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NR 606 Exam Questions with Correct Solved Solutions
Typology: Exams
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objects?: symbolically, use words or pictures
about events and children can reason inductively: concrete opera- tional (age 7-11)
problems as well as moral, ethical, social, and political issues?: formal operations (12+)
neglect?: the provider can decide whether or not to treat the parent as a personal representative
access to the health records?: depending on state laws- if the state has a law against it then no, if the state does permit the provider to share health information then the provider is able to
paucity of evidence regarding the true risks for the pregnant client and developing fetus
PMHNP keep in mind: keep them on current med rather than switching
patient is on a high-risk medication for pregnancy
withdrawal syndrome
pitched crying, and disturbed sleep
Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth
pregnancy.: valproic acid and carbamazepine
gestational age infants: olanzapine and quetiapine
infants: olanzapine
including: premature rupture of membranes, placental abruption, preterm birth, low birth weight, and small for gestational age deliveries, as well as long-term effects in children and adolescents including lower short-term memory, child and adolescent delinquent behavior, earlier age of sexual activity, and substance use
heart failure, and sepsis. Infants experience significant adverse effects, including neonatal abstinence syndrome, third trimester bleeding and mortality, postnatal growth deficiency, microcephaly, neurobehavioral problems, and sudden infant death syndrome
discrimination: structural stigma
form a stereotype that creates an emotional reaction or prejudice and results in discrimination.: public stigma
themselves from seeking help: self-stigma
pregnant women. It screens for alcohol, tobacco, marijuana, and illicit drug use. In addition, validated screening questions for depression and domestic violence can be included.: The 4Ps Plus
can be self-administered or conducted via clinician interview and combines screening and brief assessment of past 90-day problematic use into one tool: Tobacco, Alcohol, Prescription medication, and other Substance Use (TAPS) Tool
: NIDAMED's Screening Tools for Adolescent Substance Use
women?: for clients at risk for moderate, severe, or complicated alcohol withdrawal as indicated by a score of more than 10 on the CIWA
therapy (NRT), bupropion, or a combination
pregnancy and breastfeeding.
Pre-term birth Longer stay in the NICU Excessive crying Impaired parent-child interactions Social-emotional, cognitive, language, motor, and adaptive behavior development Adverse Childhood Experience
Lack of social support Poor relationship quality Pregnancy complications Personal or family history of depression History of physical or sexual abuse Unintended pregnancy Life stress Chronic physical conditions Prior pregnancy with fetal/infant loss History of mental illness
when the placenta is delivered may contribute to the development of symp- toms and may be exacerbated by fatigue, pain, overstimulation, lack of support, or insecurity
Moody Feeling sad Fatigue Easily angered Insomnia Anxiety Crying without reason Poor concentration
Fatigue after giving birth and breastfeeding Sudden changes in routine caring for baby Lack of support from partner or family Transition to being a mother
depressive disorders if the onset of mood symptoms occurs during pregnancy or in the
may be used for comorbid depression
rating scale
psychiatric rating scale
increase the risk for preterm birth and low birth weight, and lead to an inse- cure attachment between the mother and infant as well as suboptimal breastfeeding practices
symptom is required for diagnosis whereas three symptoms are required for adult diagnosis
: enables providers to screen for several types of anxiety disorders, including gen- eralized anxiety, panic disorder, separation anxiety, and social anxiety.
potential anxiety disorder: 25
time-consuming (>1 hour per day) and disrupt normal routines, functioning, or relationships.
streptococcal infections
response prevention
to respond to CBT, treatment may be augmented with: an atypical antispcyhotic
an individual becomes preoccupied with one or more perceived flaws in physical appearance that are not visible or appear slight to others
Questionnaire (BDDQ) The BDD Yale-Brown Obsessive Compulsive Scale for Adolescents
disorder by promoting regularity in daily routines: interpersonal and social rhythm therapy
Informed Referral (IPSRT+DIR) before symptoms manifest shows promise in helping youth establish more regular sleep-wake cycles which may help decrease mood fluctuations
Divalproex
or anger that is observable to others, symptoms present >12 months, symptoms present in at least 2 out of 3 settings (home, school, peers), ages 6-18, onset before age 10
oppositional defiant disorder are present
computer-based interpretation bias training (IBT) to help children and adolescents more accurately interpret others' emotions
Antidepressants- irritability and other mood problems Atypical antipsychotics- control severe outbursts of temper/ aggression
concurrently: olanzapine
with ASD, having older parents, having certain genetic conditions such as Fragile X syndrome or Down syndrome, or having a very low birth weight
interaction across multiple contexts and restrictive, repetitive patterns of behavior, interests, or activities. Symptoms must appear early in development and can cause clinically significant impairment in functioning.
showing little interest in peers or caretakers limited language abilities frustration with minor changes in routine
and imitation skills and takes 20 minutes to administer.: - screening tool for autism in toddlers and young children
applied behavior analysis therapy
parents of children with ASD: parent training
managing teasing from other children: social skills training
behaviors, and sleep problems.: guanfacine and clonidine
tantrums, sleep disorders, or motor tics.: second gen antipsychotics
aggression.: Tricyclic antidepressants (clompiramine)
and impulsive behaviors.: stimulants
methyl CpG binding protein and is characterized by normal growth and development
early in life followed by impaired growth and development later in life: Rett syndrome
when they are born and die shortly after birth
movements, including eye gaze and speech: Apraxia
ADHD, OCD, learning difficulties, depression
motor tics and one or more vocal tics, which may not occur concurrently tics may wax and wane in frequency but have persisted for more than 1 year since the first tic onset 9 tic onset is before 18 years of age tics are not caused by the use of a substance or other medical conditions
10= minimal 20=mild 30=moderate 40=marked 50=severe