3/23/25, 8:05 Maryville university: NURS661: Exam 3 Flashcards |
AM
MARYVILLE UNIVERSITY: NURS661: EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (79)
What area of the brain is most often linked Prefrontal- cortex
to violence among patients?
Which personality disorder is often BPD
associated with self-harming behavior?
Family history of suicide
Family history of child maltreatment
Previous suicide attempt(s)
History of mental disorders, particularly clinical depression
History of alcohol and substance abuse
Feelings of hopelessness
Impulsive or aggressive tendencies
Cultural and religious beliefs (e.g., belief that suicide is noble resolution of a
Know the risk factors associated with personal dilemma)
suicide among patients Local epidemics of suicide
Isolation, a feeling of being cut off from other people
Barriers to accessing mental health treatment
Loss (relational, social, work, or financial)
Physical illness
Easy access to lethal methods
Unwillingness to seek help because of the stigma attached to mental health and
substance abuse disorders or to suicidal thoughts
Single, living alone
Effective clinical care for mental, physical, and substance abuse disorders
Easy access to a variety of clinical interventions and support for help seeking
Family and community support (connectedness)
Be able to identify protective factors Support from ongoing medical and mental health care relationships
among patients at risk for suicide Skills in problem solving, conflict resolution, and nonviolent ways of handling
disputes
Cultural and religious beliefs that discourage suicide and support instincts for self-
preservation
**INTENT
**suicide: experiencing stressors for which they see no escape from, and choose to
end life- feel worthless and hopeless
difference between suicidal gestures and
** the infliction of pain reassures them that they are still alive, which is especially true
self mutilation
if they are experiencing emotional numbness or are feeling disconnected from
the world around them. Additionally, self-injury can result in a rush as a result of
chemical changes in the brain, which can easily become addictive and highly
dangerous.
Self-harm is a form of mutilation while suicide is the deliberate act of taking
What is self harm?
one's own life.
1/
7
, 3/23/25, 8:05 Maryville university: NURS661: Exam 3 Flashcards |
AM
Know which medication has been linked to Lithium
reducing suicidal ideation among patients
Understand what lethality means the capacity to cause death or serious harm or damage.
who are the patients with the highest Narcissists
lethality?
Checking 63%
Washing 50%
What compulsion is most commonly seen Counting 36%
in patients with OCD? Need to ask or confess 31%
Symmetry and precision 28%
Hoarding 18%
What is an obsession? intrusive thoughts
What is a compulsion? irrational behavior performed repeatedly
How would these (obsession and Characterized by acquiring and not discarding things deemed to be of little to no
compulsion) present in a case scenario value; was originally considered a subtype of OCD, but now considered its own
(Hoarding) diagnostic entity
Epidemiology of obsession ~2-5% of population, some research shows prevalence as high as 14%
and compulsion (Hoarding
Etiology of compulsion and obsession 80% of hoarders with one 1st degree relative
(Hoarding)
lower metabolism in the posterior cingulate cortex and occipital cortex or hoarders,
Biological of compulsion and obsession
may account for cognitive impairments, such as attention and decision making
(Hoarding)
deficits
Genetics of compulsion and obsession link between hoarding behavior and markers on chromosome 4q, 5q, 17q; another
(Hoarding) study found COMT gene on chromosome 22q11.21 might contribute to
susceptibility
accumulate possessions passively rather than intentionally; hoarding can interfere
with work, social interactions, and basic activities like eating and sleeping; inability to
Clinical features of compulsion and
organize possessions; at the core, hoarders are driven by the fear of losing items (ie.
obsession (Hoarding)
keeping piles of old newspapers, because of the belief that forgetting information
will lead to serious consequences; onset due to stressful event
does not usually occur until 40-50s, even if began in adolescence; patient have very
treatment of compulsion and obsession little insight into their behavior, usually seek treatment under pressure; difficult to
(Hoarding) treat, effective treatments for OCD show little benefit with hoarding; in one study
18% responded to CBT and meds
CBT, includes training in decision making and categorizing, exposure and
What is the first line treatment for hoarding
habituation to discarding, and cognitive restructuring; include home and in office
disorder?
sessions; studies show 25-34% reduction in hoarding behaviors using this method
Goal of treatment of hoarding get rid of a significant amount of possessions
pharmacological treatment of hoarding SSRIs (produce mixed results)
disorder
2/
7
AM
MARYVILLE UNIVERSITY: NURS661: EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (79)
What area of the brain is most often linked Prefrontal- cortex
to violence among patients?
Which personality disorder is often BPD
associated with self-harming behavior?
Family history of suicide
Family history of child maltreatment
Previous suicide attempt(s)
History of mental disorders, particularly clinical depression
History of alcohol and substance abuse
Feelings of hopelessness
Impulsive or aggressive tendencies
Cultural and religious beliefs (e.g., belief that suicide is noble resolution of a
Know the risk factors associated with personal dilemma)
suicide among patients Local epidemics of suicide
Isolation, a feeling of being cut off from other people
Barriers to accessing mental health treatment
Loss (relational, social, work, or financial)
Physical illness
Easy access to lethal methods
Unwillingness to seek help because of the stigma attached to mental health and
substance abuse disorders or to suicidal thoughts
Single, living alone
Effective clinical care for mental, physical, and substance abuse disorders
Easy access to a variety of clinical interventions and support for help seeking
Family and community support (connectedness)
Be able to identify protective factors Support from ongoing medical and mental health care relationships
among patients at risk for suicide Skills in problem solving, conflict resolution, and nonviolent ways of handling
disputes
Cultural and religious beliefs that discourage suicide and support instincts for self-
preservation
**INTENT
**suicide: experiencing stressors for which they see no escape from, and choose to
end life- feel worthless and hopeless
difference between suicidal gestures and
** the infliction of pain reassures them that they are still alive, which is especially true
self mutilation
if they are experiencing emotional numbness or are feeling disconnected from
the world around them. Additionally, self-injury can result in a rush as a result of
chemical changes in the brain, which can easily become addictive and highly
dangerous.
Self-harm is a form of mutilation while suicide is the deliberate act of taking
What is self harm?
one's own life.
1/
7
, 3/23/25, 8:05 Maryville university: NURS661: Exam 3 Flashcards |
AM
Know which medication has been linked to Lithium
reducing suicidal ideation among patients
Understand what lethality means the capacity to cause death or serious harm or damage.
who are the patients with the highest Narcissists
lethality?
Checking 63%
Washing 50%
What compulsion is most commonly seen Counting 36%
in patients with OCD? Need to ask or confess 31%
Symmetry and precision 28%
Hoarding 18%
What is an obsession? intrusive thoughts
What is a compulsion? irrational behavior performed repeatedly
How would these (obsession and Characterized by acquiring and not discarding things deemed to be of little to no
compulsion) present in a case scenario value; was originally considered a subtype of OCD, but now considered its own
(Hoarding) diagnostic entity
Epidemiology of obsession ~2-5% of population, some research shows prevalence as high as 14%
and compulsion (Hoarding
Etiology of compulsion and obsession 80% of hoarders with one 1st degree relative
(Hoarding)
lower metabolism in the posterior cingulate cortex and occipital cortex or hoarders,
Biological of compulsion and obsession
may account for cognitive impairments, such as attention and decision making
(Hoarding)
deficits
Genetics of compulsion and obsession link between hoarding behavior and markers on chromosome 4q, 5q, 17q; another
(Hoarding) study found COMT gene on chromosome 22q11.21 might contribute to
susceptibility
accumulate possessions passively rather than intentionally; hoarding can interfere
with work, social interactions, and basic activities like eating and sleeping; inability to
Clinical features of compulsion and
organize possessions; at the core, hoarders are driven by the fear of losing items (ie.
obsession (Hoarding)
keeping piles of old newspapers, because of the belief that forgetting information
will lead to serious consequences; onset due to stressful event
does not usually occur until 40-50s, even if began in adolescence; patient have very
treatment of compulsion and obsession little insight into their behavior, usually seek treatment under pressure; difficult to
(Hoarding) treat, effective treatments for OCD show little benefit with hoarding; in one study
18% responded to CBT and meds
CBT, includes training in decision making and categorizing, exposure and
What is the first line treatment for hoarding
habituation to discarding, and cognitive restructuring; include home and in office
disorder?
sessions; studies show 25-34% reduction in hoarding behaviors using this method
Goal of treatment of hoarding get rid of a significant amount of possessions
pharmacological treatment of hoarding SSRIs (produce mixed results)
disorder
2/
7
