NR606 MIDTERM EXAM |A COMPLETE SOLUTION
WITH VERIFIED QUESTIONS AND ANSWERS |GET IT
100% CORRECT |GRADED A+
A 22-year-old client with type 2 diabetes was recently diagnosed with
schizophrenia and needs a prescription for an antipsychotic medication.
She is currently pregnant. Which medication would be most appropriate
for the client?
A. risperidone
B. carbamazepine
C. olanzapine
D. quetiapine
D. quetiapine
One on the more commonly preferred atypical antipsychotics during
pregnancy because it has relatively reassuring reproductive safety data
and lower placental transfer than other antipsychotics. It also has a lower
risk of metabolic adverse effects than olanzapine, making it a better
choice for someone with type 2 diabetes.
Which is a priority assessment for a pregnant client who takes quetiapine
for schizophrenia?
A. glucose tolerance test
B. quetiapine levels
C. lipid level
D. height and weight
A. glucose tolerance test
For second-generation antipsychotics, remember the metabolic
monitoring mnemonic:
,Blood glucose
Weight/BMI
Lipids
Blood pressure
A child presents with symptoms of irritability, fatigue, and difficulty
sleeping. What additional symptom would help differentiate separation
anxiety as the appropriate diagnosis?
A. reports of nightmares about being kidnapped
B. lack of eye contact
C. difficulty speaking in the classroom
D. blushing and trembling when spoken to
A. reports of nightmares about being kidnapped
A hallmark feature of separation anxiety disorder is excessive fear about
being separated from attachment figures.
A client who is 36 weeks pregnant with her second child presents with
symptoms including fear, dread, and panic related to the upcoming birth.
The client had an emergency C-section with her first and plans to deliver
this child vaginally. Which is the most likely diagnosis for this client?
A. post-traumatic stress disorder
B. obsessive-compulsive disorder with peripartum onset
C. generalized anxiety disorder with peripartum onset
D. panic disorder with peripartum onset
A. post-traumatic stress disorder
This client's symptoms are most consistent with PTSD related to a
previous traumatic childbirth. An emergency C-section can be
experienced as a traumatic event, and the anticipation of another
delivery can trigger intense fear or dread, panic related to childbirth, re-
experiencing the prior trauma, hyperarousal and anxiety surrounding
labor and delivery, avoidance of reminders of the traumatic birth
, Under what circumstances may a provider withhold a child's mental
health treatment records from a parent or guardian?
A. when there is concern of parental neglect
B. when the insurance company requests that the provider withhold
records
C. when the client is 16 or older
D. when the child requests that the provider withhold records
A. when there is concern of parental neglect
A provider may withhold a minor's mental health records from a parent or
guardian when releasing the records could place the child at risk of harm,
such as in cases of suspected abuse, suspected neglect, risk that
disclosure would endanger the child or interfere with treatment
A 12-year-old client presents with motor and verbal tics. What is the most
appropriate initial treatment for the client?
A. exercise therapy
B. comprehensive behavioral intervention for tics
C. antipsychotic medications
D. psychoeducation
B. comprehensive behavioral intervention for tics
CBIT is the first-line treatment for children with bothersome motor and
vocal tics, including Tourette syndrome. It is an evidence-based
behavioral therapy that teaches the child to recognize the urge preceding
a tic, use a competing response to reduce the tic, identify and modify
environmental triggers
Which client diagnosed with Tourette syndrome is displaying a complex
vocal tic?
A. a child who grunts frequently
B. a child who barks while playing with others
C. a child who frequently shrugs shoulders
D. a child who repeats the last word spoken by someone else
WITH VERIFIED QUESTIONS AND ANSWERS |GET IT
100% CORRECT |GRADED A+
A 22-year-old client with type 2 diabetes was recently diagnosed with
schizophrenia and needs a prescription for an antipsychotic medication.
She is currently pregnant. Which medication would be most appropriate
for the client?
A. risperidone
B. carbamazepine
C. olanzapine
D. quetiapine
D. quetiapine
One on the more commonly preferred atypical antipsychotics during
pregnancy because it has relatively reassuring reproductive safety data
and lower placental transfer than other antipsychotics. It also has a lower
risk of metabolic adverse effects than olanzapine, making it a better
choice for someone with type 2 diabetes.
Which is a priority assessment for a pregnant client who takes quetiapine
for schizophrenia?
A. glucose tolerance test
B. quetiapine levels
C. lipid level
D. height and weight
A. glucose tolerance test
For second-generation antipsychotics, remember the metabolic
monitoring mnemonic:
,Blood glucose
Weight/BMI
Lipids
Blood pressure
A child presents with symptoms of irritability, fatigue, and difficulty
sleeping. What additional symptom would help differentiate separation
anxiety as the appropriate diagnosis?
A. reports of nightmares about being kidnapped
B. lack of eye contact
C. difficulty speaking in the classroom
D. blushing and trembling when spoken to
A. reports of nightmares about being kidnapped
A hallmark feature of separation anxiety disorder is excessive fear about
being separated from attachment figures.
A client who is 36 weeks pregnant with her second child presents with
symptoms including fear, dread, and panic related to the upcoming birth.
The client had an emergency C-section with her first and plans to deliver
this child vaginally. Which is the most likely diagnosis for this client?
A. post-traumatic stress disorder
B. obsessive-compulsive disorder with peripartum onset
C. generalized anxiety disorder with peripartum onset
D. panic disorder with peripartum onset
A. post-traumatic stress disorder
This client's symptoms are most consistent with PTSD related to a
previous traumatic childbirth. An emergency C-section can be
experienced as a traumatic event, and the anticipation of another
delivery can trigger intense fear or dread, panic related to childbirth, re-
experiencing the prior trauma, hyperarousal and anxiety surrounding
labor and delivery, avoidance of reminders of the traumatic birth
, Under what circumstances may a provider withhold a child's mental
health treatment records from a parent or guardian?
A. when there is concern of parental neglect
B. when the insurance company requests that the provider withhold
records
C. when the client is 16 or older
D. when the child requests that the provider withhold records
A. when there is concern of parental neglect
A provider may withhold a minor's mental health records from a parent or
guardian when releasing the records could place the child at risk of harm,
such as in cases of suspected abuse, suspected neglect, risk that
disclosure would endanger the child or interfere with treatment
A 12-year-old client presents with motor and verbal tics. What is the most
appropriate initial treatment for the client?
A. exercise therapy
B. comprehensive behavioral intervention for tics
C. antipsychotic medications
D. psychoeducation
B. comprehensive behavioral intervention for tics
CBIT is the first-line treatment for children with bothersome motor and
vocal tics, including Tourette syndrome. It is an evidence-based
behavioral therapy that teaches the child to recognize the urge preceding
a tic, use a competing response to reduce the tic, identify and modify
environmental triggers
Which client diagnosed with Tourette syndrome is displaying a complex
vocal tic?
A. a child who grunts frequently
B. a child who barks while playing with others
C. a child who frequently shrugs shoulders
D. a child who repeats the last word spoken by someone else
