MH 709 FINAL exam questions with
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answers
1. What is the difference between PMHNPs screening of versus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of suicide? - CORRECT ANSWERS ✔✔Screening will |\ |\ |\ |\ |\ |\ |\ |\
identify if there is an issue that needs further assessment,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
whereas assessment helps to determine the actual level of risk.
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1. Which is the MOST important in the PMHNP assessment of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
suicide risk factors? - CORRECT ANSWERS ✔✔Clinical judgement.
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1. How are chronic suicidal risk factors different than acute
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suicide risk factors? - CORRECT ANSWERS ✔✔Chronic factors are
|\ |\ |\ |\ |\ |\ |\ |\ |\
unchangeable and non-modifiable. |\ |\
1. What are five examples of chronic suicide risk factors? -
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CORRECT ANSWERS ✔✔History of psychiatric illness; Substance
|\ |\ |\ |\ |\ |\ |\
abuse (etoh=10x greater risk, IV drug use=14x greater risk);
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Age; Gender (men =4x greater risk); Chronic medical condition or
|\ |\ |\ |\ |\ |\ |\ |\ |\
pain; Single/unmarried; Family history of suicide; History of
|\ |\ |\ |\ |\ |\ |\ |\ |\
psychiatric hospitalizations; History of child abuse. |\ |\ |\ |\ |\
1. Which is the MOST potent chronic risk factor for suicide? -
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CORRECT ANSWERS ✔✔Previous suicide attempt. The more lethal
|\ |\ |\ |\ |\ |\ |\
the past attempt, the greater the risk.
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,1. What are five examples of suicide mitigating factors? -
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CORRECT ANSWERS ✔✔No recent history of suicide attempts; |\ |\ |\ |\ |\ |\ |\ |\
Good social supports/married; No substance abuse; No weapons
|\ |\ |\ |\ |\ |\ |\ |\
in the home; Willing & motivated to engaged in treatment; Non-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
psychotic; Able to state reasons for living; Employment; Faith |\ |\ |\ |\ |\ |\ |\ |\ |\
beliefs against suicide. |\ |\
1. Should the PMHNP quantify risk of suicide through the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment tools alone? - CORRECT ANSWERS ✔✔No. |\ |\ |\ |\ |\ |\ |\
Assessment tools can be used as one measure in addition to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgment. Suicide risk is difficult to quantify and suicides
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are difficult to predict with accuracy.
|\ |\ |\ |\ |\
1. What are the two areas of focus for the PMHNP to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of suicide risk? - CORRECT ANSWERS ✔✔SDI: Suicidal Desire
|\ |\ |\ |\ |\ |\ |\ |\ |\
and Ideation (reasons for living, lack of deterrents to attempt),
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and RPP: Resolved Plans and Preparation (availability of means,
|\ |\ |\ |\ |\ |\ |\ |\ |\
specificity of plans). |\ |\
1. A patient with a history of multiple suicide attempts would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considered what level of risk? - CORRECT ANSWERS ✔✔Chronic |\ |\ |\ |\ |\ |\ |\ |\ |\
high risk. |\
1. What are three factors that create an "acute" risk of suicide? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Presence of a crisis; Significant life |\ |\ |\ |\ |\ |\ |\ |\
stressors; Increased symptomatology. |\ |\
1. What steps would the PMHNP take next if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a severe suicide risk? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, ✔✔Immediate hospitalization, involve family and possibly law |\ |\ |\ |\ |\ |\ |\
enforcement
1. How often should the PMHNP assess suicide risk? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Every visit. |\ |\
1. What steps could the PMHNP take if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a moderate suicide risk? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Increased frequency of visits; Create a crisis plan;
|\ |\ |\ |\ |\ |\ |\ |\ |\
Provide 24 hour crisis service availability.
|\ |\ |\ |\ |\
1. How effective are "no harm contracts" in reducing suicide? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Not effective.
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1. What are three facets of a suicide crisis response plan? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Concrete & specific; Collaborative;
|\ |\ |\ |\ |\ |\
Documented.
1. Which factor is important in the assessment of homicide risk? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Is the patient's judgement impaired by
|\ |\ |\ |\ |\ |\ |\ |\ |\
the presence of psychiatric illness (knowing the difference
|\ |\ |\ |\ |\ |\ |\ |\
between right and wrong) versus poor coping (law enforcement
|\ |\ |\ |\ |\ |\ |\ |\ |\
issue).
1. Why is the PMHNP required to alert the authorities when her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has made a credible threat to the safety of another? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Tarasoff Act, "Duty to Warn."
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answers
1. What is the difference between PMHNPs screening of versus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of suicide? - CORRECT ANSWERS ✔✔Screening will |\ |\ |\ |\ |\ |\ |\ |\
identify if there is an issue that needs further assessment,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
whereas assessment helps to determine the actual level of risk.
|\ |\ |\ |\ |\ |\ |\ |\ |\
1. Which is the MOST important in the PMHNP assessment of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
suicide risk factors? - CORRECT ANSWERS ✔✔Clinical judgement.
|\ |\ |\ |\ |\ |\ |\
1. How are chronic suicidal risk factors different than acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
suicide risk factors? - CORRECT ANSWERS ✔✔Chronic factors are
|\ |\ |\ |\ |\ |\ |\ |\ |\
unchangeable and non-modifiable. |\ |\
1. What are five examples of chronic suicide risk factors? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔History of psychiatric illness; Substance
|\ |\ |\ |\ |\ |\ |\
abuse (etoh=10x greater risk, IV drug use=14x greater risk);
|\ |\ |\ |\ |\ |\ |\ |\ |\
Age; Gender (men =4x greater risk); Chronic medical condition or
|\ |\ |\ |\ |\ |\ |\ |\ |\
pain; Single/unmarried; Family history of suicide; History of
|\ |\ |\ |\ |\ |\ |\ |\ |\
psychiatric hospitalizations; History of child abuse. |\ |\ |\ |\ |\
1. Which is the MOST potent chronic risk factor for suicide? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Previous suicide attempt. The more lethal
|\ |\ |\ |\ |\ |\ |\
the past attempt, the greater the risk.
|\ |\ |\ |\ |\ |\ |\
,1. What are five examples of suicide mitigating factors? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔No recent history of suicide attempts; |\ |\ |\ |\ |\ |\ |\ |\
Good social supports/married; No substance abuse; No weapons
|\ |\ |\ |\ |\ |\ |\ |\
in the home; Willing & motivated to engaged in treatment; Non-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
psychotic; Able to state reasons for living; Employment; Faith |\ |\ |\ |\ |\ |\ |\ |\ |\
beliefs against suicide. |\ |\
1. Should the PMHNP quantify risk of suicide through the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment tools alone? - CORRECT ANSWERS ✔✔No. |\ |\ |\ |\ |\ |\ |\
Assessment tools can be used as one measure in addition to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgment. Suicide risk is difficult to quantify and suicides
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
are difficult to predict with accuracy.
|\ |\ |\ |\ |\
1. What are the two areas of focus for the PMHNP to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of suicide risk? - CORRECT ANSWERS ✔✔SDI: Suicidal Desire
|\ |\ |\ |\ |\ |\ |\ |\ |\
and Ideation (reasons for living, lack of deterrents to attempt),
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and RPP: Resolved Plans and Preparation (availability of means,
|\ |\ |\ |\ |\ |\ |\ |\ |\
specificity of plans). |\ |\
1. A patient with a history of multiple suicide attempts would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considered what level of risk? - CORRECT ANSWERS ✔✔Chronic |\ |\ |\ |\ |\ |\ |\ |\ |\
high risk. |\
1. What are three factors that create an "acute" risk of suicide? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Presence of a crisis; Significant life |\ |\ |\ |\ |\ |\ |\ |\
stressors; Increased symptomatology. |\ |\
1. What steps would the PMHNP take next if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a severe suicide risk? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, ✔✔Immediate hospitalization, involve family and possibly law |\ |\ |\ |\ |\ |\ |\
enforcement
1. How often should the PMHNP assess suicide risk? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Every visit. |\ |\
1. What steps could the PMHNP take if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a moderate suicide risk? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Increased frequency of visits; Create a crisis plan;
|\ |\ |\ |\ |\ |\ |\ |\ |\
Provide 24 hour crisis service availability.
|\ |\ |\ |\ |\
1. How effective are "no harm contracts" in reducing suicide? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Not effective.
|\ |\ |\
1. What are three facets of a suicide crisis response plan? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Concrete & specific; Collaborative;
|\ |\ |\ |\ |\ |\
Documented.
1. Which factor is important in the assessment of homicide risk? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Is the patient's judgement impaired by
|\ |\ |\ |\ |\ |\ |\ |\ |\
the presence of psychiatric illness (knowing the difference
|\ |\ |\ |\ |\ |\ |\ |\
between right and wrong) versus poor coping (law enforcement
|\ |\ |\ |\ |\ |\ |\ |\ |\
issue).
1. Why is the PMHNP required to alert the authorities when her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has made a credible threat to the safety of another? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Tarasoff Act, "Duty to Warn."
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