Mental Health Exam 2 with complete solution

Depression Define common symptoms • Anergia (loss of energy), hopelessness, difficult making decisions • Mental Health Exam 2 • 3 automatic negative thoughts - responsible for the development of depression o 1) negative, self-deprecating view of self: o 2) pessimistic view of the world: o 3) Belief that negative reinforcement will continue ▪ (no validation for the self) Risk for suicide- Questions to ask, • High vs low risk (Ch 23) o High risk: ▪ Potential lethal suicide attempt or persistent ideation with strong internet or suicide rehearsal ▪ Interventions: admission generally indicated unless a significant change reduces risk, suicide precautions o Low risk: ▪ Risk/Protective factor: modified risk factors, strong protective factors ▪ Suicidality: thoughts of death, no plan, intent or behavior Interventions: Outpatient referral, symptoms reduction. -Give emergency/crisis numbers o Identify current feeling states o 2. Ask directly “Are you thinking of, or have you been thinking of, killing yourself” ▪ If they answer yes then ask about the frequency, duration and intensity on scale 1-10 o 3. Ask if the person has a plan: “When you think about suicide, do you have a way you might do it?” o 4. Determine the lethality of the plan ▪ How lethal is the plan, how detailed is it, does the person have a gun? o 5. Gather information about risk factors ▪ Age, sex, medical problems, emotional distress, psychiatric proble