The call to praise (146:1–2) leads into a warning against folly and false confidence (146:3–4). The psalm concludes with a blessing for all who place their hope in the Lord (146:5–7).
The Psalter ends with five hallelujah psalms, so named because each begins and ends with Praise the Lord! (Hebrew haleluyah).
The fourfold repetition of the name of the Lord emphasizes that only he heals, unburdens, loves, and protects.