NR-606 Diagnosis & Management
in Psychiatric-Mental Health II
Practicum
Week 1: NR606/ NR 606
Question:
What neurotransmitters can lead to neurobiological impairment?
Answer:
Glutamate and cortisol.
Question:
What is necessary for improving pediatric mental health?
Answer:
Early intervention and evidence-based prevention and treatment strategies.
Question:
What percentage of children ages 8-15 experience a mental health condition?
Answer:
13%
,Question:
What percentage of children ages 8-15 experiencing a mental health
condition do not receive treatment?
Answer:
50%
Question:
What percentage of children living in the U.S. experience a mental health
condition in a given year?
Answer:
13-20%
Question:
What percentage of high school students seriously consider suicide?
Answer:
17%
Question:
By what age do half of all lifetime cases of mental illness begin?
Answer:
Age 14
,Question:
Barriers to Mental Health Treatment in Children and Adolescents
Answer:
1. Many parents report a lack of sufficient information or access to services
(Hansen et al., 2021).
2. Parents and adolescents may be reluctant to seek help due to stigmas or
negative perceptions towards mental health services (Aguirre Velasco et al.,
2020).
3. Although some children and adolescents receive treatment, many drop
out before receiving effective treatment, often due to poverty, language
barriers, living in communities with scarce resources, and stressors such as
problems in the family, violence in the community, unstable housing,
unemployment, and food insecurity.
4. Cost, scheduling conflicts, long waitlists for services, and high staff
turnover also create impediments for families seeking care.
Question:
Prescribing Considerations for Children and Adolescents
Answer:
Children have a more rapid metabolism than adults and may require a larger
dose of medication per unit of body weight.
, Question:
When do pharmacokinetic properties in children reach adult parameters?
Answer:
Around puberty. Dosing may need to be decreased after puberty.
Question:
Why should PMHNPs be attuned to signs of medication adverse effects in
children?
Answer:
Younger children may not be able to communicate complaints
Question:
What should children have the opportunity to do in regards to their
treatment?
Answer:
Receive education, participate in treatment plan creation, express concerns
Question:
Example of developmentally appropriate patient education: Tamika, a 15-
year-old, is prescribed a stimulant medication for ADHD for the first time.
Answer:
"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
in Psychiatric-Mental Health II
Practicum
Week 1: NR606/ NR 606
Question:
What neurotransmitters can lead to neurobiological impairment?
Answer:
Glutamate and cortisol.
Question:
What is necessary for improving pediatric mental health?
Answer:
Early intervention and evidence-based prevention and treatment strategies.
Question:
What percentage of children ages 8-15 experience a mental health condition?
Answer:
13%
,Question:
What percentage of children ages 8-15 experiencing a mental health
condition do not receive treatment?
Answer:
50%
Question:
What percentage of children living in the U.S. experience a mental health
condition in a given year?
Answer:
13-20%
Question:
What percentage of high school students seriously consider suicide?
Answer:
17%
Question:
By what age do half of all lifetime cases of mental illness begin?
Answer:
Age 14
,Question:
Barriers to Mental Health Treatment in Children and Adolescents
Answer:
1. Many parents report a lack of sufficient information or access to services
(Hansen et al., 2021).
2. Parents and adolescents may be reluctant to seek help due to stigmas or
negative perceptions towards mental health services (Aguirre Velasco et al.,
2020).
3. Although some children and adolescents receive treatment, many drop
out before receiving effective treatment, often due to poverty, language
barriers, living in communities with scarce resources, and stressors such as
problems in the family, violence in the community, unstable housing,
unemployment, and food insecurity.
4. Cost, scheduling conflicts, long waitlists for services, and high staff
turnover also create impediments for families seeking care.
Question:
Prescribing Considerations for Children and Adolescents
Answer:
Children have a more rapid metabolism than adults and may require a larger
dose of medication per unit of body weight.
, Question:
When do pharmacokinetic properties in children reach adult parameters?
Answer:
Around puberty. Dosing may need to be decreased after puberty.
Question:
Why should PMHNPs be attuned to signs of medication adverse effects in
children?
Answer:
Younger children may not be able to communicate complaints
Question:
What should children have the opportunity to do in regards to their
treatment?
Answer:
Receive education, participate in treatment plan creation, express concerns
Question:
Example of developmentally appropriate patient education: Tamika, a 15-
year-old, is prescribed a stimulant medication for ADHD for the first time.
Answer:
"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
