Page 1 of 182
NR 605 MIDTERM EXAM & FINAL EXAM
(DIAGNOSIS MANAGEMENT IN PSYCHIATRIC)
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS AGRADE
RATED
NR 605 MIDTERM EXAM
Circumstances that increase suicide risk: Individual Risk Factors - ANSWER-Previous
suicide attempt
History of depression and other mental illnesses
Serious illness such as chronic pain
Criminal/legal problems
Job/financial problems or loss
Impulsive or aggressive tendencies
Substance use
Current or prior history of adverse childhood experiences
Sense of hopelessness
Violence victimization and/or perpetration
1
,Page 2 of 182
Circumstances that increase suicide risk: Relationship Risk Factors - ANSWER-Bullying
Family/loved one's history of suicide
Loss of relationships
High conflict or violent relationships
Social isolation
Circumstances that increase suicide risk: Community Risk Factors - ANSWER-Lack of
access to healthcare
Suicide cluster in the community
Stress of acculturation
Community violence
Historical trauma
Discrimination
Circumstances that increase suicide risk: Societal Risk Factors - ANSWER-Stigma
associated with help-seeking and mental illness
Easy access to lethal means of suicide among people at risk
Unsafe media portrayals of suicide
2
,Page 3 of 182
Circumstances that protect against suicide risk: Individual Protective Factors -
ANSWER-Effective coping and problem-solving skills
Reasons for living (for example, family, friends, pets, etc.)
Strong sense of cultural identity
Circumstances that protect against suicide risk: Relationship Protective Factors -
ANSWER-Support from partners, friends, and family
Feeling connected to others
Circumstances that protect against suicide risk: Community Protective Factors -
ANSWER-Feeling connected to school, community, and other social institutions
Availability of consistent and high quality physical and behavioral healthcare
Circumstances that protect against suicide risk: Societal Protective Factors - ANSWER-
Reduced access to lethal means of suicide among people at risk
Cultural, religious, or moral objections to suicide
warning signs for suicide: - ANSWER-Talking about being a burden
Being isolated
Increased anxiety
Talking about feeling trapped or in unbearable pain
3
, Page 4 of 182
Increased substance use
Looking for a way to access lethal means
Increased anger or rage
Extreme mood swings
Expressing hopelessness
Sleeping too little or too much
Talking or posting about wanting to die
Making plans for suicide
Phases of Therapy - ANSWER-Initiation
Working
Termination
Initiation of Therapy - ANSWER--one of the most important goals of the first session is
establishing a therapeutic alliance
• fundamental component of successful therapy
-comprehensive history & mental status examination
• collect info to establish a psychiatric history and dx
• guide the development of a tx plan
-location, frequency of sessions, and payment
4
NR 605 MIDTERM EXAM & FINAL EXAM
(DIAGNOSIS MANAGEMENT IN PSYCHIATRIC)
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS AGRADE
RATED
NR 605 MIDTERM EXAM
Circumstances that increase suicide risk: Individual Risk Factors - ANSWER-Previous
suicide attempt
History of depression and other mental illnesses
Serious illness such as chronic pain
Criminal/legal problems
Job/financial problems or loss
Impulsive or aggressive tendencies
Substance use
Current or prior history of adverse childhood experiences
Sense of hopelessness
Violence victimization and/or perpetration
1
,Page 2 of 182
Circumstances that increase suicide risk: Relationship Risk Factors - ANSWER-Bullying
Family/loved one's history of suicide
Loss of relationships
High conflict or violent relationships
Social isolation
Circumstances that increase suicide risk: Community Risk Factors - ANSWER-Lack of
access to healthcare
Suicide cluster in the community
Stress of acculturation
Community violence
Historical trauma
Discrimination
Circumstances that increase suicide risk: Societal Risk Factors - ANSWER-Stigma
associated with help-seeking and mental illness
Easy access to lethal means of suicide among people at risk
Unsafe media portrayals of suicide
2
,Page 3 of 182
Circumstances that protect against suicide risk: Individual Protective Factors -
ANSWER-Effective coping and problem-solving skills
Reasons for living (for example, family, friends, pets, etc.)
Strong sense of cultural identity
Circumstances that protect against suicide risk: Relationship Protective Factors -
ANSWER-Support from partners, friends, and family
Feeling connected to others
Circumstances that protect against suicide risk: Community Protective Factors -
ANSWER-Feeling connected to school, community, and other social institutions
Availability of consistent and high quality physical and behavioral healthcare
Circumstances that protect against suicide risk: Societal Protective Factors - ANSWER-
Reduced access to lethal means of suicide among people at risk
Cultural, religious, or moral objections to suicide
warning signs for suicide: - ANSWER-Talking about being a burden
Being isolated
Increased anxiety
Talking about feeling trapped or in unbearable pain
3
, Page 4 of 182
Increased substance use
Looking for a way to access lethal means
Increased anger or rage
Extreme mood swings
Expressing hopelessness
Sleeping too little or too much
Talking or posting about wanting to die
Making plans for suicide
Phases of Therapy - ANSWER-Initiation
Working
Termination
Initiation of Therapy - ANSWER--one of the most important goals of the first session is
establishing a therapeutic alliance
• fundamental component of successful therapy
-comprehensive history & mental status examination
• collect info to establish a psychiatric history and dx
• guide the development of a tx plan
-location, frequency of sessions, and payment
4
