Maryville University NURS 661 Exam 3 Questions with
Verified Answers 2026/2027 New Update
Who developed EMDR? - answer -Francine Shapiro in the 1980s when she noticed moving eyes
side to side decreased her own distressing memory.
Contraindications to EMDR: - answer -Dr. P talked about what types of clinical issues a patient
may have that would interfere with specific types of stimulation: Disorders affecting hearing or
sight, ect.
What psychotherapy is often time limited to 12-16 sessions? - answer -three phases: a
beginning (1-3 sessions), middle, and end (3 sessions).
How to assess for homicidal ideation - answer -Address the patient's beliefs; do they want to
harm someone else? do they have a plan to harm someone? do they have the means to carry
out the plan? Do they state that they want to carry out the plan?
What area of the brain is most associated with violence - answer -Pre frontal cortex
What personality disorder is most associated with self-harming behavior? - answer -Borderline
personality disorder
1|Page
,Which symptom if not resolved is not often leads to suicide? - answer -hopelessness
Be able to identify protective factors among patients at risk for suicide - answer -Internal: ability
to cope with stress, religious beliefs, frustration tolerance
External: responsibility to children or beloved pets, positive therapeutic relationships, social
supports
Know which symptoms if not resolved often lead to patients attempting suicide - answer -
Know the difference between self-mutilation and suicidal gestures - answer -Intent
differentiates the two. self mutilation is harming self without intent to end life and suicidal
gestures have the intent of ending life.
Know which medication has been linked to reducing suicidal ideation among patients - answer -
Lithium
What does lethality mean? - answer -the capacity to cause death or serious harm or damage
What compulsion is most commonly seen in patients with OCD? - answer -checking
2|Page
,Most common concern with body dysmorphic disorder? - answer -facial flaws
What is an obsession? - answer -Intrusive thoughts- limited to the mind
What is a compulsion? - answer -irrational behavior performed repeatedly- involves action
What is the most common co-morbid psychiatric diagnosis associated with OCD/ - answer -
Major depressive disorder
Understand body dysmorphic disorder - answer -Preoccupation with one or more perceived
defects of flaws in physical appearance that are not observable by or appear very mild to others
What is the first line treatment for hoarding disorder? - answer -CBT- medication may be added
to treat the depression and anxiety that may go along with it
What are the basics of trichotilomania? - answer -occurs more in females, relief/gratification
from hair pulling, 30-40% eat hair, scalp most common area; can be focused (intentional) or
automatic (unintentional during sedentary activities)
Be able to recognize anorexia nervous among male patients - answer -Appearance: emaciated
appearance with anorexia nervosa
3|Page
, Affect: lability, anxiety, constricted and sad
Mood: dysphoric mood
Thought content: preoccupation with food & body weight, suicidal ideation, low self esteem
Concentration: decreased concentration
Judgement: impaired for self welfare
Insight: Impaired
What are the characteristics of REM sleep? - answer -a kind of sleep that occurs at intervals
during the night and is characterized by rapid eye movements, more dreaming and bodily
movement, and faster pulse and breathing
What medication would be most effecive for patients who have difficulty falling asleep? -
answer -hypnotics and benzodiazepines
Know the most common characteristics of NREM sleep - answer -no or few rapid eye
movements, pulse rate is slower by about 5-10 beats per minute, RR and BP are also lower,
episodic involuntary movement, stages 1-4
What is a common and serious side effective associated with Trazedone? - answer -Priapism
What brain structure controls circadian rhythm? - answer -Suprachiasmatic nucleus in the
hypothalamus
4|Page
Verified Answers 2026/2027 New Update
Who developed EMDR? - answer -Francine Shapiro in the 1980s when she noticed moving eyes
side to side decreased her own distressing memory.
Contraindications to EMDR: - answer -Dr. P talked about what types of clinical issues a patient
may have that would interfere with specific types of stimulation: Disorders affecting hearing or
sight, ect.
What psychotherapy is often time limited to 12-16 sessions? - answer -three phases: a
beginning (1-3 sessions), middle, and end (3 sessions).
How to assess for homicidal ideation - answer -Address the patient's beliefs; do they want to
harm someone else? do they have a plan to harm someone? do they have the means to carry
out the plan? Do they state that they want to carry out the plan?
What area of the brain is most associated with violence - answer -Pre frontal cortex
What personality disorder is most associated with self-harming behavior? - answer -Borderline
personality disorder
1|Page
,Which symptom if not resolved is not often leads to suicide? - answer -hopelessness
Be able to identify protective factors among patients at risk for suicide - answer -Internal: ability
to cope with stress, religious beliefs, frustration tolerance
External: responsibility to children or beloved pets, positive therapeutic relationships, social
supports
Know which symptoms if not resolved often lead to patients attempting suicide - answer -
Know the difference between self-mutilation and suicidal gestures - answer -Intent
differentiates the two. self mutilation is harming self without intent to end life and suicidal
gestures have the intent of ending life.
Know which medication has been linked to reducing suicidal ideation among patients - answer -
Lithium
What does lethality mean? - answer -the capacity to cause death or serious harm or damage
What compulsion is most commonly seen in patients with OCD? - answer -checking
2|Page
,Most common concern with body dysmorphic disorder? - answer -facial flaws
What is an obsession? - answer -Intrusive thoughts- limited to the mind
What is a compulsion? - answer -irrational behavior performed repeatedly- involves action
What is the most common co-morbid psychiatric diagnosis associated with OCD/ - answer -
Major depressive disorder
Understand body dysmorphic disorder - answer -Preoccupation with one or more perceived
defects of flaws in physical appearance that are not observable by or appear very mild to others
What is the first line treatment for hoarding disorder? - answer -CBT- medication may be added
to treat the depression and anxiety that may go along with it
What are the basics of trichotilomania? - answer -occurs more in females, relief/gratification
from hair pulling, 30-40% eat hair, scalp most common area; can be focused (intentional) or
automatic (unintentional during sedentary activities)
Be able to recognize anorexia nervous among male patients - answer -Appearance: emaciated
appearance with anorexia nervosa
3|Page
, Affect: lability, anxiety, constricted and sad
Mood: dysphoric mood
Thought content: preoccupation with food & body weight, suicidal ideation, low self esteem
Concentration: decreased concentration
Judgement: impaired for self welfare
Insight: Impaired
What are the characteristics of REM sleep? - answer -a kind of sleep that occurs at intervals
during the night and is characterized by rapid eye movements, more dreaming and bodily
movement, and faster pulse and breathing
What medication would be most effecive for patients who have difficulty falling asleep? -
answer -hypnotics and benzodiazepines
Know the most common characteristics of NREM sleep - answer -no or few rapid eye
movements, pulse rate is slower by about 5-10 beats per minute, RR and BP are also lower,
episodic involuntary movement, stages 1-4
What is a common and serious side effective associated with Trazedone? - answer -Priapism
What brain structure controls circadian rhythm? - answer -Suprachiasmatic nucleus in the
hypothalamus
4|Page
