MH 709 Final from Study Guide
|\ |\ |\ |\ |\ |\
(mod4-10) questions with answers |\ |\ |\
What is the difference between PMHNPs screening of versus
|\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of suicide? |\ |\
-Screening will identify if there is an issue that needs further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment
-Assessment helps to determine the actual level of risk |\ |\ |\ |\ |\ |\ |\ |\
Which is the MOST important in the PMHNP assessment of suicide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk factors?
|\ |\
Clinical Judgement |\
How are chronic suicidal risk factors different than acute suicide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk factors?
|\
-Chronic factors are unchangeable and non-modifiable
|\ |\ |\ |\ |\
What are five examples of chronic suicide risk factors?
|\ |\ |\ |\ |\ |\ |\ |\
-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 |\ |\ |\
Which is the MOST potent chronic risk factor for suicide?
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Previous suicide attempt |\ |\
,- The more lethal the past attempt, the greater the risk
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Examples of suicide mitigating factors? |\ |\ |\ |\
No recent history of suicide attempts
|\ |\ |\ |\ |\
Good social supports/married (if marriage is happy) 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
|\ |\ |\
Should the PMHNP quantify risk of suicide through the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment tools alone? |\ |\
No
Assessment tools can be used as one measure in addition to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgment |\
Suicide risk is difficult to quantify & difficult to predict with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
accuracy
What are the two areas of focus for the PMHNP to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of suicide risk?
|\ |\ |\
SDI
Suicidal Desire and Ideation |\ |\ |\
-reasons for living, lack of deterrents to attempt
|\ |\ |\ |\ |\ |\ |\
RPP
Resolved Plans and Preparation |\ |\ |\
-availability of means, specificity of plans |\ |\ |\ |\ |\
A patient with a history of multiple suicide attempts would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considered what level of risk? |\ |\ |\ |\
Chronic High Risk |\ |\
, What are three factors that create an "acute" risk of suicide?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Presence of a crisis |\ |\ |\
Significant life stressors |\ |\
Increased symptomatology |\
What steps would the PMHNP take next if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a severe suicide risk? |\ |\ |\ |\ |\ |\
Immediate hospitalization |\
involve family |\
possibly law enforcement |\ |\
How often should the PMHNP assess suicide risk?
|\ |\ |\ |\ |\ |\ |\
EVERY VISIT |\
What steps could the PMHNP take if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a moderate suicide risk? |\ |\ |\ |\ |\ |\
Increased frequency of visits |\ |\ |\
Create a crisis plan |\ |\ |\
Provide 24 hour crisis service availability
|\ |\ |\ |\ |\
How effective are "no harm contracts" in reducing suicide?
|\ |\ |\ |\ |\ |\ |\ |\
Not effective at all 👎
|\ |\ |\ |\
What are three facets of a suicide crisis response plan?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Concrete & specific |\ |\
Collaborative
Documented
Which factor is important in the assessment of homicide risk?
|\ |\ |\ |\ |\ |\ |\ |\ |\
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)
|\ |\ |\ |\ |\ |\
Why is the PMHNP required to alert the authorities when her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has made a credible threat to the safety of another?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
(mod4-10) questions with answers |\ |\ |\
What is the difference between PMHNPs screening of versus
|\ |\ |\ |\ |\ |\ |\ |\ |\
assessment of suicide? |\ |\
-Screening will identify if there is an issue that needs further
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment
-Assessment helps to determine the actual level of risk |\ |\ |\ |\ |\ |\ |\ |\
Which is the MOST important in the PMHNP assessment of suicide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk factors?
|\ |\
Clinical Judgement |\
How are chronic suicidal risk factors different than acute suicide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk factors?
|\
-Chronic factors are unchangeable and non-modifiable
|\ |\ |\ |\ |\
What are five examples of chronic suicide risk factors?
|\ |\ |\ |\ |\ |\ |\ |\
-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 |\ |\ |\
Which is the MOST potent chronic risk factor for suicide?
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Previous suicide attempt |\ |\
,- The more lethal the past attempt, the greater the risk
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Examples of suicide mitigating factors? |\ |\ |\ |\
No recent history of suicide attempts
|\ |\ |\ |\ |\
Good social supports/married (if marriage is happy) 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
|\ |\ |\
Should the PMHNP quantify risk of suicide through the use of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment tools alone? |\ |\
No
Assessment tools can be used as one measure in addition to |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgment |\
Suicide risk is difficult to quantify & difficult to predict with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
accuracy
What are the two areas of focus for the PMHNP to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
level of suicide risk?
|\ |\ |\
SDI
Suicidal Desire and Ideation |\ |\ |\
-reasons for living, lack of deterrents to attempt
|\ |\ |\ |\ |\ |\ |\
RPP
Resolved Plans and Preparation |\ |\ |\
-availability of means, specificity of plans |\ |\ |\ |\ |\
A patient with a history of multiple suicide attempts would be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
considered what level of risk? |\ |\ |\ |\
Chronic High Risk |\ |\
, What are three factors that create an "acute" risk of suicide?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Presence of a crisis |\ |\ |\
Significant life stressors |\ |\
Increased symptomatology |\
What steps would the PMHNP take next if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a severe suicide risk? |\ |\ |\ |\ |\ |\
Immediate hospitalization |\
involve family |\
possibly law enforcement |\ |\
How often should the PMHNP assess suicide risk?
|\ |\ |\ |\ |\ |\ |\
EVERY VISIT |\
What steps could the PMHNP take if a patient has been
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
determined to have a moderate suicide risk? |\ |\ |\ |\ |\ |\
Increased frequency of visits |\ |\ |\
Create a crisis plan |\ |\ |\
Provide 24 hour crisis service availability
|\ |\ |\ |\ |\
How effective are "no harm contracts" in reducing suicide?
|\ |\ |\ |\ |\ |\ |\ |\
Not effective at all 👎
|\ |\ |\ |\
What are three facets of a suicide crisis response plan?
|\ |\ |\ |\ |\ |\ |\ |\ |\
Concrete & specific |\ |\
Collaborative
Documented
Which factor is important in the assessment of homicide risk?
|\ |\ |\ |\ |\ |\ |\ |\ |\
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)
|\ |\ |\ |\ |\ |\
Why is the PMHNP required to alert the authorities when her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient has made a credible threat to the safety of another?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
