NUR 400 EXAM 2 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
suicidality definition - Answers all suicide related behaviors and thoughts of completing or attempting
suicide
suicidal ideation defintion - Answers thinking about and planning one's own death
suicide attempt definition - Answers nonfatal, self inflicted destructive act with explicit or implicit
intent to die
lethality definition - Answers probability that a person will successfully complete suicide
9 risk factors for suicide - Answers mental illness, medical illnesses, genetics, internal distress, low self
esteem, interpersonal distress, childhood abuse, pain, social isolation
7 population groups at higher risk of suicide - Answers males, LGTBQ community, whites, american
indian/alaska natives, poverty, unemployed, low income
warning signs of suicide: ISPATHWARM - Answers I - ideation
S - substance abuse
P - purposelessness
A - anxiety
T - trapped
H - hopelessness
W - withdrawal
A - anger
R - recklessness
M - mood change
suicide risk assessment components - Answers - identify suicide ideation
- elicitation of plan
- determine severity of ideation
- evaluate availability of means
inpatient care management - Answers help patient feel secure and hopeful, continuous/intermittent
observation, remove dangerous objects, identify ways to manage safety needs
biologic management for suicide (3 points) - Answers physical care of self inflicted injury, medication
management, ECT
4 psychological interventions for suicide - Answers challenging suicidal mindset, developing new
coping strategies, psychoeducation, commitment to treatment statement (CTS)
symptoms of MDD - Answers depressed mood most of the day nearly every day, markedly diminished
interest/pleasure, poor appetite or overeating, psychomotor retardation or agitation, low
energy/fatigue, worthlessness, excessive guilt, poor concentration, difficulty making decisions,
recurrent thoughts about death/SI
what does depression look like in children and adolescents? - Answers anxiety and somatic symptoms
more likely, may have decreased interaction with peers, avoid play and activities, may be irritable
instead of sad, suicide risk peaks at mid-adolescence
what does depression look like in older adults? - Answers commonly associated with chronic illness.
symptoms possibly confused with bipolar, dementia or CVA. often undetected/untreated. response to
treatment is slower
Depression screening mnemonic - SIG E CAPS - Answers S - sleep disturbances
I - interest decreased (anhedonia)
G - guilt and/or worthlessness
E - energy decreased
C - concentration problems
A - appetite and weight changes
P - psychomotor agitation/retardation
S - suicidal ideation
mechanism of action of SSRIs - Answers inhibit the reuptake of serotonin, making it more available
4 examples of SSRIs - Answers citalopram, escitalopram, fluoxetine, sertraline
side effects of SSRIs - Answers headache, anxiety, insomnia, N/V/D, constipation, dry mouth, tremors,
blurry vision, sex dysfunction, serotonin syndrome, GI symptoms
5 patient education points of SSRIs - Answers may take 4-6 weeks to notice effects, avoid alcohol,
dont stop abruptly, daily medication take in the morning at the same time, report increased energy
and SI
suicidality definition - Answers all suicide related behaviors and thoughts of completing or attempting
suicide
suicidal ideation defintion - Answers thinking about and planning one's own death
suicide attempt definition - Answers nonfatal, self inflicted destructive act with explicit or implicit
intent to die
lethality definition - Answers probability that a person will successfully complete suicide
9 risk factors for suicide - Answers mental illness, medical illnesses, genetics, internal distress, low self
esteem, interpersonal distress, childhood abuse, pain, social isolation
7 population groups at higher risk of suicide - Answers males, LGTBQ community, whites, american
indian/alaska natives, poverty, unemployed, low income
warning signs of suicide: ISPATHWARM - Answers I - ideation
S - substance abuse
P - purposelessness
A - anxiety
T - trapped
H - hopelessness
W - withdrawal
A - anger
R - recklessness
M - mood change
suicide risk assessment components - Answers - identify suicide ideation
- elicitation of plan
- determine severity of ideation
- evaluate availability of means
inpatient care management - Answers help patient feel secure and hopeful, continuous/intermittent
observation, remove dangerous objects, identify ways to manage safety needs
biologic management for suicide (3 points) - Answers physical care of self inflicted injury, medication
management, ECT
4 psychological interventions for suicide - Answers challenging suicidal mindset, developing new
coping strategies, psychoeducation, commitment to treatment statement (CTS)
symptoms of MDD - Answers depressed mood most of the day nearly every day, markedly diminished
interest/pleasure, poor appetite or overeating, psychomotor retardation or agitation, low
energy/fatigue, worthlessness, excessive guilt, poor concentration, difficulty making decisions,
recurrent thoughts about death/SI
what does depression look like in children and adolescents? - Answers anxiety and somatic symptoms
more likely, may have decreased interaction with peers, avoid play and activities, may be irritable
instead of sad, suicide risk peaks at mid-adolescence
what does depression look like in older adults? - Answers commonly associated with chronic illness.
symptoms possibly confused with bipolar, dementia or CVA. often undetected/untreated. response to
treatment is slower
Depression screening mnemonic - SIG E CAPS - Answers S - sleep disturbances
I - interest decreased (anhedonia)
G - guilt and/or worthlessness
E - energy decreased
C - concentration problems
A - appetite and weight changes
P - psychomotor agitation/retardation
S - suicidal ideation
mechanism of action of SSRIs - Answers inhibit the reuptake of serotonin, making it more available
4 examples of SSRIs - Answers citalopram, escitalopram, fluoxetine, sertraline
side effects of SSRIs - Answers headache, anxiety, insomnia, N/V/D, constipation, dry mouth, tremors,
blurry vision, sex dysfunction, serotonin syndrome, GI symptoms
5 patient education points of SSRIs - Answers may take 4-6 weeks to notice effects, avoid alcohol,
dont stop abruptly, daily medication take in the morning at the same time, report increased energy
and SI
