FNP III 2026 Mental Health Issues Complete Clinical Guide Essential Strategies for Practice

FNP III 2026 Mental
Health Issues
Complete Clinical
Guide Essential
Strategies for
Practice

, Contracting for Safety: - correct answer You can have them sign a "contract" that states they i i i i i i i i i i i i i i i i




will not harm themselves for a specified amount of time
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She talks about this possibly increasing a patient's emotional distress, so she typically only
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uses these with patient she already has a strong rapport with
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This contract is not a legal document, and does not release the NP from responsibility for this
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patient

Suicide Screening in Primary Care: - correct answer Many patients who have suicidal
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thoughts suffer from chronic illnesses and chronic pain i i i i i i i




95% of patients have comorbid mental health disorders
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And many are using alcohol or other substances abusively
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Racial/ethnic disparities: i




Adults who are white, native american, or biracial have higher incidence of suicide attempts
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Teens who are hispanic are also at a higher riski i i i i i i i i




Suicide Threat Assessment i i




○ HIGH RISK - refer to ER or local psychologist or psychiatrist immediately!
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○ MODERATE RISK: Referral to ER maybe necessary depending on risk factors.
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○ LOW RISK: outpatient referral, symptom reductions, give emergency/crisis #
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○ SAFE-Ti




If starting a medication call within a week to follow up
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Suicide Risk Factors: - correct answer ● Previous attempt i i i i i i i i




● family members of friends who have attempted suicide
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● neuropsychiatric conditions: Depression is biggest risk factor for suicide.
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● Family history of physical or sexual abuse
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● Firearm in house
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● incarceration, unemployment, widowed, divorced, or separated, living alone, or financial
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problems
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Protective Factors i




● Internal Factors
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○ Ability to cope with stress
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○ Religious beliefs
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○ Frustration tolerance
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● External Factors
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○ Responsibility to children or beloved pets
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○ Positive therapeutic relationships
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○ social supports
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Suicide Risk Level: Suicide Risk Factors + Protective Factors + intent and plan = SUICIDE
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RISK LEVEL i




ADD/ ADHD - correct answer Childhood ADD/ADHD
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It is a neurodevelopmental/biological disorder
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Risk factors: prematurity, any maternal RF or exposures when in utero
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It is hard to diagnose at a young age, particularly children <4yo
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Common symptoms: impulsivity, inattention, hyperactivity i i i i