NR606 Week 1 | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: Steps for Obtaining Informed Consent
Answer: -Assess pt ability to understand medical info, tx options, to make a voluntary decision.
-Present relevant info with accuracy and sensitivity:
• diagnosis
• nature & purpose of tx options
• benefits, risks, burdens of all tx options, including forgoing tx
-Document informed consent conversation in the medical record, including all consent
forms.
Question: Underlying assumptions for child and adolescent
psychotherapy
Answer: Developmental considerations
Family involvement
Systems involvement
Resiliency
Question: Underlying assumptions for child and adolescent
psychotherapy: Developmental considerations
Answer: -developmental level will impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
Question: Underlying assumptions for child and adolescent
psychotherapy: Family involvement
Answer: -Family involvement in tx & decision-making
• a norm in child and adolescent psychotherapy
-invite parents to share the hx of the child or adolescent's chief complaint & prior tx,
medical & developmental hx, & behavioral info privately with the therapist ahead of the
session
• avoid feelings of criticism or discouragement
-collaborate with parent or caregiver as a tx partner
,Question: Underlying assumptions for child and adolescent
psychotherapy: Systems involvement
Answer: -Therapists must consider the systems that surround children & adolescents &
promote
their development
• family
• school
• peers
• the community
-Therapy can help promote the child/adolescent's socioemotional competence
-help develop a community support system
Question: Underlying assumptions for child and adolescent
psychotherapy: Resiliency
Answer: -therapist work to promote resiliency in children & adolescents
• using strength-based orientation
-supports:
• functioning
• self-regulation
• deal with challenges they faces
Question: Piaget's Stages of Cognitive Development
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)
Question: Screening, Brief Intervention, Referral to Treatment (SBIRT)
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
Question: Medication-Assisted Treatment (MAT)
Answer: Treatment for opioid use disorder combining the use of medications (methadone,
buprenorphine, or naltrexone) with counseling and behavioral therapies.
, Question: Mental health and youth
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
Question: Barriers to Mental Health Treatment in Children and
Adolescents
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
Question: Prescribing Considerations for Children and Adolescents
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
Latest Update 2026/2027
Question: Steps for Obtaining Informed Consent
Answer: -Assess pt ability to understand medical info, tx options, to make a voluntary decision.
-Present relevant info with accuracy and sensitivity:
• diagnosis
• nature & purpose of tx options
• benefits, risks, burdens of all tx options, including forgoing tx
-Document informed consent conversation in the medical record, including all consent
forms.
Question: Underlying assumptions for child and adolescent
psychotherapy
Answer: Developmental considerations
Family involvement
Systems involvement
Resiliency
Question: Underlying assumptions for child and adolescent
psychotherapy: Developmental considerations
Answer: -developmental level will impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
Question: Underlying assumptions for child and adolescent
psychotherapy: Family involvement
Answer: -Family involvement in tx & decision-making
• a norm in child and adolescent psychotherapy
-invite parents to share the hx of the child or adolescent's chief complaint & prior tx,
medical & developmental hx, & behavioral info privately with the therapist ahead of the
session
• avoid feelings of criticism or discouragement
-collaborate with parent or caregiver as a tx partner
,Question: Underlying assumptions for child and adolescent
psychotherapy: Systems involvement
Answer: -Therapists must consider the systems that surround children & adolescents &
promote
their development
• family
• school
• peers
• the community
-Therapy can help promote the child/adolescent's socioemotional competence
-help develop a community support system
Question: Underlying assumptions for child and adolescent
psychotherapy: Resiliency
Answer: -therapist work to promote resiliency in children & adolescents
• using strength-based orientation
-supports:
• functioning
• self-regulation
• deal with challenges they faces
Question: Piaget's Stages of Cognitive Development
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)
Question: Screening, Brief Intervention, Referral to Treatment (SBIRT)
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
Question: Medication-Assisted Treatment (MAT)
Answer: Treatment for opioid use disorder combining the use of medications (methadone,
buprenorphine, or naltrexone) with counseling and behavioral therapies.
, Question: Mental health and youth
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
Question: Barriers to Mental Health Treatment in Children and
Adolescents
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
Question: Prescribing Considerations for Children and Adolescents
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
