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
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, 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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