NURS 661 MARYVILLE EXAM 2 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ 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
