A 29-year-old woman with bipolar disorder scored 3 on the Suicide Behaviors Questionnaire-Revised (SBQ-R). What does this score indicate?
Minimal suicide risk
Moderate suicide risk
High suicide risk
Not suicidal
The Correct Answer is A
Choice A reason: A score of 3 on the SBQ-R falls below the clinical cutoff for significant suicide risk, which is typically 7 or higher in adult populations. This score suggests minimal risk, though clinical judgment should still guide follow-up actions based on context and history.
Choice B reason: Moderate suicide risk is generally indicated by scores closer to or above the cutoff. A score of 3 does not meet this threshold and is not considered moderate risk.
Choice C reason: High suicide risk is associated with scores well above the cutoff, often in the double digits. A score of 3 is too low to be classified as high risk.
Choice D reason: While the score is low, it does not mean the individual is “not suicidal.” The SBQ-R captures a range of behaviors and thoughts, and even low scores may warrant attention depending on clinical context. Therefore, “minimal risk” is a more accurate classification than “not suicidal.”
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Prazosin is an alpha-1 adrenergic antagonist commonly used to treat PTSD-related nightmares. It does not have significant CNS depressant effects and does not interact dangerously with buprenorphine. Therefore, it can be continued during induction.
Choice B reason: Escitalopram is a selective serotonin reuptake inhibitor (SSRI) used for anxiety and depression. It does not pose a significant risk when combined with buprenorphine and is generally safe to continue during induction.
Choice C reason: Alprazolam is a benzodiazepine with potent CNS depressant effects. When combined with buprenorphine, it increases the risk of respiratory depression, sedation, and overdose. Discontinuation or tapering is recommended prior to buprenorphine induction to reduce these risks.
Choice D reason: This option implies that no medications need to be discontinued, which is incorrect. Alprazolam poses a significant safety concern and should be reconsidered before initiating buprenorphine.
Correct Answer is B
Explanation
Choice A reason: The ACSS-FAD measures fearlessness about death, a component of suicide risk based on the interpersonal theory of suicide. It is more suitable for research and clinical settings and is not designed for general use by nonclinicians.
Choice B reason: The Columbia-Suicide Severity Rating Scale (C-SSRS) is widely recognized for its ease of use and effectiveness in various settings, including schools and community programs. It includes simple, structured questions that can be administered by nonclinicians to assess suicidal ideation and behavior. It has been validated across age groups and is endorsed by multiple national and international organizations.
Choice C reason: The SBQ-R is a validated tool for assessing suicide risk but is more appropriate for clinical or research environments. It requires interpretation of responses that may be challenging for nonclinicians without training.
Choice D reason: The INQ assesses psychological states like perceived burdensomeness and thwarted belongingness, which are associated with suicide risk. However, it is not a direct suicide risk assessment tool and is better suited for research purposes.
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