NU664 EXAM 2 QUESTIONS AND
CORRECT ANSWERS
who is at the highest risk of suicide? ANSW✅✅males over 85 YO
1. judge determines _____
2. NP determines ____ ANSW✅✅1. competency (legal concept)
2. capacity
CDC most frequent suicide precipitants (top 5) ANSW✅✅1. relationship problems
2. crisis in past or upcoming 2 weeks
3. problematic substance use
4. physical health problem
5. job/financial problems
aspects of suicide inquiry assessment ANSW✅✅1. ideation: frequency/intenisity in last 48h,
month or ever
2. plan: time, location, availability, preparation
3. behaviors: past attempts, aborted attempts
4. intent: will they carry it out? explore ambivalence
suicide intervention for medium risk level ANSW✅✅IOP program or partial program
imminent risk is section 12 obvs
SBQ-R cut off score ANSW✅✅suicide assessment risk, cut off score is 8 for psychiatric population
7 for general population
SAD PERSONS ANSW✅✅Risk factors for Suicide
Sex
,Age
Depression
Previous attempts
Ethanol
loss of Rational thinking
Sickness
Organized plan
No social support
Stated future intent
how is disorganized thinking assessed? ANSW✅✅by speech patterns of clients I.e. tangental,
circumstantial, word salad, loose association
what is the cause of positive symptoms of schizophrenia? ANSW✅✅excessive dopamine in
mesolimbic pathway
what is the cause of negative symptoms of schizophrenia? ANSW✅✅decreased dopamine in
mesocortical pathway
routine monitoring for schizophrenia pts on AS meds ANSW✅✅A1C
lipid profile
BMI
CBC
height/weight
brief psychotic disorder duration ANSW✅✅at least 1 day but less than 1 month
"placeholder" schizophrenia diagnosis ANSW✅✅schizophreniform d/o
1 mo but less than 6 mo
WIRED 'N MIRED ANSW✅✅Catatonia pneumonic
waxy flexibility
, immobility/stupor
refusal to eat/drink
excitement
deadpan staring
negativism
mutism
impulsivity
rigidity
echolalia/echopraxia
direct observation
catatonia treatment ANSW✅✅amantadine or BZDs
schizoaffective d/o criteria ANSW✅✅major mood episode concurrent w/ criterion A of
schizophrenia
delusions/hallucinations for 2 weeks or more in absence of mood episode
tx with AS
schizophrenia onset age men vs women ANSW✅✅men 18-25
women 25-30s
most abused drug in patients with schizophrenia? ANSW✅✅alcohol
dementia precox ANSW✅✅kraeplin/bueler schizophrenia theory
chronic sx no fluctuating course
blubber 4 A's ANSW✅✅associations
affect
autism
ambivalence
5th A: accessory sx (hallucinations/delusions)
CORRECT ANSWERS
who is at the highest risk of suicide? ANSW✅✅males over 85 YO
1. judge determines _____
2. NP determines ____ ANSW✅✅1. competency (legal concept)
2. capacity
CDC most frequent suicide precipitants (top 5) ANSW✅✅1. relationship problems
2. crisis in past or upcoming 2 weeks
3. problematic substance use
4. physical health problem
5. job/financial problems
aspects of suicide inquiry assessment ANSW✅✅1. ideation: frequency/intenisity in last 48h,
month or ever
2. plan: time, location, availability, preparation
3. behaviors: past attempts, aborted attempts
4. intent: will they carry it out? explore ambivalence
suicide intervention for medium risk level ANSW✅✅IOP program or partial program
imminent risk is section 12 obvs
SBQ-R cut off score ANSW✅✅suicide assessment risk, cut off score is 8 for psychiatric population
7 for general population
SAD PERSONS ANSW✅✅Risk factors for Suicide
Sex
,Age
Depression
Previous attempts
Ethanol
loss of Rational thinking
Sickness
Organized plan
No social support
Stated future intent
how is disorganized thinking assessed? ANSW✅✅by speech patterns of clients I.e. tangental,
circumstantial, word salad, loose association
what is the cause of positive symptoms of schizophrenia? ANSW✅✅excessive dopamine in
mesolimbic pathway
what is the cause of negative symptoms of schizophrenia? ANSW✅✅decreased dopamine in
mesocortical pathway
routine monitoring for schizophrenia pts on AS meds ANSW✅✅A1C
lipid profile
BMI
CBC
height/weight
brief psychotic disorder duration ANSW✅✅at least 1 day but less than 1 month
"placeholder" schizophrenia diagnosis ANSW✅✅schizophreniform d/o
1 mo but less than 6 mo
WIRED 'N MIRED ANSW✅✅Catatonia pneumonic
waxy flexibility
, immobility/stupor
refusal to eat/drink
excitement
deadpan staring
negativism
mutism
impulsivity
rigidity
echolalia/echopraxia
direct observation
catatonia treatment ANSW✅✅amantadine or BZDs
schizoaffective d/o criteria ANSW✅✅major mood episode concurrent w/ criterion A of
schizophrenia
delusions/hallucinations for 2 weeks or more in absence of mood episode
tx with AS
schizophrenia onset age men vs women ANSW✅✅men 18-25
women 25-30s
most abused drug in patients with schizophrenia? ANSW✅✅alcohol
dementia precox ANSW✅✅kraeplin/bueler schizophrenia theory
chronic sx no fluctuating course
blubber 4 A's ANSW✅✅associations
affect
autism
ambivalence
5th A: accessory sx (hallucinations/delusions)
