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MARYVILLE UNIVERSITY NURS 661 EXAM 3 SUMMER QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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MARYVILLE UNIVERSITY NURS 661 EXAM 3 SUMMER QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (85) Who is at highest risk of suicide? White, elderly men Schizophrenia Single, never married, divorced, recently widowed Previous attempts Adolescents with depression, bullied, or family hx of suicide Who is most likely to succeed at committing suicide? Older while males What are some protective factors for suicide? Having children Religion Stronger alliances with medical providers and therapists What is lethality? the probability that a person will successfully complete suicide What is intent? Effective expectations for desire of active death What is a suicide attempt? Includes all willful, self-inflicted life-threatening attempts that have not led to death What is suicidal ideation? thinking about suicide, usually with some serious emotional and intellectual or cognitive overtones Where in the brain do we theorize violence and aggression originate? Prefrontal cortex How to assess for homicidal ideation? 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? Duty to warn Based on state laws Obsession 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 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) 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 Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections OCD common co-morbid conditions MDD (Major depressive disorder) Skin Picking Hair Pulling Most Common Compulsions Checking Ordering Arranging Washing/cleaning Hand-washing Flipping lights Counting

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3/23/25, 8:05 Maryville University NURS 661 Exam 3 Summer |
AM
MARYVILLE UNIVERSITY NURS 661 EXAM 3 SUMMER QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (85)


White, elderly men
Schizophrenia
Who is at highest risk of suicide? Single, never married, divorced, recently widowed
Previous attempts
Adolescents with depression, bullied, or family hx of suicide

Who is most likely to succeed at Older while males
committing suicide?

Having children
What are some protective factors for
Religion
suicide?
Stronger alliances with medical providers and therapists

What is lethality? the probability that a person will successfully complete suicide

What is intent? Effective expectations for desire of active death

What is a suicide attempt? Includes all willful, self-inflicted life-threatening attempts that have not led to death

thinking about suicide, usually with some serious emotional and intellectual or
What is suicidal ideation?
cognitive overtones

Where in the brain do we theorize violence Prefrontal cortex
and aggression originate?

Do you have homicidal ideation? Who do you want to kill? How do you plan to
How to assess for homicidal ideation?
do this? Do you have access to the means necessary? Do you intend to commit the
act?
What legal follow up is needed for Duty to warn
homicidal ideation? Based on state laws




1/
9

, 3/23/25, 8:05 Maryville University NURS 661 Exam 3 Summer |
AM
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
Obsession
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)
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
Compulsion
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
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
Obsessive-Compulsive Disorder (OCD)
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

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal
PANDAS
infections

MDD (Major depressive disorder)
OCD common co-morbid conditions Skin Picking
Hair Pulling

Checking
Ordering
Arranging
Most Common Compulsions Washing/cleaning
Hand-washing
Flipping lights
Counting

Differentiation between OCD and eating Those with eating disorders will be counting calories, focused on weight loss or
disorders maintaining a specific weight

Treatment for OCD Cognitive Behavioral Therapy

First line treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
Pharmacological Treatment for OCD
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar

Preoccupation with perceived flaw on body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin
DSM-5 Body Dysmorphic Disorder picking, reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder

Facial
BDD common preoccupations
flaws
genitalia
Differentiation between BDD and eating BDD is more obsessed with one specific body flow, not the entire body
disorders

Differentiation between BDD and OCD OCD may have food rituals but not obsession on a specific body flaw

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