MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
Who is at the highest risk for suicide?
✔✔ White elderly men; individuals with schizophrenia; those who are single,
divorced, or recently widowed; people with previous suicide attempts; depressed
adolescents, especially if bullied or with a family history of suicide.
Who is most likely to complete suicide?
✔✔ Older white males have the highest rate of completed suicides.
What are common protective factors against suicide?
✔✔ Being a parent, having strong religious beliefs, and having supportive
relationships with healthcare providers and therapists.
What does lethality mean in the context of suicide?
✔✔ Lethality refers to how likely a suicide method is to result in death.
What does intent mean when assessing suicide risk?
✔✔ Intent reflects how strongly a person expects or desires to die through their
actions.
What qualifies as a suicide attempt?
✔✔ Any deliberate, self-harming behavior that is life-threatening but does not
result in death.
What is suicidal ideation?
✔✔ Suicidal ideation involves thoughts or considerations about taking one's own
life, often with emotional or cognitive distress.
,MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
Where is violence and aggression believed to originate in the brain? ✔✔
These behaviors are commonly associated with dysfunction in the prefrontal
cortex.
What questions help assess homicidal ideation?
✔✔ Ask directly:
• Do you have thoughts of harming someone?
• Who is the intended target?
• What is your plan?
• Do you have access to the means? Do you intend to carry it out?
What is the legal responsibility when a patient expresses homicidal intent?
✔✔ A clinician has a duty to warn the potential victim and take necessary legal
steps to prevent harm.
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
, MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
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
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
Who is at the highest risk for suicide?
✔✔ White elderly men; individuals with schizophrenia; those who are single,
divorced, or recently widowed; people with previous suicide attempts; depressed
adolescents, especially if bullied or with a family history of suicide.
Who is most likely to complete suicide?
✔✔ Older white males have the highest rate of completed suicides.
What are common protective factors against suicide?
✔✔ Being a parent, having strong religious beliefs, and having supportive
relationships with healthcare providers and therapists.
What does lethality mean in the context of suicide?
✔✔ Lethality refers to how likely a suicide method is to result in death.
What does intent mean when assessing suicide risk?
✔✔ Intent reflects how strongly a person expects or desires to die through their
actions.
What qualifies as a suicide attempt?
✔✔ Any deliberate, self-harming behavior that is life-threatening but does not
result in death.
What is suicidal ideation?
✔✔ Suicidal ideation involves thoughts or considerations about taking one's own
life, often with emotional or cognitive distress.
,MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
Where is violence and aggression believed to originate in the brain? ✔✔
These behaviors are commonly associated with dysfunction in the prefrontal
cortex.
What questions help assess homicidal ideation?
✔✔ Ask directly:
• Do you have thoughts of harming someone?
• Who is the intended target?
• What is your plan?
• Do you have access to the means? Do you intend to carry it out?
What is the legal responsibility when a patient expresses homicidal intent?
✔✔ A clinician has a duty to warn the potential victim and take necessary legal
steps to prevent harm.
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
, MARYVILLE UNIVERSITY NURS 661 EXAM 3
QUESTIONS AND ANSWERS WITH VERIFIED
SOLUTIONS 2025-2026
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
