Nurs661 Maryville test 3 Questions and Answers

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How to assess for homicidal ideation - ANSWER Address the patient's beliefs; do they want to harm someone else? do they have a plan to harm someone? do they have the means to carry out the plan? Do th... ey state that they want to carry out the plan? What area of the brain is most associated with violence - ANSWER Pre-frontal cortex What personality disorder is most associated with self-harming behavior? - ANSWER Borderline personality disorder Which symptom if not resolved is not often leads to suicide? - ANSWER hopelessness Be able to identify protective factors among patients at risk for suicide - ANSWER Internal: ability to cope with stress, religious beliefs, frustration tolerance External: responsibility to children or beloved pets, positive therapeutic relationships, social supports Know which symptoms if not resolved often lead to patients attempting suicide - ANSWER Know the difference between self-mutilation and suicidal gestures - ANSWER Intent differentiates the two. self-mutilation is harming self without intent to end life and suicidal gestures have the intent of ending life. Know which medication has been linked to reducing suicidal ideation among patients - ANSWER Lithium What does lethality mean? - ANSWER the capacity to cause death or serious harm or damage What compulsion is most commonly seen in patients with OCD? - ANSWER checking Most common concern with body dysmorphic disorder? - ANSWER facial flaws What is an obsession? - ANSWER Intrusive thoughts- limited to the mind What is a compulsion? - ANSWER irrational behavior performed repeatedly- involves action What is the most common co-morbid psychiatric diagnosis associated with OCD/ - ANSWER Major depressive disorder Understand body dysmorphic disorder - ANSWER Preoccupation with one or more perceived defects of flaws in physical appearance that are not observable by or appear very mild to others What is the first line treatment for hoarding disorder? - ANSWER CBT- medication may be added to treat the depression and anxiety that may go along with it What are the basics of trichotilomania? - ANSWER occurs more in females, relief/gratification from hair pulling, 30-40% eat hair, scalp most common area; can be focused (intentional) or automatic (unintentional during sedentary activities) Be able to recognize anorexia nervous among male patients - ANSWER Appearance: emaciated appearance with anorexia nervosa Affect: lability, anxiety, constricted and sad Mood: dysphoric mood Thought content: preoccupation with food & body weight, suicidal ideation, low self esteem Concentration: decreased concentration Judgement: impaired for self welfare Insight: Impaired [Show More]

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