NURS 661 Exam 3 Mega Deck

NURS 661 Exam 3 Mega Deck

Who is at highest risk of suicide?(Ans – White, elderly men Schizophrenia Single, never married, divorced, recently widowed Previous attempts Adolescents with depression, bullied, or family hx of suicide

Who is most likely to succeed at committing suicide?(Ans - Older while males

What are some protective factors for suicide?(Ans - Having children Religion Stronger alliances with medical providers and therapists

What is lethality?(Ans - the probability that a person will successfully complete suicide

What is intent?(Ans - Effective expectations for desire of active death

What is a suicide attempt?(Ans - Includes all willful, self-inflicted life-threatening attempts that have not led to death

What is suicidal ideation?(Ans - thinking about suicide, usually with some serious emotional and intellectual or cognitive overtones

Where in the brain do we theorize violence and aggression originate?(Ans - Prefrontal cortex 1 / 4

How to assess for homicidal ideation?(Ans - Do you have homicidal ideation? Who do you want to kill? How do you plan to do this? Do you have access to the means necessary? Do you intend to commit the act?

What legal follow up is needed for homicidal ideation?(Ans - Duty to warn Based on state laws

Obsession (Ans –

• 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

• 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)

Compulsion (Ans –

• 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

• 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

Obsessive-Compulsive Disorder (OCD) (Ans –

• Presence of obsessions, compulsions, or both 2 / 4

• 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

• The obsessive-compulsive symptoms are not attributable to the

physiological effects of a substance or another medical condition

• The disturbance is not better explained by the symptoms of another

mental disorder

PANDAS

(Ans - Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections

OCD common co-morbid conditions (Ans

• MDD (Major depressive disorder)

Skin Picking Hair Pulling

Most Common Compulsions (Ans – Checking Ordering Arranging Washing/cleaning Hand-washing Flipping lights Counting

Differentiation between OCD and eating disorders (Ans - Those with eating disorders will be counting calories, focused on weight loss or maintaining a specific weight

Treatment for OCD (Ans - Cognitive Behavioral Therapy

• / 4

Pharmacological Treatment for OCD (Ans - First line treatment-SSRI (Luvox, fluoxetine) Second-line treatment TCA with serotonergic properties (clomipramine) SNRI or MAOI Augmentation with benzos, lithium, or Buspar

DSM-5 Body Dysmorphic Disorder (Ans - Preoccupation with perceived flaw on body that is not observed by others Repetitive behaviors such as mirror checking, excessive grooming, skin picking, reassurance seeking, clothes changing Clinical significance Differentiation from eating disorder

BDD common preoccupations (Ans - Facial flaws genitalia

Differentiation between BDD and eating disorders (Ans - BDD is more obsessed with one specific body flow, not the entire body

Differentiation between BDD and OCD (Ans - OCD may have food rituals but not obsession on a specific body flaw

Treatment for BDD (Ans - Cognitive Behavioral Therapy

Pharmacological treatment of BDD (Ans - Clomipramine and fluoxetine reduce symptoms in about 50% of patients

DSM-5 Hoarding Disorder (Ans –

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