Maryville University NURS 661 Exam 3 Correct With Questions And Answers

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 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 Washing/cleaning Hand-washing Flipping lights Counting Differentiation between OCD and eating disorders - ANSWER Those with eating disorders will be counting calories, focused on weight loss or maintaining a specific weight Treatment for OCD - ANSWER Cognitive Behavioral Therapy Pharmacological Treatment for OCD - ANSWER First line treatment-SSRI (Luvox, fluoxetine) Second-line treatment TCA with serotonergic properties (clomipramine) SNRI or MAOI Augmentation with benzos, lithium, or Buspar