Mental Health and Suicide Assessment Quiz

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Questions and Answers

Which of the following is NOT a risk factor for suicide?

Previous suicide attempts

Current suicidal ideation

Recent stressors

Strong social support system (correct)

What does the acronym 'SI' stand for in the context of suicide assessment?

Suicide Intervention

Suicidal Ideation (correct)

Self-Injury

Severe Illness

Which of the following is NOT a medication typically used to manage anxiety?

Buspirone

Antihistamines

Antipsychotics (correct)

Beta-Blockers

Which of the following is a common symptom of Generalized Anxiety Disorder (GAD)?

Persistent feelings of worry and apprehension (C) Signup and view all the answers

What type of medication is Vistaril (hydroxyzine) classified as?

Antihistamine (A) Signup and view all the answers

According to the content provided, what are the four key areas to assess when evaluating suicidal ideation?

Ideation, Plan, Behavior, Intent (B) Signup and view all the answers

Which of the following is NOT a protective factor against suicide?

History of substance abuse (B) Signup and view all the answers

What type of anxiety disorder is characterized by intense fear and avoidance of situations where escape might be difficult or help unavailable?

Agoraphobia (D) Signup and view all the answers

Which of the following best describes the concept of active listening in therapeutic communication?

Focusing on the patient's concerns and acknowledging their feelings. (C) Signup and view all the answers

In the context of ethical principles, which principle is primarily violated when a client's autonomy is overridden to prevent potential self-harm through involuntary commitment?

Beneficence (B) Signup and view all the answers

Which of the following is NOT a key component of the body's stress response according to the stages of stress?

Adaptation (D) Signup and view all the answers

What is the primary ethical principle that guides a healthcare professional's duty to warn potential victims of a client's harmful intentions?

Non-maleficence (A) Signup and view all the answers

Which of the following is a key element of therapeutic communication, essential for building trust and rapport with patients?

Empathy and active listening. (B) Signup and view all the answers

What is the primary ethical principle that highlights the importance of providing patients with information about their treatment options and allowing them to make their own decisions?

Autonomy (D) Signup and view all the answers

A client with a detailed plan to harm themselves is considered a candidate for involuntary commitment because the risk of self-harm overrides their autonomy. What ethical principle is primarily at play in this situation?

Non-maleficence (D) Signup and view all the answers

Which of the following best describes the strengths-based approach to patient care?

Building upon the patient's existing strengths and resources to promote recovery. (A) Signup and view all the answers

In the context of the Recovery Model, what is the primary focus of interventions?

Building upon an individual's strengths and promoting autonomy. (D) Signup and view all the answers

Why is it essential to recognize the importance of multiple pathways in the Recovery Model?

It acknowledges that individuals have diverse backgrounds and needs, leading to varied recovery journeys. (B) Signup and view all the answers

Which of the following best reflects the concept of a holistic approach in the Recovery Model?

Addressing all aspects of a patient's well-being, including mental, emotional, and social domains. (B) Signup and view all the answers

What is the primary mechanism of action for antipsychotic medications in treating schizophrenia?

Blocking dopamine receptors in the brain (C) Signup and view all the answers

Which of the following is NOT a typical side effect of antipsychotic medications?

Improved cognitive function (C) Signup and view all the answers

According to the Recovery Model, what is the role of healthcare professionals (HCWs) in the recovery process?

To collaborate with patients, support systems, and families to achieve optimal quality of life. (B) Signup and view all the answers

Which of the following is an example of a negative symptom of schizophrenia?

Flat affect (B) Signup and view all the answers

What does the term "person-driven recovery" signify in the context of the Recovery Model?

Individuals have the right to choose their own path and participate in decision-making. (D) Signup and view all the answers

What is the primary purpose of the AIMS test?

To monitor for extrapyramidal side effects of antipsychotic medications (A) Signup and view all the answers

How does the use of "LEAPs" in therapeutic communication contribute to effective care?

By creating a safe and supportive environment for patients to share their experiences and feelings. (B) Signup and view all the answers

Which of the following is an example of a psychosocial intervention for schizophrenia?

Providing individual therapy (B) Signup and view all the answers

What is the main purpose of examining non-therapeutic communication techniques and their corresponding alternatives?

To identify communication styles that worsen patient outcomes and develop effective strategies to avoid them. (A) Signup and view all the answers

Which antipsychotic medication requires weekly monitoring of the white blood cell count?

Clozapine (Clozaril) (D) Signup and view all the answers

Which of the following antipsychotics is known to increase prolactin levels?

Risperidone (Risperdal) (B) Signup and view all the answers

A patient taking an antipsychotic medication is experiencing involuntary movements of the tongue, face, and limbs. Which of the following extrapyramidal symptoms is most likely occurring?

Tardive dyskinesia (D) Signup and view all the answers

Which antipsychotic medication is associated with a risk of photosensitivity?

Chlorpromazine (Thorazine) (A) Signup and view all the answers

For which antipsychotic medication is it important to advise patients to avoid grapefruit juice?

Paliperidone (Invega) (D) Signup and view all the answers

Which of the following extrapyramidal symptoms is characterized by inner restlessness and an inability to stay still?

Akathisia (C) Signup and view all the answers

Which of the following antipsychotics is associated with a risk of weight gain?

Olanzapine (Zyprexa) (B) Signup and view all the answers

Which of the following symptoms resembles Parkinson's disease and can develop after prolonged use of antipsychotic medications?

Drug-induced parkinsonianism (C) Signup and view all the answers

Which medication is commonly used to treat anxiety, nausea, allergies, and as a sedative?

Hydroxyzine (Vistaril) (B) Signup and view all the answers

Which medication is known for its delayed onset of action, typically taking 1-2 weeks to show effects?

Buspirone (BuSpar) (B) Signup and view all the answers

What nursing intervention should be prioritized when administering Lorazepam (Ativan)?

Monitor for respiratory depression and assess for changes in gait or balance. (A) Signup and view all the answers

Which medication, when used with other CNS depressants, can increase the potential for sedation?

Hydroxyzine (Vistaril) (A) Signup and view all the answers

Which medication is an anticholinergic and requires monitoring for anticholinergic side effects?

Diphenhydramine (Benadryl) (C) Signup and view all the answers

Which medication should be used with caution in patients with asthma due to the potential for bronchospasm?

Propranolol (Inderal) (C) Signup and view all the answers

What is a significant nursing intervention when administering Clonidine (Catapres)?

Monitor for blood pressure and educate about avoiding sudden discontinuation. (A) Signup and view all the answers

What is the primary purpose of monitoring blood pressure and heart rate when administering Propranolol (Inderal)?

To assess for signs of bronchospasm. (B) Signup and view all the answers

Study Notes

Exam Slam Spring 2025

Exam 1 will be held on week 5
Testing Center location
Start time: 1:00 pm
Duration: 1:00pm - 4:00pm
Exam One covers multiple chapters, each with a variable number of questions.

Topics Covered - Exam 1

Mental Health and Mental Illness (Chapters 1, 2, 3, 5, 6)
Stress and Adaptation/Psychobiology (Chapters: 1,3)
Legal and Ethical Basis for Practice (Chapters 5, 6, 7)
Relationship Development & Therapeutic Communication (Chapters 6, 7)
Suicide/Crisis Prevention (Chapters: 12, 16)
Recovery Model (Chapter 20)
Schizophrenia Spectrum (Chapter 24)
Anxiety, OCD, etc. (Chapter 27)
Total questions: 80

Remediation Activity

Required for those scoring 80 or below on Exam 1
Refer to Assignment Submission Module for details

Exam Focus

Exams test a student's ability to recognize cues of potential harm or issues in patients, and how to intervene effectively.
Focus is on managing risk and patient safety, not just stability.

Recovery Model (Chapter 20)

Person-driven recovery: Individuals have control over their recovery journey.
Multiple pathways: Recovery involves various interventions (clinical, peer, community).
Holistic approach: Recovery involves improving overall wellness.
Strengths-based approach: Focuses on building on individual strengths.
Community integration: Highlights the importance of community relationships and support networks.

Therapeutic Communication (Chapter 7)

Focus on analyzing non-therapeutic and therapeutic communication techniques.
Examine specific statements and find alternative, more effective communication strategies.
Key concepts include active listening, voicing doubt, validation, humor, stigmatizing language.

Legal & Ethical (Chapter 5)

Focus on Ethical Principles, not theoretical perspectives.
Review patient rights (e.g., Assault & Battery, False imprisonment).
Review ethical principles (Autonomy, Beneficence, Non-Maleficence, veracity)
Important to understand how to assess risk and manage situations regarding patient safety.
Understand duty to warn responsibilities

Stress & Coping (Chapter 1)

Stress responses are described in stages: alarm, resistance, and exhaustion.
Understanding stress management and coping strategies.
Recognizing that stress encompasses multiple aspects (emotional, physical, environmental).
Encourage active listening in clinical practice to find ways to support patients in managing their stress

Suicide (Chapter 16)

Assess for suicidal ideation: Frequency, intensity, duration of thoughts.
Assess for suicide plan: Specificity, lethality, and access to means
Evaluate past attempts: Timing, method, and intent.
Important to consider risk and protective factors (recent stressors, social support, reasons for living, cultural/religious beliefs.)
Understand the importance of the nursing process, including assessment, interventions, and CARE planning.

Anxiety Disorders (Chapter 27)

Focus primarily on Dr. Touw's slides and page 571.
Skip the diagnostic aspects.
Focus on anxiety 2/2 medical conditions and substance/medication induced disorders.
Review outcome criteria (page 581) and case plans in detail.

Generalized Anxiety Disorder (GAD)

Understand common symptoms of GAD.
Assess for nursing interventions.
Know the medications used to treat GAD: Buspirone, SSRIs, Benzodiazepines, Beta-Blockers, and Antihistamines.
Note that Vistaril (Hydroxyzine) is an antihistamine, primarily as a sedative, with anxiolytic properties for managing short-term anxiety.

Medication Management - Anxiolytics

Review Dr. Touw's slides and Table 24-7.
Understand the differences between benzodiazepines and non-benzodiazepines as well as appropriate monitoring of patients on these medications.
Review Chapter 4 (pp. 61-63) and Table 4-3 for more detail.
Focus on nursing interventions, side effects, and proper use while taking into consideration safety issues.

Schizophrenia (Chapter 24)

Know the different phases of schizophrenia and associated symptoms.
Differentiate positive and negative symptoms.
Review page 474 – 485 on Disturbed Thoughts processes, focusing on care plans and nursing interventions.
Review interventions and outcomes
Review Psychological Treatments (individual/group/CBT/social skills)

Medication Management - Antipsychotics (Chapter 4 & 24)

Review information on indications, actions, side effects, and safety considerations for antipsychotics.
Review on page 490, along with content review from page 73 for safety issues and nursing interventions for all psychotic medications.
Understand the mechanism of action and potential side effects.

Teaching Patients/SO/Family

Cover appropriate information to give patients/SO/family about medication management: indications, when medication will have an effect, management of side effects, patient concerns, and prescription refills .

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Description

Test your knowledge on mental health, anxiety disorders, and suicide assessment with this quiz. Questions cover risk factors, symptoms, medications, and therapeutic communication principles. Ideal for students in psychology or mental health fields.