NR606 MIDTERM EXAM COMPREHENSIVE
EXAMINATION TEST FULL QUESTIONS AND
CORRECT ANSWERS VERIFIED COMPLETE
SOLUTION
●● in which stage of piaget's model does thinking become more logical
and organized about events and children can reason inductively
Answer: concrete operational (age 7-11)
●● which stage is defined by the ability to reason abstractly and
consider hypothetical problems as well as moral, ethical, social, and
political issues?
Answer: formal operations (12+)
●● Can a parent access information if the provider has concerns about
parental abuse or neglect?
Answer: the provider can decide whether or not to treat the parent as a
personal representative
●● If the parent is not the child's personal representative under HIPPA,
do they have access to the health records?
Answer: 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
,●● A challenge to prescribing psychoactive medications in the perinatal
period is
Answer: the paucity of evidence regarding the true risks for the pregnant
client and developing fetus
●● If a pregnant client is stable on their current medication regimen
what should the PMHNP keep in mind
Answer: keep them on current med rather than switching
●● When should the PMHNP refer the patient to a perinatal psychiatrist
Answer: when the patient is on a high-risk medication for pregnancy
●● most common adverse effect associated with SSRIs and SNRIs
Answer: neonatal withdrawal syndrome
●● symptoms of neonatal withdrawal syndrome
Answer: Symptoms include tremors, high-pitched crying, and disturbed
sleep
●● increase the risk of atrial septal defects.
Answer: paroextine
, ●● symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy
Answer: Symptoms include sedation, floppy muscle tone, and potential
breathing issues at birth
●● bipolar medications that are considered teratogenic and should be
avoided during pregnancy.
Answer: valproic acid and carbamazepine
●● Atypical antipsychotics that increase risk of gestational diabetes and
large for gestational age infants
Answer: olanzapine and quetiapine
●● has also been found to increase the risk of musculoskeletal
malformations in infants
Answer: olanzapine
●● the most used antipsychotics during pregnancy
Answer: risperidone and quetiapine
●● medications that are safe for breast feeding
Answer: SSRIs, benzos, valproic acid, quetiapine
EXAMINATION TEST FULL QUESTIONS AND
CORRECT ANSWERS VERIFIED COMPLETE
SOLUTION
●● in which stage of piaget's model does thinking become more logical
and organized about events and children can reason inductively
Answer: concrete operational (age 7-11)
●● which stage is defined by the ability to reason abstractly and
consider hypothetical problems as well as moral, ethical, social, and
political issues?
Answer: formal operations (12+)
●● Can a parent access information if the provider has concerns about
parental abuse or neglect?
Answer: the provider can decide whether or not to treat the parent as a
personal representative
●● If the parent is not the child's personal representative under HIPPA,
do they have access to the health records?
Answer: 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
,●● A challenge to prescribing psychoactive medications in the perinatal
period is
Answer: the paucity of evidence regarding the true risks for the pregnant
client and developing fetus
●● If a pregnant client is stable on their current medication regimen
what should the PMHNP keep in mind
Answer: keep them on current med rather than switching
●● When should the PMHNP refer the patient to a perinatal psychiatrist
Answer: when the patient is on a high-risk medication for pregnancy
●● most common adverse effect associated with SSRIs and SNRIs
Answer: neonatal withdrawal syndrome
●● symptoms of neonatal withdrawal syndrome
Answer: Symptoms include tremors, high-pitched crying, and disturbed
sleep
●● increase the risk of atrial septal defects.
Answer: paroextine
, ●● symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy
Answer: Symptoms include sedation, floppy muscle tone, and potential
breathing issues at birth
●● bipolar medications that are considered teratogenic and should be
avoided during pregnancy.
Answer: valproic acid and carbamazepine
●● Atypical antipsychotics that increase risk of gestational diabetes and
large for gestational age infants
Answer: olanzapine and quetiapine
●● has also been found to increase the risk of musculoskeletal
malformations in infants
Answer: olanzapine
●● the most used antipsychotics during pregnancy
Answer: risperidone and quetiapine
●● medications that are safe for breast feeding
Answer: SSRIs, benzos, valproic acid, quetiapine
