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MARYVILLE UNIVERSITY NURS 661 EXAM 3 SUMMER 2026 QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT RATED A+

NURS EXAM May 16, 2025
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MARYVILLE UNIVERSITY NURS 661 EXAM 3 SUMMER 2026 QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT RATED A+
Maryville University NURS 661 Exam 3 MegaDeck (100%
Correct Answers)
Who is at highest risk of suicide? correct answers 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? correct answers Older while males
What are some protective factors for suicide? correct answers Having children
Religion
Stronger alliances with medical providers and therapists
What is lethality? correct answers the probability that a person will successfully complete suicide
What is intent? correct answers Effective expectations for desire of active death
What is a suicide attempt? correct answers Includes all willful, self-inflicted life-threatening
attempts that have not led to death
What is suicidal ideation? correct answers thinking about suicide, usually with some serious
emotional and intellectual or cognitive overtones
Where in the brain do we theorize violence and aggression originate? correct answers Prefrontal
cortex
How to assess for homicidal ideation? correct answers 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? correct answers Duty to warn
Based on state laws
Obsession correct answers 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 action (i.e. by performing a compulsion)
Compulsion correct answers 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) correct answers A. Presence of obsessions, compulsions,
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, 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
PANDAS correct answers Pediatric Autoimmune Neuropsychiatric Disorders Associated with
Streptococcal infections
OCD common co-morbid conditions correct answers MDD (Major depressive disorder)
Skin Picking
Hair Pulling
Most Common Compulsions correct answers Checking
Ordering
Arranging
Washing/cleaning
Hand-washing
Flipping lights
Counting
Differentiation between OCD and eating disorders correct answers Those with eating disorders
will be counting calories, focused on weight loss or maintaining a specific weight
Treatment for OCD correct answers Cognitive Behavioral Therapy
Pharmacological Treatment for OCD correct answers First line treatment-SSRI (Luvox,
fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
DSM-5 Body Dysmorphic Disorder correct answers 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 preoccupations correct answers Facial flaws
genitalia
Differentiation between BDD and eating disorders correct answers BDD is more obsessed with
one specific body flow, not the entire body
Differentiation between BDD and OCD correct answers OCD may have food rituals but not
obsession on a specific body flaw
Treatment for BDD correct answers Cognitive Behavioral Therapy
Pharmacological treatment of BDD correct answers Clomipramine and fluoxetine reduce
symptoms in about 50% of patients
DSM-5 Hoarding Disorder correct answers A. Persistent difficulty discarding or parting with
possessions, regardless of their actual value
B. This difficulty is due to a perceived need to save the items and to distress associated with
discarding them
C. The difficulty discarding possessions results in the accumulation of possessions that congest
and clutter active living areas and substantially compromises their intended use.
D. The hoarding causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
E. The behavior is not attributable to another medical condition
F. The hoarding is not better explained by the symptoms of another mental disorder
Hoarding Treatment correct answers Cognitive Behavioral Therapy
Hoarding Pharmacological Treatment correct answers SSRI (difficult to treat with medication)
Hoarding Safety Issues correct answers Falls
Fires
Stuff falling on them
Infections
Health hazards
Cleaning hazards
DSM-5 Trichotillomania correct answers A. Recurrent pulling out on one's hair, resulting in hair
loss
B. Repeated attempts to decrease or stop hair pulling
C. The hair pulling causes clinically significant distress or impairment in social, occupational, or
other important areas of functioning
D. The hair pulling or hair loss is not attributable to another medical condition
E. The hair pulling is not better explained by the symptoms of another mental disorder
Automatic Trichotillomania correct answers Automatic response, the patient doesn't even know
they are doing it

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