8/26/25, 8:35
AM
MENTAL HEALTH ASSESSMENT AND NURSING
CARE STRATEGIES EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED GRADED A 2025/2026
Suicide Risk Use standardized tools (e.g., Columbia-Suicide
Assessment Tools Severity Rating Scale).
Assess history of suicidal ideation, plans, attempts,
Clinical Interview
and intent. Explore protective factors.
Beck Scale for Measures severity of suicidal thoughts.
Suicide Ideation
Safety Planning Involve patient in creating a safety plan.
Comorbidities Conditions that can increase suicide risk.
Depression Major depressive disorder increases risk.
Anxiety Disorders Generalized anxiety disorder,
PTSD. Substance Use Disorders Alcohol and drugs can
lower inhibition. Personality Disorders Especially borderline
personality disorder.
1/
8
, 8/26/25, 8:35
AM
Chronic Illness Cancer, chronic pain conditions.
Nursing Care for Strategies based on risk level.
Suicidal Patients
Monitor, provide supportive counseling, and
Low Risk
establish a safety plan.
More frequent monitoring, involve family,
Moderate Risk
ensure therapy follow-up.
Immediate safety measures (hospitalization), close
High supervision, medication evaluation, and crisis
Risk intervention.
Increase serotonin levels; side effects include
SSRIs
gastrointestinal upset, sexual dysfunction, weight gain.
Increase serotonin and norepinephrine; side
SNRIs
effects include increased blood pressure,
nausea.
Block reuptake of neurotransmitters; side
TCAs
effects include anticholinergic effects,
sedation.
St. John's Wort, Omega-3 fatty acids,
Complementary Therapies
exercise, and psychotherapy.
2/
8
AM
MENTAL HEALTH ASSESSMENT AND NURSING
CARE STRATEGIES EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED GRADED A 2025/2026
Suicide Risk Use standardized tools (e.g., Columbia-Suicide
Assessment Tools Severity Rating Scale).
Assess history of suicidal ideation, plans, attempts,
Clinical Interview
and intent. Explore protective factors.
Beck Scale for Measures severity of suicidal thoughts.
Suicide Ideation
Safety Planning Involve patient in creating a safety plan.
Comorbidities Conditions that can increase suicide risk.
Depression Major depressive disorder increases risk.
Anxiety Disorders Generalized anxiety disorder,
PTSD. Substance Use Disorders Alcohol and drugs can
lower inhibition. Personality Disorders Especially borderline
personality disorder.
1/
8
, 8/26/25, 8:35
AM
Chronic Illness Cancer, chronic pain conditions.
Nursing Care for Strategies based on risk level.
Suicidal Patients
Monitor, provide supportive counseling, and
Low Risk
establish a safety plan.
More frequent monitoring, involve family,
Moderate Risk
ensure therapy follow-up.
Immediate safety measures (hospitalization), close
High supervision, medication evaluation, and crisis
Risk intervention.
Increase serotonin levels; side effects include
SSRIs
gastrointestinal upset, sexual dysfunction, weight gain.
Increase serotonin and norepinephrine; side
SNRIs
effects include increased blood pressure,
nausea.
Block reuptake of neurotransmitters; side
TCAs
effects include anticholinergic effects,
sedation.
St. John's Wort, Omega-3 fatty acids,
Complementary Therapies
exercise, and psychotherapy.
2/
8
