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Old Tests > Psychosocial Ch 27 > Flashcards

Psychosocial Ch 27 Flashcards

1
Q

define suicide

A

the action of intentionally taking one’s own life

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2
Q

define direct self destructive behaviors

A
  • any form of active suicidal behavior such as threats, gestures, or attempts to end one’s life
  • active wish to die
  • ex:individual who intends to commit suicide
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3
Q

define indirect self-destructive behaviors

A
  • behaviors or actions that may result in harm to the individual’s well being or death
  • no actual intention of ending their lives
  • EX:substance abuse, dangerous activities, unwillingness to change negative thoughts and actions
  • many of these behaviors are legal or socially accepted, so ppl don’t realize their potential for harm
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4
Q

define self-injuries

A
  • reaffirm to individuals that they are still alive

- pain serves as a reminder to connection to real world

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5
Q

(objective)

myths about suicide (9 in book)

A
  • ppl who talk about it will not commit suicide
  • one does not need to take a suicide threat seriously
  • a failed suicide attempt is manipulative behavior
  • it is harmful to discuss the subject of suicide with clients
  • only psychotic or depressed ppl commit suicide
  • suicide occurs only in the lower socioeconomic classes (the poor)
  • young children never commit suicide
  • when ppl show signs of an improved mood, the threat of suicide is over
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6
Q

(objective)

what are cultural factors that affect suicide

A
  • laws, customs, beliefs, values, and norms
  • religious beliefs and customs have an impact
  • customs and rituals may play a role
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7
Q

(objective)

what are social factors influencing suicide

A
  • biggest one is social isolation (felt by fast-paced and goal oriented societies)
  • availability of weapons
  • one’s state of health (suicide rates climb as we age)
  • kind of community-based resources
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8
Q

define rational suicide

A

ppl choose the time and place of their passing. the choice to end one’s life was made freely and rationally with a sound mind

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9
Q

High suicide rates are seen where

A
  • survivors of natural disaster
  • veterans of combat
  • ppl with PTSD
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10
Q

what are the different dimensions of suicide (5)

A 
physical
emotional
intellectual
social
spiritual
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11
Q

physical dimension of suicide

A

thoughts of suicide produce many of the same biochemical changes in the body as depression

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12
Q

emotional dimension of suicide

A

person is filled with feelings of ambivalence, anger, aggression, guilt, helplessness, and hopelessness

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13
Q

define ambivalence

A

state in which an individual experiences conflicting feelings, attitudes, or drives

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14
Q

intellectual dimension of suicide

A

intense emotional suffering leads to distorted thinking and self-defeating thoughts
-the self becomes devalued and worth little

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15
Q

social dimension of suicide

A

includes one’s views of others

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16
Q

spiritual dimension of suicide

A

suicidal individuals grapple with the cultural, religious, and ethical dilemmas associated with one’s demise

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17
Q

all suicide victims seem to share two major viewpoints. what are they

A

1-deep, inner disturbance of hopelessness, despair, poor self-esteem, and feelings of being trapped
2-logic whereby suicidal individuals consider the act as a way of relieving themselves of the miseries of this life and connecting with a sense of immortality or a life beyond the one they are leaving behind

18
Q

what are the 5 different motives for suicide

A
  • cry for help
  • refusal to accept a diminished quality, style, or pace of life(causes ppl to commit rational suicide)
  • need to affirm soul
  • to relieve distress
  • preoccupied with suicide
19
Q

psychoanalytical theory of suicide

A

-all humans have the instinct for life and death within them

20
Q

sociological theory of suicide

A
  • relationship between the number of suicides and the social conditions of an area
  • consider the impact of social factors on the occurrence of suicide
21
Q

interpersonal theory of suicide

A

viewed as the outcome of a failure to work with or resolve interpersonal conflicts

22
Q

survivor guilt

A
  • loss of a loved one is hard on other ppl
  • guilt is a main response
  • feel they could have done something
  • guilt may stem from anger
  • children often feel responsible for suicide
23
Q

summarize suicide and children

A
  • result of family conflict or disruption
  • learn by exposure
  • cry for help
  • change their situation
  • act out a sincere with to die
  • usually not planned
  • THE KEY TO RECOGNIZING THE SIGNS IS ANY CHANGE IN THE CHILD’S BEHAVIOR
24
Q

summarize suicide and adolescents

A
  • option for solving their problems
  • many factors:depression, poor impulse control, emotional isolation family interactions, use of drugs, alcohol, lack of consistent relationships
  • risk of suicide increased in children/adolescents who suffer from chronic disease (like ppl with diabetes)
25
Q

summarize suicide and adults

A
  • women attempt suicide 3x more than men
  • men more successful
  • occurs when individual is unable to cope with pressures of adulthood
  • loneliness is a factor
26
Q

summarize suicide and older adults

A
  • as age increases, so does rate of suicide
  • tend not to communicate their intentions unless directly asked
  • elderly ppl taking potent alalgesics are at high risk for feelings of depression
27
Q

define passive suicide

A

refusing to eat, drink, or cooperate with care

28
Q

many older adults view the timing of death in one of three ways. what are they

A
  • God controlled
  • physician and individual controlled
  • controlled by the individual alone
29
Q

what are some risk factors for suicide

A
  • abuse, neglect, exploitation
  • academic pressures, school problems
  • accident prone
  • chronic or terminal illness
  • dysfunctional family relationships
  • family hx of anxiety/depression
  • hx of alcoholism/substance abuse
  • loss of parent or significant other
  • low socioeconomic status, poverty
  • male gender, unmarried, unemployed
  • negative outlook for future
  • social isolation or lack of social support
30
Q

(objective)

outline the process of assessing the suicidal potential of a client

A
  • important to evaluate EVERY client for potential
  • first assess the risk factors
  • ASK the client directly (give client permission to discuss their feelings/attitudes)
  • obtain a drug/med hx for every client
  • have they attempted suicide or planned it out
  • substance abuse
  • what is their level of despair
  • can they control their own behavior
31
Q

(objective)

choose 3 therapeutic goals and interventions for clients with suicidal behaviors

A
  • will refrain from making any suicidal gesture or attempts of suicide
  • will be able to discuss feelings
32
Q

suicidal ideation

A

expressed thoughts or fantasies with no definite intent-may express ideas directly or symbolically

33
Q

suicidal threats

A

verbal or written expressions of intent without actual actions

34
Q

suicidal gestures

A

actions that result in little or no injury but communicate the message of suicidal intent

35
Q

parasuicidal behaviors

A

unsuccessful attempts with a low likelihood of success

36
Q

suicidal attempts

A

serious self-directed actions with the intent to ends one’s life

37
Q

complete suicide

A

the successful ending of one’s life

38
Q

what are the levels of suicidal behavior

A 
suicidal ideation
suicidal threats
suicidal gestures
parasuicidal behaviors
suicidal attempts
complete suicide
39
Q

define suicide precautions

A

standard interventions to prevent a suicide attempt from occurring

40
Q

during the nursing hx interview, the client tells the nurse that he would be better off dead. the care provider’s best response is:

A

To ask whether he has a plan to commit suicide

41
Q

The first priority for the care of clients who may be suicidal is:

A

Protection from harm

Old Tests (16 decks)

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