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Maryville University NURS 661 Exam 3 MegaDeck | 500+ Practice Questions with Correct Answers | Psychiatric Mental Health, Personality Disorders, OCD, Sleep Disorders & Suicide Risk Assessment

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Prepare for Maryville University NURS 661 Exam 3 with this comprehensive MegaDeck featuring 500+ exam-style questions and verified answers covering advanced Psychiatric Mental Health Nurse Practitioner (PMHNP) concepts. This study guide reviews essential topics including suicide risk assessment, suicide prevention, homicidal ideation, obsessive-compulsive and related disorders (OCD), body dysmorphic disorder (BDD), hoarding disorder, trichotillomania, sleep-wake disorders, personality disorders (Clusters A, B, and C), psychotherapy modalities, psychopharmacology, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), EMDR, psychodynamic therapy, interpersonal therapy, and evidence-based psychiatric assessment and management. The structured question-and-answer format promotes active recall, reinforces clinical reasoning, and prepares graduate nursing students for course examinations and PMHNP certification review. This MegaDeck emphasizes advanced psychiatric assessment and treatment strategies used in mental health practice, including suicide lethality versus intent, protective and risk factors for suicide, violence assessment, duty to warn, DSM-5 diagnostic criteria for obsessive-compulsive and related disorders, personality disorder recognition, behavioral management strategies, sleep hygiene interventions, pharmacologic treatment options, and major psychotherapeutic approaches. It also reviews commonly tested psychiatric medications, including SSRIs, TCAs, lithium, trazodone, prazosin, benzodiazepines, mood stabilizers, atypical antipsychotics, and pharmacologic management of obsessive-compulsive, personality, and sleep disorders. The material further explores nursing interventions, therapeutic communication, ethical considerations, and clinical decision-making required in psychiatric and mental health nursing practice. This resource serves as an excellent review for graduate nursing examinations, PMHNP coursework, and board certification preparation. This document is particularly suitable for: Maryville University NURS 661 students Psychiatric Mental Health Nurse Practitioner (PMHNP) students Master of Science in Nursing (MSN) students Doctor of Nursing Practice (DNP) students Advanced Practice Registered Nurse (APRN) students Psychiatric Mental Health nursing students Graduate nursing students preparing for psychiatric examinations PMHNP certification candidates Nurse Practitioner board examination candidates Advanced psychiatric assessment and psychopharmacology learners References American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.; DSM-5-TR). American Psychiatric Association Publishing. Stahl, S. M. (2023). Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications (5th ed.). Cambridge University Press. Sadock, B. J., Sadock, V. A., & Ruiz, P. (2021). Kaplan & Sadock's Synopsis of Psychiatry (12th ed.). Wolters Kluwer. Varcarolis, E. M. (2024). Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care (5th ed.). Elsevier. American Nurses Association. (2022). Psychiatric-Mental Health Nursing: Scope and Standards of Practice (3rd ed.). ANA. Keywords Maryville University, NURS 661, NURS 661 Exam 3, PMHNP, Psychiatric Mental Health Nursing, Psychiatric Assessment, Suicide Risk Assessment, Suicide Prevention, Homicidal Ideation, Violence Assessment, OCD, Obsessive Compulsive Disorder, Body Dysmorphic Disorder, BDD, Hoarding Disorder, Trichotillomania, Sleep Disorders, Insomnia, REM Sleep Disorder, Personality Disorders, Cluster A Personality Disorders, Cluster B Personality Disorders, Cluster C Personality Disorders, Borderline Personality Disorder, Narcissistic Personality Disorder, Antisocial Personality Disorder, Histrionic Personality Disorder, Avoidant Personality Disorder, Dependent Personality Disorder, Cognitive Behavioral Therapy, CBT, Dialectical Behavior Therapy, DBT, EMDR, Psychodynamic Therapy, Interpersonal Therapy, Psychopharmacology, SSRIs, Lithium, Trazodone, DSM-5-TR, PMHNP Exam Prep, Graduate Nursing, MSN Nursing, APRN, Nurse Practitioner Exam, Mental Health Nursing, Psychiatric Nursing Exam, Advanced Practice Nursing

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Maryville University NURS 661
Exam 3 MegaDeck 2026 Exam
Questions and Answers |
Already Graded A+



Who is at highest risk of suicide? - ANSWER ✔✔White, elderly men


Schizophrenia

Single, never married, divorced, recently widowed

Previous attempts

Adolescents with depression, bullied, or family hx of suicide


Who is most likely to succeed at committing suicide? - ANSWER

✔✔Older while males

,What are some protective factors for suicide? - ANSWER ✔✔Having

children

Religion

Stronger alliances with medical providers and therapists


What is lethality? - ANSWER ✔✔the probability that a person will

successfully complete suicide


What is intent? - ANSWER ✔✔Effective expectations for desire of

active death


What is a suicide attempt? - ANSWER ✔✔Includes all willful, self-

inflicted life-threatening attempts that have not led to death


What is suicidal ideation? - ANSWER ✔✔thinking about suicide,

usually with some serious emotional and intellectual or cognitive

overtones

Where in the brain do we theorize violence and aggression originate? -

ANSWER ✔✔Prefrontal cortex


How to assess for homicidal ideation? - ANSWER ✔✔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? - ANSWER

✔✔Duty to warn


Based on state laws


Obsession - ANSWER ✔✔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 - ANSWER ✔✔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




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, Obsessive-Compulsive Disorder (OCD) - ANSWER ✔✔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 - ANSWER ✔✔Pediatric Autoimmune Neuropsychiatric

Disorders Associated with Streptococcal infections


OCD common co-morbid conditions - ANSWER ✔✔MDD (Major

depressive disorder)

Skin Picking

Hair Pulling


Most Common Compulsions - ANSWER ✔✔Checking


Ordering

Arranging

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