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Which change in the brain's biochemical function is most associated with suicidal behaviour?


A) Dopamine excess
B) Serotonin deficiency
C) Acetylcholine excess
D) Gamma-aminobutyric acid deficiency

E) A) and B)
F) None of the above

Correct Answer

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Select the most critical question for the nurse to ask an adolescent who has threatened to take an overdose of pills.


A) "Why do you want to kill yourself?"
B) "Do you have access to medications?"
C) "Have you been taking drugs and alcohol?"
D) "Did something happen with your parents?"

E) All of the above
F) A) and C)

Correct Answer

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Which statement provides the best rationale for closely monitoring a severely depressed patient during antidepressant medication therapy?


A) As depression lifts, physical energy becomes available to carry out suicide.
B) Patients who previously had suicidal thoughts need to discuss their feelings.
C) For most patients, antidepressant medication results in increased suicidal thinking.
D) Suicide is an impulsive act. Antidepressant medication does not alter impulsivity.

E) A) and B)
F) None of the above

Correct Answer

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A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. The patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message?


A) "I wish I were dead."
B) "Life is not worth living."
C) "I have a plan that will fix everything."
D) "My family will be better off without me."

E) None of the above
F) A) and B)

Correct Answer

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Which individual in the emergency department should be considered at highest risk for completing suicide?


A) An adolescent girl with superior athletic and academic skills who has asthma
B) A 38-year-old single female church member with fibrocystic breast disease
C) A 60-year-old married man with twelve grandchildren who has type 2 diabetes
D) A 79-year-old single, White male diagnosed recently with terminal cancer of the prostate

E) A) and B)
F) B) and D)

Correct Answer

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A nurse uses the SAD PERSONS scale to interview a patient. This tool provides data relevant to which of the following?


A) Current stress level
B) Mood disturbance
C) Suicide potential
D) Level of anxiety

E) A) and B)
F) None of the above

Correct Answer

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When assessing a patient's plan for suicide, what aspect has priority?


A) Patient's financial and educational status
B) Patient's insight into suicidal motivation
C) Availability of means and lethality of method
D) Quality and availability of patient's social support

E) All of the above
F) A) and B)

Correct Answer

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Which measure would be considered a form of primary intervention for suicide?


A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient

E) B) and C)
F) A) and D)

Correct Answer

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