MSN 675 QUIZ 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

MSN 675 QUIZ 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 How frequently must a patient be assessed for current suicidality? - Answers At every single visit. Besides suicidality, what other safety risks must be assessed at every visit if clinically indicated? - Answers Homicidal Ideation (HI) and Auditory/Visual Hallucinations (AVH). While standardized suicidal screeners are helpful, what specific components must your own individual assessment questions always include? - Answers Suicidal ideation and suicidal intent. What 6 distinct patient factors must be considered when formulating a comprehensive plan of care for mood and sleep disorders? - Answers Culture, genetics, lifestyle, religion, socio-economic status, and age/life span stage. What core elements must be interrelated to positively impact patient outcomes? - Answers Clinical theory, assessment, diagnosis, and intervention. What 3 types of underlying scientific theories must be applied when planning treatment strategies for mood and sleep disruptions? - Answers Neurobiological, psychophysiologic, and mechanistic theories. Across what age range should a nurse be prepared to utilize non-pharmacological treatments for mood and sleep disorders? - Answers Across the entire life span, specifically from childhood to geriatrics. When providing treatment counseling to individuals and families, what two patient factors dictate the appropriate level of communication? - Answers The patient's developmental stage and educational stage. What clinical objective must be met regarding the various phases of a mood disorder? - Answers Identifying specific risk factors associated with each phase. What 3 pillars of psychiatric nursing knowledge must be synthesized to effectively review and develop case study treatment plans? - Answers Psychopharmacology, assessment/diagnosis, and non-pharmacological treatments. What are the two primary classifications of diagnoses reviewed under the category of mood disorders? - Answers Depressive disorders and bipolar disorders. In addition to neurobiological theories, what specific sleep-related objective must be reviewed to treat sleep disorders? - Answers The specific factors affecting a patient's sleep. Minimum duration for a depressive episode - Answers Two weeks. How depression often presents in pediatric patients - Answers As irritability. Two key physiological labs to check in depressed patients - Answers Vitamin D levels and thyroid levels. Clinical rule of thumb for starting psychotropic medications - Answers Start low and go slow to minimize unwanted side effects. Typical onset time for SSRIs and SNRIs to reach optimum effectiveness - Answers Several weeks. Key symptoms of atypical depression - Answers Overeating, sleeping too much, and temporary mood reactivity (appearing happy at times). Crucial clinical precautions for patients taking Lithium - Answers Narrow therapeutic index; avoid dehydration and obtain periodic lithium levels. Risk of combining Trazodone with Seroquel - Answers Increased QTC intervals; requires caution and EKG evaluation. Diagnostic hallmarks of Narcolepsy - Answers Repeated daytime sleep episodes, cataplexy, and REM latency ≤ 15 minutes. Labs to monitor for patients on second-generation antipsychotics - Answers Insulin, lipids with HDL, TSH, hepatic panel, CBC with diff, and BMP. Behavioral intervention for pediatric night terrors - Answers Chart terrors for a week; wake child 30 minutes before typical onset. Why Wellbutrin should not be administered after 4 PM - Answers It can be activating and interfere with sleep. Wellbutrin precaution regarding seizure history - Answers Always consult their neurologist before starting, especially if the patient smokes tobacco. Demographic at highest risk for suicide completion - Answers White males over 65 years old. Four components that must be included in a current suicidal assessment - Answers Ideation, intent, means, and plan. Only suicide screener recommended by 2024 VA/DoD guidelines for both general and increased-risk populations - Answers Columbia-Suicide Severity Rating Scale (C-SSRS) Screener. Limitation of PHQ-9 Item 9 as a standalone suicide screen - Answers Low positive predictive value (27.5%) and does not assess adolescent suicidal intent. Unique clinical value of the Suicide Cognitions Scale-Revised (SCS-R) - Answers Predicts future suicide attempts even in patients who deny current ideation. Sensitivity and specificity of the Ask Suicide-Screening Questions (ASQ) in pediatric EDs - Answers 97% sensitivity and 88% specificity. Methodology used by the Computerized Adaptive Screen for Suicidal Youth (CASSY) - Answers Multidimensional item response theory adaptively selecting from 72 items. Clinical population for which the Beck Scale for Suicide Ideation (BSS) is specifically recommended - Answers Populations at increased risk for suicide. C-SSRS metric that predicted suicide attempts during validation, outperforming the Scale for Suicide Ideation - Answers Worst-point lifetime suicidal ideation. Two confirmed structural factors of the C-SSRS - Answers Ideation severity/behavior and ideation intensity. Why the AAP states PHQ-9 Item 9 does not accurately screen for adolescent suicide risk - Answers Too broad, includes non-suicidal self-injury, and does not assess actual suicidal intent. USPSTF formal classification of the PHQ-9 - Answers A depression screening instrument, not a suicide risk screening instrument. Clinically significant total score threshold on the SCS-R associated with lower subsequent suicide attempt rates - Answers A total score of ≤21. Most studied 4-item suicide risk screening instrument in pediatric populations developed by NIMH - Answers Ask Suicide-Screening Questions (ASQ). Three ASQ items always administered as anchor items in the CASSY - Answers Morbid ideation, suicidal ideation, and lifetime history of suicide attempt. What the final continuous percentage score (0%-100%) of the CASSY represents - Answers The predicted probability of a suicide attempt within 3 months. Specific items in the optimized 5-item version of the BSS maintaining 74% sensitivity - Answers Items 1, 2, 4, 6, and 15. Statistical correlation (r) between the BSS and the C-SSRS supporting convergent validity - Answers r = 0.83 Minimum frequency to reassess mood and sleep medications - Answers At every visit, at least quarterly.