NU664A FINAL EXAM 2026 REVISION NOTES
AND STRUCTURED ADVANCED HEALTH
ASSESSMENT OVERVIEW GUIDE
◉ Grief process and treatment. Answer: Kubler Ross: denial, anger,
bargaining, depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
◉ Risk assessment (suicide, self-harm, homicide, etc.) - protective
and risks factors. Answer: Highest risk group- white, middle-aged
males
Next highest- aged 85 and older
◉ Screening tool- Ask Suicide-Screening Questions (ASQ). Answer:
made of 4 questions to ask youth in medical settings
◉ Common screening tools. Answer: PHQ-9 for depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
,◉ Highest risk for self-injury. Answer: socioeconomic disadvantage,
depression, substance abuse, and anxiety
◉ Self-injury increases. Answer: risk of later suicide
◉ Primary prevention. Answer: concerned with the prevention of
the onset of disease; goal is to reduce the incidence of disease; e.g.
vaccinations
◉ Secondary prevention. Answer: concerned with trying to detect a
disease early and prevent it from getting worse; e.g. regular exams
and screening tests
◉ Tertiary prevention. Answer: concerned with reducing the impact
of an ongoing illness or injury that has lasting effects; e.g. cardiac or
stroke rehab programs, support groups
◉ Levels of prevention. Answer: primary, secondary, tertiary - this is
important for public patient education/screening/epidemiological
measures, and promoting health.
◉ Neuroanatomy. Answer: neurotransmitters, brain plasticity,
epigenetics, major areas of the brain such as the amygdala,
prefrontal cortex, hypothalamus
, ◉ Dopamine. Answer: responsible for drive, motivation, and reward,
inhibition of prolactin, controls motor (imbalance causes
Parkinson's, extapyramidal symptoms)
◉ Serotonin. Answer: satisfaction, sociality, lowers anxiety and
impulsivity, decreases sex drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
◉ Norepinephrine. Answer: concentration, attention, vigilance,
energy, tachycardia, HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
◉ Glutamate. Answer: being "on", excitatory (think gluta-MATE
mating)
◉ GABA. Answer: being "off", inhibitory, relaxation, euphoria,
decreases muscle activity, slows breathing, decreases anxiety and
seizures (think gabapentin)
◉ Acetylcholine. Answer: bradycardia, GI motility, salivation,
lacrimation, urination, sexual arousal, muscle contraction
- In the hippocampus- learning, memory, awakeness, attention
AND STRUCTURED ADVANCED HEALTH
ASSESSMENT OVERVIEW GUIDE
◉ Grief process and treatment. Answer: Kubler Ross: denial, anger,
bargaining, depression, and acceptance.
Instrumental: problem solving
Intuitive emotional
◉ Risk assessment (suicide, self-harm, homicide, etc.) - protective
and risks factors. Answer: Highest risk group- white, middle-aged
males
Next highest- aged 85 and older
◉ Screening tool- Ask Suicide-Screening Questions (ASQ). Answer:
made of 4 questions to ask youth in medical settings
◉ Common screening tools. Answer: PHQ-9 for depression
Columbia-Suicide Severity Rating Scale (C-SSRS)
SAFE-T (Suicide Assessment Five-Step Evaluation and Triage)
,◉ Highest risk for self-injury. Answer: socioeconomic disadvantage,
depression, substance abuse, and anxiety
◉ Self-injury increases. Answer: risk of later suicide
◉ Primary prevention. Answer: concerned with the prevention of
the onset of disease; goal is to reduce the incidence of disease; e.g.
vaccinations
◉ Secondary prevention. Answer: concerned with trying to detect a
disease early and prevent it from getting worse; e.g. regular exams
and screening tests
◉ Tertiary prevention. Answer: concerned with reducing the impact
of an ongoing illness or injury that has lasting effects; e.g. cardiac or
stroke rehab programs, support groups
◉ Levels of prevention. Answer: primary, secondary, tertiary - this is
important for public patient education/screening/epidemiological
measures, and promoting health.
◉ Neuroanatomy. Answer: neurotransmitters, brain plasticity,
epigenetics, major areas of the brain such as the amygdala,
prefrontal cortex, hypothalamus
, ◉ Dopamine. Answer: responsible for drive, motivation, and reward,
inhibition of prolactin, controls motor (imbalance causes
Parkinson's, extapyramidal symptoms)
◉ Serotonin. Answer: satisfaction, sociality, lowers anxiety and
impulsivity, decreases sex drive, 90% serotonin in GI tract
-Too much- bleeding, GI motility, nausea
- Zofran blocks serotonin
◉ Norepinephrine. Answer: concentration, attention, vigilance,
energy, tachycardia, HTN, glucose to essential organs
-Fear increases NE to brain, epinephrine to blood
-Fight or flight
◉ Glutamate. Answer: being "on", excitatory (think gluta-MATE
mating)
◉ GABA. Answer: being "off", inhibitory, relaxation, euphoria,
decreases muscle activity, slows breathing, decreases anxiety and
seizures (think gabapentin)
◉ Acetylcholine. Answer: bradycardia, GI motility, salivation,
lacrimation, urination, sexual arousal, muscle contraction
- In the hippocampus- learning, memory, awakeness, attention
