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Suicide Risk Assessment: Exam 2 - Questions with Correct Answers

Suicide Risk Assessment: Exam 1 - Questions with Correct Answers

1. American Indian and Alaska Native youth have high suicide rates. Protective strategies that show promise include: A. Removing youth from their communities B. Ignoring cultural practices C. Only medication-based approaches D. Strengthening cultural identity, community connection, and tribally led prevention programs Correct Answer: D. Strengthening cultural identity, community connection, and tribally led prevention programs Rationale: Programs grounded in culture and community, such a...

1. Since 2022, the national three-digit number for the US Suicide and Crisis Lifeline is: A. 911 only B. 311 C. 211 only D. 988 Correct Answer: D. 988 Rationale: Calling, texting or chatting 988 connects people to trained crisis counselors 24/7, and options exist for veterans and Spanish speakers. 911 is used for emergencies involving imminent danger. 211 and 311 connect to community or city services. 2. Improvement in mood in a severely depressed patient who was previously suicidal sho...

1. An aborted (self-interrupted) suicide attempt is clinically important because it: A. Indicates the person took steps toward an attempt and stopped, which signals elevated risk B. Shows the person was never serious C. Means the person is no longer at risk D. Should not be documented Correct Answer: A. Indicates the person took steps toward an attempt and stopped, which signals elevated risk Rationale: Taking steps toward an attempt, even if the person changes their mind, reflects capabi...

1. Expressions of rage or seeking revenge are listed as warning signs because they: A. Always mean the person is safe B. Indicate a medical problem only C. Can accompany intense psychological pain and impulsive self-directed or outward violence D. Never relate to suicide Correct Answer: C. Can accompany intense psychological pain and impulsive self-directed or outward violence Rationale: Anger and agitation are associated with acute risk, and some people at risk express uncontrolled ange...

1. The socioecological model of suicide prevention recognizes risk and protective factors at which levels? A. Only the individual level B. Only the hospital level C. Only genetic level D. Individual, relationship, community, and societal Correct Answer: D. Individual, relationship, community, and societal Rationale: CDC uses this model to show that factors such as access to care, economic stability, stigma and safe firearm storage operate beyond the individual. Effective prevention combi...

1. Women with postpartum hemorrhage are also at increased risk of: A. Improved emotional wellbeing B. Shorter hospital stays C. Postpartum depression and post-traumatic stress symptoms D. Better breastfeeding outcomes Correct Answer: C. Postpartum depression and post-traumatic stress symptoms Rationale: A frightening birth experience, separation from the baby, anemia and fatigue contribute to psychological distress. Debriefing and screening are recommended. Hospital stays are often longer...

1. The decidua at the placental site is rich in tissue factor, which: A. Prevents clotting B. Causes uterine relaxation C. Has no role in hemostasis D. Helps activate the clotting cascade to seal bleeding vessels after separation Correct Answer: D. Helps activate the clotting cascade to seal bleeding vessels after separation Rationale: Tissue factor in the decidua initiates local coagulation, complementing myometrial contraction. Disruption of normal decidua, as in accreta, contributes t...

1. Postpartum hemorrhage after cesarean birth differs from vaginal birth in that: A. Bleeding never occurs after cesarean B. Blood loss may be harder to measure because of amniotic fluid and irrigation, and intra-abdominal bleeding may be hidden C. Atony cannot occur D. The definition requires 3,000 mL Correct Answer: B. Blood loss may be harder to measure because of amniotic fluid and irrigation, and intra-abdominal bleeding may be hidden Rationale: QBL at cesarean subtracts amniotic fl...

1. Cryoprecipitate is used in postpartum hemorrhage primarily to replace: A. Red blood cells B. Platelets C. Albumin D. Fibrinogen Correct Answer: D. Fibrinogen Rationale: Cryoprecipitate is rich in fibrinogen, factor VIII, von Willebrand factor and factor XIII, and low fibrinogen is a key driver of obstetric bleeding. Red cells and platelets are separate products. Albumin is not a hemostatic product. 2. On thromboelastography, a low maximum amplitude (MA) indicates: A. Prolonged clot ...

1. In the United States, hemorrhage accounts for approximately: A. No pregnancy-related deaths B. About 1 in 10 pregnancy-related deaths C. Nearly all pregnancy-related deaths D. Only deaths after 1 year Correct Answer: B. About 1 in 10 pregnancy-related deaths Rationale: CDC maternal mortality review data show hemorrhage is a leading underlying cause of pregnancy-related deaths, with most occurring within the first week after birth. Mental health conditions and cardiovascular conditions...

1. Secondary postpartum hemorrhage is most commonly caused by: A. Uterine atony immediately after delivery B. Vaginal lacerations noticed at birth C. Retained products of conception, infection, or subinvolution of the placental site D. Amniotic fluid embolism Correct Answer: C. Retained products of conception, infection, or subinvolution of the placental site Rationale: Late bleeding, from 24 hours to 12 weeks, often results from retained tissue or endometritis preventing normal involuti...

1. In the United States, carbetocin is: A. The only approved uterotonic B. Required by law at every birth C. Available only as an oral tablet D. Not FDA approved, so oxytocin remains the standard prophylactic agent Correct Answer: D. Not FDA approved, so oxytocin remains the standard prophylactic agent Rationale: Carbetocin is used in many other countries and recommended by WHO, but US practice relies on oxytocin. This may change in the future. It is given by injection. 2. Postpartum hem...

1. A large tongue relative to the oral cavity in infants increases the risk that: A. The infant will breathe faster B. The infant cannot cry C. The larynx will descend D. The tongue will obstruct the airway when muscle tone falls, such as during sedation Correct Answer: D. The tongue will obstruct the airway when muscle tone falls, such as during sedation Rationale: With relaxation, the large tongue falls back and blocks the pharynx, so positioning and jaw thrust are important in sedated...

1. Pulse oximetry may overestimate oxygenation in a child with: A. Mild nasal congestion B. Normal hemoglobin C. Carbon monoxide poisoning D. Low fever Correct Answer: C. Carbon monoxide poisoning Rationale: Carboxyhemoglobin absorbs light like oxyhemoglobin, so the oximeter reads falsely high despite poor oxygen delivery. Nasal congestion, normal hemoglobin and low fever do not cause this error. 2. The normal resting respiratory rate of a healthy newborn is approximately: A. 30 to 60 ...

1. Before stepping up asthma therapy for poor control, the nurse should first check: A. The child's shoe size B. Inhaler technique, adherence and exposure to triggers C. Whether the child likes the inhaler color D. The weather forecast only Correct Answer: B. Inhaler technique, adherence and exposure to triggers Rationale: Poor technique, missed doses and ongoing exposures are common reasons for poor control and should be addressed before adding medication. The other factors are irrele...

1. Cyanosis in a child with respiratory illness is considered: A. An early and reliable sign of mild hypoxemia B. A sign of good perfusion C. A sign seen only in children with heart disease D. A late sign of hypoxemia Correct Answer: D. A late sign of hypoxemia Rationale: Central cyanosis appears only when a large amount of hemoglobin is desaturated, so it is a late finding, and anemia can mask it. It is not an early sign, does not reflect good perfusion, and occurs with severe respirato...

1. Compared with an adult, a child's functional residual capacity relative to oxygen demand is: A. Larger, so desaturation is delayed B. Smaller, so oxygen reserve is limited C. Identical D. Unrelated to desaturation Correct Answer: B. Smaller, so oxygen reserve is limited Rationale: A small functional residual capacity combined with high oxygen consumption means children have little reserve and desaturate quickly. Larger or identical reserves would delay desaturation, which is not th...

1. Newborn hearing screening is important because: A. Hearing loss cannot be treated B. All hearing loss is caused by otitis media C. Early detection and intervention before 6 months improves language outcomes D. Screening replaces later hearing checks Correct Answer: C. Early detection and intervention before 6 months improves language outcomes Rationale: Identifying hearing loss early allows hearing aids or other help during the key period for language development. Hearing loss can be ...