The PMHNP is giving a presentation on suicide prevention at a local high school. One of the teachers wants to know which suicide risk assessment tool is the most user-friendly for nonclinicians. What is the most appropriate response?
Acquired Capability for Suicide Scale-Fearlessness about Death (ACSS-FAD)
Columbia-Suicide Severity Rating Scale (C-SSRS)
Suicide Behaviors Questionnaire-Revised (SBQ-R)
Interpersonal Needs Questionnaire (INQ)
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This describes probability, not internal validity. It is relevant to statistical inference but does not address the causal relationship within a study.
Choice B reason: This refers to statistical dispersion or variability, such as standard deviation. It is a descriptive statistic and unrelated to internal validity.
Choice C reason: Internal validity refers to the degree to which a study establishes a causal relationship between the independent and dependent variables. It ensures that observed effects are due to the intervention and not confounding factors, making this the correct definition.
Choice D reason: This describes external validity, which concerns the generalizability of findings to other populations or settings. It is distinct from internal validity.
Correct Answer is C
Explanation
Choice A reason: The CAGE questionnaire is designed for adults and lacks sensitivity for adolescent substance use patterns. It does not address the social and behavioral context relevant to youth.
Choice B reason: The AUDIT is a validated tool for identifying alcohol use disorders but is more appropriate for adults. While it can be adapted for adolescents, CRAFFT is preferred due to its developmental appropriateness.
Choice C reason: The CRAFFT screening tool is specifically developed for adolescents and young adults. It assesses both substance use and associated risky behaviors, making it ideal for this scenario. It is brief, easy to administer, and validated for use in pediatric populations.
Choice D reason: The CIWA-AR is used to assess alcohol withdrawal severity in individuals already diagnosed with alcohol dependence. It is not a screening tool and is inappropriate for initial assessment in adolescents.
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