Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.
https://www.quantumunitsed.com/go/2252
1. According to the Clinical Practice Guidelines (CPGs), which of the following is stated as a key expected outcome after successful implementation of these guidelines?
A. Increasing patient wellness checkups
B. Improving medication accessibility for psychiatric disorders
C. Minimizing preventable complications and morbidity
D. Implementing mandatory screening for all Veterans
2. One focus of the suicide prevention memorandum of agreement (MOA) established between the VA and DoD in November 2017 includes which of the following?
A. Preventing all military deployments
B. Lethal means safety and/or restriction
C. Increasing funding for civilian health providers
D. Implementing mandatory screening for all military personnel
3. Which of the following statements is true, according to the 2016 DoD Suicide Event Report and VA suicide rate report?
A. The suicide rates in both the Active Component and Reserve Component showed a significant decrease.
B. The suicide rates in the National Guard were significantly lower than the general U.S. population.
C. The suicide rates for the Active and Reserve Component were equivalent with a demographically similar portion of the U.S. population.
D. The suicide rate for Veterans having used VHA services was lower than for those Veterans who did not.
4. As per the Self-Directed Violence Classification System (SDVCS) in the VA, which of the behaviors is considered as self-directed violence?
A. Violent thoughts towards others.
B. Violence directed towards inanimate objects.
C. Non-suicidal SDV behaviors such as suicide attempts and preparatory behaviors
D. Violent conflict between individuals.
5. Given the rising trend in suicide and suicide-related behavior among the U.S. population, the implementation of practices in the Clinical Practice Guidelines (CPGs) is primarily intended to do which of the following?
A. Emphasize aggressive treatments.
B. Assess the individual's condition and, in collaboration with the patient, determine the best treatment method
C. Prioritize institutional care over outpatient treatment.
D. Focus solely on pharmacological interventions.
6. What percentage of Service Members who died by suicide in 2016 had at least one diagnosed behavioral health condition?
A. 44%
B. 50%
C. 38%
D. 60%
7. What is one of the novel approaches to identifying suicide risk examined in the studies?
A. Predictive models based on historical data
B. Biodiversity models
C. Gene mapping models
D. Predictive models based on geographical data
8. What is considered as a universal screening tool for suicidal thoughts and behaviors?
A. Patient Health Questionnaire-10
B. Patient Health Questionnaire-9, item 9
C. Patient Health Questionnaire-8, item 8
D. Patient Health Questionnaire-7, item 7
9. What is one of the significant challenges in developing evidence-based clinical practice recommendations?
A. Identifying appropriate disciplines of individuals to be included as part of the Work Group
B. Directing and coordinating the Work Group
C. Evidence gaps and ongoing needs to develop effective strategies for guideline implementation
D. Participating throughout the guideline development and review processes
10. What system is used to assess the quality of the evidence base and assign a strength for each recommendation?
A. The Probing of Recommendations Assessment, Development and Evaluation (PREADE) system
B. The Grading of Conclusions Assessment, Development and Evaluation (GCADE) system
C. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system
D. The Examination of Recommendations Assessment, Development and Evaluation (ERADE) system
11. What are the main considerations in converting strength recommendation from the USPSTF system to the GRADE system?
A. Strength of evidence presented, potential benefits and risks of the intervention, patients' values, and other factors where possible
B. Existing clinical guidelines, accessibility of resource options, and prevalence of the condition among patients
C. Patients' socio-economic status, family support system, and strength of evidence presented
D. The popularity of the treatment option among patients and rising trends in the healthcare industry
12. What primary aspects need to be considered when delivering patient-centered care (PCC) as per the lecture?
A. Evaluating patients' financial capability, meeting healthcare delivery standards, and evaluation of treatment outcomes
B. Limiting provider-patient interactions to formal consultations, regularly updating patient's family, and respecting patients' preferences
C. Open communication with patients, a culturally sensitive approach, accessibility of information, and involving family members if appropriate
D. Bringing advanced technology to patient consultations, focusing primarily on medication options, and limiting family involvement in care
13. How are clinical practice guidelines updated according to the U.S. Preventive Services Task Force (USPSTF)?
A. Revisions of previous guidelines are scheduled irrespective of newly released evidence
B. All previous guidelines expire after a certain period without updates
C. Updates are developed based on information from internet surveys
D. Revisions are typically based on new evidence or as scheduled, and are subject to time-based expirations
14. With regard to co-occurring conditions, what is the recommended approach to manage suicide risk?
A. Overlooking the co-occurring conditions and focusing solely on suicide risk
B. Managing suicide risk collaboratively with other care providers and possibly requiring early specialist consultation
C. Referring the patient to another care provider while dealing with the suicide risk
D. Suspending treatment for co-occurring conditions until suicide risk is resolved
15. In the scope of the clinical practice guideline provided, what should a guideline recommendation ideally consider?
A. Mostly the preferences of the healthcare professionals
B. Strictly adherence to the established clinical guidelines
C. Primarily the success rates of different treatments
D. The patient's needs and preferences
16. Which of the following best describes Recommendation 1 for the evaluation of suicidal ideation?
A. It suggests the use of a validated screening tool to identify those at risk for suicide-related behavior.
B. It recommends using a detailed psychological history to identify at risk individuals.
C. It encourages the use of non-validated screening tools to catch as many individuals at risk as possible.
D. It proposes the use of the Columbia Suicide Severity Rating Scale as the ideal tool for screening.
17. What does the Patient Health Questionnaire-9 item 9 specifically screen for?
A. General depressive symptoms.
B. Risk of physical self-harm.
C. Suicidal risk by determining the level of suicidal ideation.
D. The patient's level of social isolation.
18. What determinations were made by the Work Group in relation to the effectiveness of the PHQ-9 item 9?
A. There is strong support for it being the best tool for identifying suicide risk.
B. Its usage should be considered as a part of broader suicide prevention efforts, but admits possible shortcomings.
C. It should not be used as a measurement tool due to the false-positive prediction rate.
D. They found it to be effective in identifying all instances of suicide-related behavior.
19. Which of the following is NOT a factor that should be comprehensively evaluated when assessing suicide risk, according to Recommendation 3?
A. Current suicidal ideation.
B. Prior psychiatric hospitalization.
C. The patient's financial status.
D. Availability of firearms.
20. In relation to Recommendation 2, what was one of the Work Group's observations concerning the available evidence for the screening tool in question?
A. They found the available evidence to be perfectly adequate and strongly supported the tool's use.
B. There was limited data regarding the implementation of the screening tool in large healthcare settings.
C. The evidence suggested that use of the tool would significantly increase the risk of suicide among at-risk patients.
D. The evidence supported universal adoption of the tool across all healthcare settings.
21. What are some factors that increase the risk for suicidal thoughts and/or behaviors?
A. Current suicidal ideation
B. Loss of relationship
C. Availability of firearms
D. All of the mentioned factors
22. When assessing the suicide risk, what is the main caution suggested for clinicians?
A. To rely solely on established assessment tools
B. To rely on their instinct and personal judgment
C. To utilize multiple instruments and methods
D. To avoid using any specific risk evaluation instrument
23. What are the potential harms of only using a single instrument or method to assess suicide risk?
A. It could result in an overestimation of the suicide risk
B. It may lead to insufficient information
C. It could result in an underestimation of the suicide risk
D. They outweigh the burden of utilizing multiple instruments and approaches
24. What factors should be included in a comprehensive suicide risk assessment?
A. Only factors that increase the risk for suicidal thoughts and/or behaviors
B. Only the strongest predictive factors
C. Only individual's current psychiatric conditions and symptoms
D. Factors that protect against suicidal behavior and reasons for living
25. Why is it suggested that clinicians use multiple tools and methods in suicide risk evaluations?
A. Because it is the only way to spot suicidal tendencies
B. Because combining different methods guarantees accurate results
C. Because no single instrument or method is effective enough on its own
D. Because using multiple tools can eliminate all potential risk
26. What is the primary objective of cognitive behavioral therapy (CBT) in suicide prevention?
A. To provide patients with pharmacological treatments to control their suicidal tendencies
B. To teach patients to identify and alter problematic thought and behavior patterns
C. To involve patients in group activities to distract them from suicidal thoughts
D. To provide medical assistance to patients in a suicidal crisis
27. What kind of skills does Dialectical Behavior Therapy aim to develop in patients?
A. Analytical problem-solving skills and independent decision making
B. Emotion regulation, interpersonal effectiveness and distress tolerance
C. Physical and fitness activities to divert attention from distress
D. Ability to suppress emotional distress and undesirable feelings
28. Which kind of therapy has been found to reduce non-suicidal and suicidal self-directed violence (SDV) among patients with borderline personality disorder?
A. Cognitive Behavioral Therapy (CBT)
B. Interpersonal Therapy
C. Dialectical Behavior Therapy (DBT)
D. Existential Therapy
29. What components does a crisis response plan typically include?
A. Semi-structured interview of recent suicidal ideation, self-management skills identification, disclosure of past criminal records
B. Self-management skills identification, review of crisis resources, scheduling frequent medical check-ups
C. Semi-structured interview of recent suicidal ideation, self-management skills identification, review of crisis resources
D. Collaborative identification of clear signs of crisis, review of crisis resources, referral to psychiatrist
30. Patient-centered care (PCC) focuses on patients' needs and preferences. How is this reflected in treatments like CBT or DBT?
A. By providing pharmacological solutions depending on patients' preferences
B. By allowing patients to choose when and where they would like to meet their therapist
C. By enabling patients to identify problematic beliefs and learn how to address them
D. By immersing patients in heavy theoretical concepts to enable them to understand their mental health
31. What is the primary purpose of the safety planning intervention in the context of behavioral health care?
A. To reduce suicidal behaviors following discharge from inpatient care
B. To assist in a successful transition from inpatient to outpatient behavioral health care
C. To increase outpatient behavioral health care treatment engagement
D. To improve the quality of life for Veterans
32. Which of the following is an integral part of effective patient-centered care (PCC)?
A. Allowing the patient to make all treatment decisions without clinical input
B. Maintaining respectful relationships with providers and involving family and friends
C. The use of specialized training across the majority of interventions
D. Non-collaborative approach to determine the best treatment for the patient
33. What is one key benefit of the Problem-Solving Therapy (PST) in treating patients at risk for suicide?
A. It requires extensive and specialized training
B. It reduces the number of inpatient days
C. It significantly improves the patient's ability to cope with stressful life experiences
D. It is dependent on the setting in which it is administered
34. What is the effect of the “Window to Hope” (WtoH) intervention for patients with hopelessness and a history of moderate to severe TBI?
A. It has been found to exacerbate the feelings of hopelessness
B. It has been found to improve hopelessness in patients at risk of suicide
C. It has been shown to reduce the effect of traumatic brain injury
D. It has been observed to increase suicidal ideation
35. Which of the following is an outcome associated with implementing Problem-Solving Therapy (PST) in patient treatment regiment?
A. An increase in suicidal ideation over a one-year follow-up
B. Higher repetition of self-harm incidents among patients with a history of self-harm
C. Significantly reduced suicidal ideation as compared to those who received usual care at three months and one year follow-up
D. Higher risk of suicide attempts or self-harm incidents over a one-year follow-up
36. What is the recommended dose for a single ketamine infusion in the treatment of suicidal ideation in patients with major depressive disorder?
A. 0.4 mg/kg
B. 0.5 mg/kg
C. 0.6 mg/kg
D. 0.7 mg/kg
37. What is the approximate percentage of patients who reported no suicidal ideation 24 hours after receiving a single dose of ketamine?
A. 45%
B. 50%
C. 55%
D. 60%
38. Which of the following is a potential risk associated with the administration of ketamine infusion for suicidal ideation treatment in patients with major depressive disorder?
A. Transient elevation in blood pressure
B. Risk of kidney damage
C. Risk of liver toxicity
D. Severe gastrointestinal upset
39. What is a consideration for lithium treatment in reducing the risk of suicide in patients with mood disorders according to the clinical practice guidelines?
A. Formulation of lithium should not be taken into account when prescribing
B. The amount of lithium to be dispensed should not be a consideration
C. Methods to reduce risk of toxicity in overdose, such as dispensing smaller quantities and safe medication storage options
D. Side effects such as gastrointestinal upset, tremor, polyuria, polydipsia, weight gain, hypothyroidism, leukocytosis are not factors affecting adherence
40. Which of these recommendations is NEEDED before a patient starts lithium medication as part of the risk management for suicide?
A. No blood monitoring is required to achieve-target-blood levels
B. No renal adjustments to dosage are required for creatinine clearance
C. Consider methods to reduce risk of toxicity in overdose
D. Lithium should be freely administered to elderly patients without caution
41. Which of the following best describes the Federal Drug Administration's stance on the use of clozapine in patients with schizophrenia or schizoaffective disorder?
A. Clozapine has not been approved by the FDA for use in patients with schizophrenia or schizoaffective disorder.
B. The FDA has approved the use of clozapine for reducing the risk of suicidal behaviors in patients diagnosed with schizophrenia or schizoaffective illness in 2003.
C. Clozapine was rejected by the FDA for treating patients with suicidal ideations or a history of suicide attempts.
D. The FDA has not provided any guidance on the use of clozapine in patients with schizophrenia or schizoaffective disorder.
42. What are the arguments for the use of clozapine in patients diagnosed with schizophrenia from the viewpoint of optimizing health outcomes and improving life quality?
A. Clozapine is related to reducing suicide risk only.
B. Clozapine is always considered the best antipsychotic medication irrespective of patient condition.
C. Clozapine is associated with weight gain, lipid abnormalities and other serious events. It should always be avoided.
D. Clozapine might act as a potent tool in reducing suicide risk but considering its benefits should weigh against the potential of harm including serious side-effects.
43. What is the rationale behind the WHO BIC treatment guideline for patients presenting to the emergency department with suicide attempt?
A. Regular follow-ups after discharge reduce the probability of repeated suicide attempts.
B. It provides a structured protocol for follow-up while balancing the intensity and resource allocation.
C. It is meant to inhibit patients from attempting suicide again.
D. The single follow-up visit is crucial for patients' mental health.
44. Why might a single home visit support patients in reintegrating into outpatient care after a suicide attempt?
A. Home visits are popular and universally accepted by patients.
B. A home visit immediately after discharge allows for quicker resolution of any short-term crises.
C. It reinforces the connection with the healthcare provider and helps maintain continuity of care which could result in improved treatment compliance.
D. Home visits have been proven to force patients to participate in treatment.
45. Why might caring communications, such as follow-up letters, be effective in supporting individuals following psychiatric hospitalization for suicidal ideation?
A. They establish a sense of constant surveillance and control over the individual.
B. They are beneficial mainly due to their cost-effectiveness and simplicity in implementation.
C. These communications provide a feeling of care and support which could reduce rates of suicide deaths and attempts, especially when they are periodic and over a considerable time span.
D. They replace the need for therapy or other forms of treatment.
46. Which of the following accurately summarizes the effectiveness of technology-based behavioral health treatment modalities for individuals with suicidal ideation?
A. There is sufficient evidence to recommend against technology-based behavioral health treatment modalities for individuals with suicidal ideation.
B. There is sufficient evidence to recommend for technology-based behavioral health treatment modalities for individuals with suicidal ideation.
C. There is insufficient evidence to recommend against technology-based behavioral health treatment modalities for individuals with suicidal ideation.
D. There is insufficient evidence to recommend for or against technology-based behavioral health treatment modalities for individuals with suicidal ideation.
47. Why might telehealth be considered a beneficial treatment method for individuals with suicidal ideation?
A. It is more cost-effective than face-to-face treatment methods.
B. It improves patient access to high-quality care and continuity of care, regardless of geographic location and travel.
C. It is proven to be more effective than face-to-face treatment methods.
D. Patients reported seeing fewer providers, leading to an increased continuity of care.
48. What are important considerations when using technology-based interventions for treating individuals with suicidal ideation?
A. Accessibility of and comfort using technology-based interventions, concerns about HIPAA compliance and patient safety, network security and vulnerabilities.
B. Only older populations' ability to effectively access services.
C. Only network security and vulnerabilities.
D. Only concerns about HIPAA compliance and patient safety.
49. When it comes to technology-based adjuncts to routine suicide prevention treatment for individuals with suicidal ideation, why is there insufficient evidence to recommend for or against its use?
A. There is significant evidence demonstrating harm from these interventions.
B. There are not enough studies that assess the effectiveness of these interventions.
C. The studies that do assess these interventions have consistenly shown no effect on suicidal ideation or suicide attempts.
D. The studies that do exist have not been assessed by the Work Group.
50. What was one positive outcome reported in the study using the Virtual Hope Box (VHB) as an adjunct to treatment for Veterans in active mental health treatment who had recently expressed suicidal ideation?
A. VHB users reported a significant reduction in suicidal ideation.
B. VHB users reported significantly increased ability to cope with unpleasant emotions and thoughts at three and 12 weeks compared to the control group.
C. VHB users reported significantly reduced need for other treatment methods.
D. VHB users reported significantly improved mental health compared to the control group.
51. What is a suggested approach for decreasing suicide rates at the population level?
A. Increasing community-based interventions targeting at-risk individuals
B. Implementing gatekeeper training across all population levels
C. Reducing access to lethal means such as firearms and poisons
D. Implementing buddy support programs across all population levels
52. What have recent studies shown about the regulation of firearms access and suicide rates?
A. Firearms access and suicide rates have no significant correlation
B. State laws regulating firearms access and higher state-level firearms ownership rates are associated with increased suicide rates
C. Firearms regulations have a negative impact on suicide rates in non-urban areas only
D. Firearms regulations have no significant impact on suicide rates in states with high firearm ownership rates
53. What is the impact of means safety counseling (MSC) on suicide rates?
A. MSC has been shown to significantly reduce suicide rates
B. MSC has not been shown to reduce suicide, but has been shown to impact firearm storage practices
C. MSC has no significant impact either on suicide rates or firearm storage practices
D. The impact of MSC on suicide rates is yet to be systematically ascertained
54. In assessing an individual's condition, what is an identified risk factor for death by suicide?
A. Having no access to opioids medications
B. Access to opioid medications, which leads to increased rates of intentional and unintentional overdose death
C. Having restrictions on opioid medications
D. Having a centralized storage facility for opioid medication
55. What can be said about gatekeeper training for suicide prevention?
A. It has proven to improve population-level suicide rates in each of the U.S. states, VA, and DoD
B. It has improved knowledge about suicide but the impact on suicide rates is unclear
C. It has not been found to improve population-level suicide rates in each of the U.S. states, VA, and DoD
D. It has led to harmful effects in terms of help-seeking, attitudes, and peer support
56. Which of the following is one of the identified needs for future research in regards to screening for suicide risk?
A. Assessing and improving the accuracy of screening tools in predicting long-term risk
B. Assessing and improving the predictive accuracy of assessment tools for multiple risk behavior patterns
C. Assessing and improving the predictive accuracy of screening and assessment tools in predicting near-term risk
D. Assessing the impact of over-screening on patient satisfaction
57. The research identified several priorities for future research in Non-pharmacologic Interventions. Which of the following can be considered as one of those priorities?
A. Assessing the effectiveness of Dialectical Behavior Therapy (DBT) in patients with Bipolar Disorder
B. Further researching the implementation and spreading of Cognitive Behavioral Therapy (CBT) for patients with a history of Self-Destructive behavior
C. Identifying the components of crisis planning interventions that contribute directly to the reduction in risk for suicidal thoughts
D. Exploring the use of other therapies specific to certain behavioral health diagnoses and their impact on outcomes related to suicidal thoughts
58. In terms of Pharmacologic Interventions, which has been identified as a main priority for future research?
A. Investigation of the distribution of naloxone and its impact on suicide outcomes
B. Understanding the impact of antidepressant use on suicide outcomes in diverse population subgroups
C. Evaluating the impact of medication-assisted treatment on suicide outcomes in individuals with Substance Use Disorder
D. Exploring the benefits and drawbacks of polypharmacy
59. One of the areas suggested for future research in post-acute care approaches is:
A. The utilization of telehealth monitoring following psychiatric hospitalization
B. Research on the impact of interventions to facilitate treatment engagement
C. Effective implementation strategies of the World Health Organization's Brief Intervention and Contact initiatives in the U.S.
D. Peer-delivered or buddy-delivered post-discharge support to increase treatment engagement
60. When it comes to technology-based approaches, what kind of research is identified as a priority?
A. Investigating the equivalence or non-inferiority of real-time virtual encounters versus in-person delivery of established non-pharmacologic suicide prevention interventions
B. Researching the barriers to using virtual modalities such as telehealth or self-guided digital interventions
C. Understanding the acceptability and feasibility of self-guided digital receipt versus in-person delivery of established non-pharmacologic suicide prevention interventions
D. Assessing the efficacy of adjunctive technology-based interventions for suicide prevention
Copyright © 2024 Quantum Units Education
Visit us at QuantumUnitsEd.com!