? - CORRECT ANSWER -
Suicide attempt is higher in woman but lethality is higher in man
Man with MDD is highest risk
Key terms: What is parasuicide? - CORRECT ANSWER - Voluntary act. The aim of acting is not
death.
(Cut themself to get attention)
,Patient safety Considerations (inpatient) - CORRECT ANSWER - Anything with SAFETY FIRST!
What is most restrictive care? - CORRECT ANSWER - Admission to locked unit with one to one
staff
Do we want most restrictive care? - CORRECT ANSWER - NO. we want LEAST restrictive care
possible
Crisis management strategies: how should we manage when patient has HIGHEST risk of suicide? (5) -
CORRECT ANSWER - 1. Stay with patient (1:1 observation..SAFETY)
2. Remove means (knife, belt, etc)
3. Notify provider
4. Involuntary admission is possible!
5. Continuous observation
Assessment of Suicidal episode: IS PATH WARM - CORRECT ANSWER - Ideation
Substance use
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood changes
T/F. We should not ask directly about suicide during assessment - CORRECT ANSWER - False.
Asking questions will NOT provoke a suicide attempt.
we should ask directly : do you want to? any plan? what method? when? do you have access? past
attempt?
, How do we know if the patient is at Suicide Crisis(highest risk)? and how should we act? - CORRECT
ANSWER - - If patient have specific plan, access, previous attempt
- Stay with patient, remove means, notify provider, possible involuntary hold, continuous observation
Assessment of suicidal episode example(from lipincott)
Intent to die & severity of ideation & degree of planning - CORRECT ANSWER - Intent to die
(Have you been thinking about hurting or killing yourself? how seriously do you want to die? have you
attempted suicide before? are there people or things in your life who might keep you from killing
yourself?)
Severity of ideation (How often do you have these thoughts? how long do they last? how much o the
thoughts distress you? can you dismiss them, or do they tend to return? are they increasing in intensity
and frequency?)
Degree of planning (Have you made any plans to kill yourself? do you have access to the materials to kill
yourself? how likely is it that you could actually carry out the plan? have you done anything to put the
plan into action? could you stop yourself from killing yourself?)
How does family usually response? What's nurse's role? - CORRECT ANSWER - - Family may
experience guilt, anger, shame, denial
- Nurse role : educate, provide resources, encourage therapy, avoid blaming language
What are Suicide risk factors (Biological)? - CORRECT ANSWER - Family history of suicide,
physical disorder
What are Suicide risk factors (Psychosocial)? - CORRECT ANSWER - hopelessness, intense
emotion, poor relationship, history of trauma/abuse
What are Suicide risk factors (Social/environmental)? - CORRECT ANSWER - Family problem,
economic problem, lack of health care, access to firearm
What are Suicide risk factors (Race ðnicity)? - CORRECT ANSWER - American indian,
alaskan native, white
ACTUAL Questions and CORRECT
Answers
CH 22. Suicide Prevention - CORRECT ANSWER - --
Key terms : Suicide - CORRECT ANSWER - Intentional self-inflicted death
(it means patient is already dead-completed death)
Key terms: Suiciality - CORRECT ANSWER - Suicide think & act
(I want to kill myself - thinking or acting)
Key terms: What 2 category falls under "Suicidality"? - CORRECT ANSWER - Suicidal ideation,
Suicidal attempt
Key terms : What is suicidal ideation? - CORRECT ANSWER - Thoughts of wanting to die
(Thinking about it)
Key terms : What is Suicidal attempt? - CORRECT ANSWER - Person already tried to kill, it just
didn't work out (non-fatal)
meaning "Suicidal attempt" is more severe than "Suicidal ideation"
What do we have to know about Suicidal attempt in terms of gender? - CORRECT ANSWER -
Suicide attempt is higher in woman but lethality is higher in man
Man with MDD is highest risk
Key terms: What is parasuicide? - CORRECT ANSWER - Voluntary act. The aim of acting is not
death.
(Cut themself to get attention)
,Patient safety Considerations (inpatient) - CORRECT ANSWER - Anything with SAFETY FIRST!
What is most restrictive care? - CORRECT ANSWER - Admission to locked unit with one to one
staff
Do we want most restrictive care? - CORRECT ANSWER - NO. we want LEAST restrictive care
possible
Crisis management strategies: how should we manage when patient has HIGHEST risk of suicide? (5) -
CORRECT ANSWER - 1. Stay with patient (1:1 observation..SAFETY)
2. Remove means (knife, belt, etc)
3. Notify provider
4. Involuntary admission is possible!
5. Continuous observation
Assessment of Suicidal episode: IS PATH WARM - CORRECT ANSWER - Ideation
Substance use
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood changes
T/F. We should not ask directly about suicide during assessment - CORRECT ANSWER - False.
Asking questions will NOT provoke a suicide attempt.
we should ask directly : do you want to? any plan? what method? when? do you have access? past
attempt?
, How do we know if the patient is at Suicide Crisis(highest risk)? and how should we act? - CORRECT
ANSWER - - If patient have specific plan, access, previous attempt
- Stay with patient, remove means, notify provider, possible involuntary hold, continuous observation
Assessment of suicidal episode example(from lipincott)
Intent to die & severity of ideation & degree of planning - CORRECT ANSWER - Intent to die
(Have you been thinking about hurting or killing yourself? how seriously do you want to die? have you
attempted suicide before? are there people or things in your life who might keep you from killing
yourself?)
Severity of ideation (How often do you have these thoughts? how long do they last? how much o the
thoughts distress you? can you dismiss them, or do they tend to return? are they increasing in intensity
and frequency?)
Degree of planning (Have you made any plans to kill yourself? do you have access to the materials to kill
yourself? how likely is it that you could actually carry out the plan? have you done anything to put the
plan into action? could you stop yourself from killing yourself?)
How does family usually response? What's nurse's role? - CORRECT ANSWER - - Family may
experience guilt, anger, shame, denial
- Nurse role : educate, provide resources, encourage therapy, avoid blaming language
What are Suicide risk factors (Biological)? - CORRECT ANSWER - Family history of suicide,
physical disorder
What are Suicide risk factors (Psychosocial)? - CORRECT ANSWER - hopelessness, intense
emotion, poor relationship, history of trauma/abuse
What are Suicide risk factors (Social/environmental)? - CORRECT ANSWER - Family problem,
economic problem, lack of health care, access to firearm
What are Suicide risk factors (Race ðnicity)? - CORRECT ANSWER - American indian,
alaskan native, white
