NR606 Midterm Exam LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS
-supports:
• functioning
• self-regulation
• deal with challenges they faces
Piaget's Stages of Cognitive Development - correct answer -Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical operations
• Child can understand theories, hypothesize, comprehend abstract ideas (love & justice)
,Screening, Brief Intervention, Referral to Treatment (SBIRT) - correct answer -Screening
• Quickly assesses severity of substance use & ID the appropriate level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance use & motivation toward
behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive tx with access to specialty
care
Medication-Assisted Treatment (MAT) - correct answer Treatment for opioid use disorder
combining the use of medications (methadone, buprenorphine, or naltrexone) with counseling
and behavioral therapies.
Mental health and youth - correct answer -13% of children ages 8-15 experience a mental
health condition
-50% of children ages 8-15 experiencing a mental health condition do not receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a mental health condition
in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
Barriers to Mental Health Treatment in Children and Adolescents - correct answer -lack of
sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
,• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Prescribing Considerations for Children and Adolescents - correct answer -physiologic factors
impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger dose of med per unit of body
weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not be able to communicate
complaints
Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD (Attention Deficit
Hyperactivity Disorders) for the first time.
Consider Piaget's stages, match the developmentally-appropriate education statements with the
correct client:
, "It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like
fixing the brakes."
"This medication can help you ignore distractions so you can complete tasks. They can also help
with self-control, which ma - correct answer "Do you know how it's sometimes hard for you to
sit still and pay attention at school? This medicine will help you."
Rationale: Kassia is in the Preoperational Stage. This stage usually lasts from ages 2-7. Children
think symbolically. They learn to use words or pictures to represent objects. They are egocentric
and have difficulty seeing things from others' perspectives. Preoperational thinking is very
concrete.
Oliver, a 10-year-old, is prescribed a stimulant medication for ADHD for the first time.
Consider Piaget's stages, match the developmentally-appropriate education statements with the
correct client:
"It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like
fixing the brakes."
"This medication can help you ignore distractions so you can complete tasks. They can also help
with self-control, which may help you get along better with your frien - correct answer "It's kind
of like you've got a great bike. The brakes just need some fixing. The medication is like fixing the
brakes."
Rationale: Oliver is in the Concrete Operational Stage. This stage usually lasts from age 7-11.
Thinking becomes more logical and organized about concrete events. Children begin to reason
inductively, from specific information to general principles. The use of simile is a helpful
instructional strategy for children in this stage.
Tamika, a 15-year-old, is prescribed a stimulant medication for ADHD for the first time.
QUESTIONS AND VERIFIED
CORRECT ANSWERS
-supports:
• functioning
• self-regulation
• deal with challenges they faces
Piaget's Stages of Cognitive Development - correct answer -Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical operations
• Child can understand theories, hypothesize, comprehend abstract ideas (love & justice)
,Screening, Brief Intervention, Referral to Treatment (SBIRT) - correct answer -Screening
• Quickly assesses severity of substance use & ID the appropriate level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance use & motivation toward
behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive tx with access to specialty
care
Medication-Assisted Treatment (MAT) - correct answer Treatment for opioid use disorder
combining the use of medications (methadone, buprenorphine, or naltrexone) with counseling
and behavioral therapies.
Mental health and youth - correct answer -13% of children ages 8-15 experience a mental
health condition
-50% of children ages 8-15 experiencing a mental health condition do not receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a mental health condition
in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
Barriers to Mental Health Treatment in Children and Adolescents - correct answer -lack of
sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
,• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Prescribing Considerations for Children and Adolescents - correct answer -physiologic factors
impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger dose of med per unit of body
weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not be able to communicate
complaints
Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD (Attention Deficit
Hyperactivity Disorders) for the first time.
Consider Piaget's stages, match the developmentally-appropriate education statements with the
correct client:
, "It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like
fixing the brakes."
"This medication can help you ignore distractions so you can complete tasks. They can also help
with self-control, which ma - correct answer "Do you know how it's sometimes hard for you to
sit still and pay attention at school? This medicine will help you."
Rationale: Kassia is in the Preoperational Stage. This stage usually lasts from ages 2-7. Children
think symbolically. They learn to use words or pictures to represent objects. They are egocentric
and have difficulty seeing things from others' perspectives. Preoperational thinking is very
concrete.
Oliver, a 10-year-old, is prescribed a stimulant medication for ADHD for the first time.
Consider Piaget's stages, match the developmentally-appropriate education statements with the
correct client:
"It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like
fixing the brakes."
"This medication can help you ignore distractions so you can complete tasks. They can also help
with self-control, which may help you get along better with your frien - correct answer "It's kind
of like you've got a great bike. The brakes just need some fixing. The medication is like fixing the
brakes."
Rationale: Oliver is in the Concrete Operational Stage. This stage usually lasts from age 7-11.
Thinking becomes more logical and organized about concrete events. Children begin to reason
inductively, from specific information to general principles. The use of simile is a helpful
instructional strategy for children in this stage.
Tamika, a 15-year-old, is prescribed a stimulant medication for ADHD for the first time.
