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Maryville University NURS 661 Exam 3 MegaDeck 1. Who is at highest risk of suicide?: White, elderly men Schizophrenia Single, never married, divorced, recently widowed Previous attempts Adolescents with depression, bullied, or family hx of suicide 2. Who €10,37
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Maryville University NURS 661 Exam 3 MegaDeck 1. Who is at highest risk of suicide?: White, elderly men Schizophrenia Single, never married, divorced, recently widowed Previous attempts Adolescents with depression, bullied, or family hx of suicide 2. Who
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Maryville University NURS 661 Exam 3 MegaDeck
1. Who is at highest risk of suicide?: White, elderly men
Schizophrenia
Single, never married, divorced, recently widowed
Previous attempts
Adolescents with depression, bullied, or family hx of suicide
2. Who is most likely to succeed at committin...
Who is at highest risk of suicide?answer 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?answer Older while males
What are some protective factors for suicide?answer Having children Religion
Stronger alliances with medical providers and therapists
What is lethality?answer the probability that a person will successfully complete suicide
What is intent?answer Effective expectations for desire of active death
What is a suicide attempt?answer Includes all willful, self-inflicted life-threatening attempts
that have not led to death
What is suicidal ideation?answer thinking about suicide, usually with some serious emotional
and intellectual or cognitive overtones
Where in the brain do we theorize violence and aggression originate?answer Pre- frontal
cortex
How to assess for homicidal ideation?answer 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?answer Duty to warn Based on state
laws
Obsessionanswer 1. 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
2. The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or actio
(i.e. by performing a compulsion)
Compulsionanswer 1. 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
2. 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)answer A. Presence of obsessions, compul- sions, or
both
B.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,
, Maryville University NURS 661 Exam 3 MegaDeck
or other important areas of functioning
C. The obsessive-compulsive symptoms are not attributable to the physiological effects of a substance or another medical condition
D. The disturbance is not better explained by the symptoms of another mental disorder
PANDASanswer Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal infections
OCD common co-morbid conditionsanswer MDD (Major depressive disorder) Skin Picking
Hair Pulling
Most Common Compulsionsanswer Checking Ordering
Arranging Washing/cleaning Hand-washing Flipping lights Counting
Differentiation between OCD and eating disordersanswer Those with eating disor- ders will
be counting calories, focused on weight loss or maintaining a specific weight
Treatment for OCDanswer Cognitive Behavioral Therapy
Pharmacological Treatment for OCDanswer First line treatment-SSRI (Luvox, fluox- etine)
Second-line treatment TCA with serotonergic properties (clomipramine) SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorderanswer Preoccupation with perceived flaw on body taht 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 preoccupationsanswer Facial flaws genitalia
Differentiation between BDD and eating disordersanswer BDD is more obsessed with one
specific body flow, not the entire body
Differentiation between BDD and OCDanswer OCD may have food rituals but not obsessio
on a specific body flaw
Treatment for BDDanswer Cognitive Behavioral Therapy
, Maryville University NURS 661 Exam 3 MegaDeck
Pharmacological treatment of BDDanswer Clomipramine and fluoxetine reduce symptoms in
about 50% of patients
DSM-5 Hoarding Disorderanswer A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
This difficulty is due to a perceived need to save the items and to distress associated with
discarding them
The difficulty discarding possessions results in the accumulation of possessions that congest
and clutter active living areas and substantially compromises their intended use.
The hoarding causes clinically significant distress or impairment in social, occu- pational, or
other important areas of functioning
The behavior is not attributable to another medical condition
The hoarding is not better explained by the symptoms of another mental disorder
Hoarding Treatmentanswer Cognitive Behavioral Therapy
Hoarding Pharmacological Treatmentanswer SSRI (difficult to treat with medication)
Hoarding Safety Issuesanswer Falls Fires
Stuff falling on them Infections
Health hazards Cleaning hazards
DSM-5 Trichotillomaniaanswer A. Recurrent pulling out on one's hair, resulting in hair loss
Repeated attempts to decrease or stop hair pulling
The hair pulling causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
The hair pulling or hair loss is not attributable to another medical condition
The hair pulling is not better explained by the symptoms of another mental disorder
Automatic Trichotillomaniaanswer Automatic response, the patient doesn't even know they
are doing it
Forced Trichotillomaniaanswer Conscious response, patient knows they are doing it to relieve
tension
Who's most at risk for trichotilomania?answer Only or oldest child More common in female
Trichotillomania Treatmentanswer Cognitive Behavioral Therapy Limited pharmacology-
may use naltrexone if they get pleasure from it B12 injections if the patient has a B12
deficiency
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