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NUSC 3P14 Midterm 2 Test With Complete solution
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NUSC 3P14 Midterm 2 Test WithComplete solution
According to the WHO, approximately_________ people of all ages die by suicide every
year, worldwide? - Answer 800,000
Suicide - Answer Intentional act of killing oneself by any means, major cause of
premature and preventable death.
Suicide Risk Factors - Answer 90% of people who die from suicide have a history of
psychiatric, addiction disorder, and other complex risk factors.
Suicide Biological Factors - Answer Inconclusive results: No strong relationship with
neurotransmitter & neuroendocrine system; other biochemical markers (serotonin,
noradrenergic, dopamine),
Low serotonin levels (plasma & CSF) are related to depressed mood,
Low level of 5-HT or 5-HIAA (5-hydroxyindoleacetic acid-the main serotonin receptors)
in CSF-among depressed patients with suicidal ideations,
Gene Altering Factor: Reduction in SKA2-(spindle and kinetochore associated complex
subunit 2)- in the postmortem brain of suicide victims compared with non-suicidal, non
psychiatric control subjects,
Decrease in PKA (protein kinase A)-responsible to regulate the neural pathway
alteration in signal transmission among suicide victims.
Suicide Psychosocial Factors: Sigmund Freud's Theory - Answer Suicide results from an
unacceptable aggression towards someone that is turned inward.
Suicide Psychosocial Factors: Karl Menninger's Theory - Answer Describing three parts
of suicidal hostility: the wish to kill, the wish to be killed, and the wish to die
Suicide Psychosocial Factors: Aaron Beck - Answer Identified a central emotional factor
underlying suicide intent: hopelessness.
Suicide Protective Factors - Answer Sense of meaning and purpose in
life/hope/optimism,
Coping and problem-solving skills,
Engagement in activities of personal interest,
Positive help-seeking behaviours,
, Cultural and religious beliefs/practices that discourage suicide,
Connections to friends, family, and community support,
Supportive relationships with care providers,
Availability/access to physical and mental health care,
Limited access to lethal means among people at risk.
IS PATH WARM Assessment - Answer Ideation,
Substance use,
Purposelessness,
Anxiety or agitation,
Trapped,
Hopelessness or helplessness,
Withdrawal,
Anger,
Recklessness,
Mood changes.
Suicide Nursing Process: Assessment - Answer Routine part of MSE
Observations - changes in behaviour, affect (regular interval, shift change, early
morning, etc.)
Verbal and nonverbal clues-warning signs?
Go through patient's belongings-look for?
Suicide Nursing Process: Communication - Answer Nonjudgmental, supportive, include
them in decisions etc.,
Ask about current stressors, symptoms of depression,
Current plan-Have you thought about suicide/harming yourself/killing yourself,
Explore past and family history of suicide,
Resources and support: Do you have someone you recognize as supportive?,
Lock utility rooms/kitchen,
Do not assign to private room.
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