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NR 605 MIDTERM EXAM & FINAL EXAM
(DIAGNOSIS MANAGEMENT IN PSYCHIATRIC)
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS AGRADE
RATED
NR 605 MIDTERM EXAM
Circumstances that increase suicide risk: Individual Risk Factors - ANSWER-Previous suicide attempt History of depression and other mental illnesses Serious illness such as chronic pain Criminal/legal problems Job/financial problems or loss Impulsive or aggressive tendencies Substance use Current or prior history of adverse childhood experiences Sense of hopelessness Violence victimization and/or perpetration 1 / 4
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Circumstances that increase suicide risk: Relationship Risk Factors - ANSWER-Bullying Family/loved one's history of suicide Loss of relationships High conflict or violent relationships Social isolation
Circumstances that increase suicide risk: Community Risk Factors - ANSWER-Lack of access to healthcare Suicide cluster in the community Stress of acculturation Community violence Historical trauma Discrimination
Circumstances that increase suicide risk: Societal Risk Factors - ANSWER-Stigma
associated with help-seeking and mental illness Easy access to lethal means of suicide among people at risk Unsafe media portrayals of suicide
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3 Circumstances that protect against suicide risk: Individual Protective Factors - ANSWER-Effective coping and problem-solving skills Reasons for living (for example, family, friends, pets, etc.) Strong sense of cultural identity
Circumstances that protect against suicide risk: Relationship Protective Factors - ANSWER-Support from partners, friends, and family Feeling connected to others
Circumstances that protect against suicide risk: Community Protective Factors -
ANSWER-Feeling connected to school, community, and other social institutions Availability of consistent and high quality physical and behavioral healthcare
Circumstances that protect against suicide risk: Societal Protective Factors - ANSWER- Reduced access to lethal means of suicide among people at risk Cultural, religious, or moral objections to suicide
warning signs for suicide: - ANSWER-Talking about being a burden
Being isolated Increased anxiety Talking about feeling trapped or in unbearable pain 3 / 4
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4 Increased substance use Looking for a way to access lethal means Increased anger or rage Extreme mood swings Expressing hopelessness Sleeping too little or too much Talking or posting about wanting to die Making plans for suicide
Phases of Therapy - ANSWER-Initiation Working Termination
Initiation of Therapy - ANSWER--one of the most important goals of the first session is establishing a therapeutic alliance • fundamental component of successful therapy -comprehensive history & mental status examination • collect info to establish a psychiatric history and dx • guide the development of a tx plan -location, frequency of sessions, and payment
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