Maryville NURS 661 Exam 3 | Updated
Questions and Answers | Most Recent
2026 Edition
• Who is most likely to succeed at committing suicide? -✓✓ Older while males
• What are some protective factors for suicide? -✓✓ Having children
Religion
Stronger alliances with medical providers and therapists
• What is lethality? -✓✓ the probability that a person will successfully complete
suicide
• What is intent? -✓✓ Effective expectations for desire of active death
• What is a suicide attempt? -✓✓ Includes all willful, self-inflicted life-threatening
attempts that have not led to death
• What is suicidal ideation? -✓✓ thinking about suicide, usually with some serious
emotional and intellectual or cognitive overtones
• Where in the brain do we theorize violence and aggression originate? -✓✓
Prefrontal cortex
• How to assess for homicidal ideation? -✓✓ Do you have homicidal ideation?
Who do you want to kill? How do you plan to do this? Do you have access to the
means necessary? Do you intend to commit the act?
,• What legal follow up is needed for homicidal ideation? -✓✓ Duty to warn
Based on state laws
• Obsession -✓✓ 1. Recurrent and persistent thoughts, urges, or images that are
experienced, at some time during the disturbance, as intrusive and unwanted, and
that in most individuals cause marked anxiety or distress
2. The individual attempts to ignore or suppress such thoughts, urges, or images, or
to neutralize them with some other thought or action (i.e. by performing a
compulsion)
• Compulsion -✓✓ 1. Repetitive behaviors or mental acts that the individual feels
driven to perform in response to an obsession or according to rules that must be
applied rigidly
2. The behaviors or mental acts are aimed at preventing or reducing anxiety or
distress, or preventing some dreaded event or situation, however, these behaviors
or mental acts are not connected in a realistic way with what they are designed to
neutralize or prevent, or are clearly excessive
• Obsessive-Compulsive Disorder (OCD) -✓✓ A. Presence of obsessions,
compulsions, or both
B. The obsessions or compulsions are time-consuming (e.g. take more than one
hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning
C. The obsessive-compulsive symptoms are not attributable to the physiological
effects of a substance or another medical condition
D. The disturbance is not better explained by the symptoms of another mental
disorder
,• PANDAS -✓✓ Pediatric Autoimmune Neuropsychiatric Disorders Associated
with Streptococcal infections
• OCD common co-morbid conditions -✓✓ MDD (Major depressive disorder)
Skin Picking
Hair Pulling
• Most Common Compulsions -✓✓ Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
• Differentiation between OCD and eating disorders -✓✓ Those with eating
disorders will be counting calories, focused on weight loss or maintaining a
specific weight
• Treatment for OCD -✓✓ Cognitive Behavioral Therapy
• Pharmacological Treatment for OCD -✓✓ First line treatment-SSRI (Luvox,
fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
, • DSM-5 Body Dysmorphic Disorder -✓✓ Preoccupation with perceived flaw on
body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking,
reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
• BDD common preoccupations -✓✓ Facial flaws
genitalia
• Differentiation between BDD and eating disorders -✓✓ BDD is more obsessed
with one specific body flow, not the entire body
• Differentiation between BDD and OCD -✓✓ OCD may have food rituals but not
obsession on a specific body flaw
• Treatment for BDD -✓✓ Cognitive Behavioral Therapy
• Pharmacological treatment of BDD -✓✓ Clomipramine and fluoxetine reduce
symptoms in about 50% of patients
• DSM-5 Hoarding Disorder -✓✓ A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
B. This difficulty is due to a perceived need to save the items and to distress
associated with discarding them
Questions and Answers | Most Recent
2026 Edition
• Who is most likely to succeed at committing suicide? -✓✓ Older while males
• What are some protective factors for suicide? -✓✓ Having children
Religion
Stronger alliances with medical providers and therapists
• What is lethality? -✓✓ the probability that a person will successfully complete
suicide
• What is intent? -✓✓ Effective expectations for desire of active death
• What is a suicide attempt? -✓✓ Includes all willful, self-inflicted life-threatening
attempts that have not led to death
• What is suicidal ideation? -✓✓ thinking about suicide, usually with some serious
emotional and intellectual or cognitive overtones
• Where in the brain do we theorize violence and aggression originate? -✓✓
Prefrontal cortex
• How to assess for homicidal ideation? -✓✓ Do you have homicidal ideation?
Who do you want to kill? How do you plan to do this? Do you have access to the
means necessary? Do you intend to commit the act?
,• What legal follow up is needed for homicidal ideation? -✓✓ Duty to warn
Based on state laws
• Obsession -✓✓ 1. Recurrent and persistent thoughts, urges, or images that are
experienced, at some time during the disturbance, as intrusive and unwanted, and
that in most individuals cause marked anxiety or distress
2. The individual attempts to ignore or suppress such thoughts, urges, or images, or
to neutralize them with some other thought or action (i.e. by performing a
compulsion)
• Compulsion -✓✓ 1. Repetitive behaviors or mental acts that the individual feels
driven to perform in response to an obsession or according to rules that must be
applied rigidly
2. The behaviors or mental acts are aimed at preventing or reducing anxiety or
distress, or preventing some dreaded event or situation, however, these behaviors
or mental acts are not connected in a realistic way with what they are designed to
neutralize or prevent, or are clearly excessive
• Obsessive-Compulsive Disorder (OCD) -✓✓ A. Presence of obsessions,
compulsions, or both
B. The obsessions or compulsions are time-consuming (e.g. take more than one
hour per day) or cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning
C. The obsessive-compulsive symptoms are not attributable to the physiological
effects of a substance or another medical condition
D. The disturbance is not better explained by the symptoms of another mental
disorder
,• PANDAS -✓✓ Pediatric Autoimmune Neuropsychiatric Disorders Associated
with Streptococcal infections
• OCD common co-morbid conditions -✓✓ MDD (Major depressive disorder)
Skin Picking
Hair Pulling
• Most Common Compulsions -✓✓ Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
• Differentiation between OCD and eating disorders -✓✓ Those with eating
disorders will be counting calories, focused on weight loss or maintaining a
specific weight
• Treatment for OCD -✓✓ Cognitive Behavioral Therapy
• Pharmacological Treatment for OCD -✓✓ First line treatment-SSRI (Luvox,
fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
, • DSM-5 Body Dysmorphic Disorder -✓✓ Preoccupation with perceived flaw on
body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin picking,
reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
• BDD common preoccupations -✓✓ Facial flaws
genitalia
• Differentiation between BDD and eating disorders -✓✓ BDD is more obsessed
with one specific body flow, not the entire body
• Differentiation between BDD and OCD -✓✓ OCD may have food rituals but not
obsession on a specific body flaw
• Treatment for BDD -✓✓ Cognitive Behavioral Therapy
• Pharmacological treatment of BDD -✓✓ Clomipramine and fluoxetine reduce
symptoms in about 50% of patients
• DSM-5 Hoarding Disorder -✓✓ A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
B. This difficulty is due to a perceived need to save the items and to distress
associated with discarding them
