Week 4: NR606/ NR 606 (Latest Update 2025/
i,- i,- i,- i,- i,- i,- i,- i,-
2026) Diagnosis & Management in Psychiatric
i,- i,- i,- i,- i,- i,-
Mental Health II Practicum | Questions with i,- i,- i,- i,- i,- i,- i,-
Verified Answers| 100% Correct- Chamberlain. i,- i,- i,- i,-
Tony is a 56-year-old who has recently been diagnosed with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
schizophrenia. He takes amiodarone for a history of cardiac i,- i,- i,- i,- i,- i,- i,- i,- i,-
dysrhythmias. He does not use alcohol or other drugs. He is a i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nonsmoker. Which of the following is the most appropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication for Tony? i,- i,-
aripiprazole
lurasidone
quetiapine
risperidone i,-i,- i,- risperidone
Rationale: Amiodarone is a moderate CYP3A4 inhibitor.
i,- i,- i,- i,- i,- i,- i,-
Risperidone does not interact with CYP3A4 inhibitors or inducers.
i,- i,- i,- i,- i,- i,- i,- i,-
Jenny is a 22-year-old who has been prescribed aripiprazole 15
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
mg/day for the past 8 months. She has gained approximately 30
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lbs. during treatment. Jenny's psychiatric symptoms have been
i,- i,- i,- i,- i,- i,- i,- i,-
,managed well on aripiprazole and she has no other adverse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
effects. What is the most appropriate initial intervention for Jenny?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
switch to a different antipsychotic medication
i,- i,- i,- i,- i,-
prescribe metformin i,-
refer to a bariatric specialist
i,- i,- i,- i,- i,-i,- i,- prescribe metformin i,-
Rationale: Prescribing metformin as an adjunct treatment to assist
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with weight loss associated with antipsychotics is appropriate.
i,- i,- i,- i,- i,- i,- i,- i,-
Jenny is well-managed on the current dose of aripiprazole;
i,- i,- i,- i,- i,- i,- i,- i,- i,-
switching to a different medication is not indicated at this time.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Referral to a bariatric specialist may be indicated if the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
continues to gain weight but is not indicated as the most
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate initial intervention. i,- i,-
Scott is a 33-year-old who is currently without housing. He has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
been unable to adhere to his prescribed oral medication regimen.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
The PMHNP recommends a long-acting intramuscular form of
i,- i,- i,- i,- i,- i,- i,- i,-
medication. Scott is willing to try but would like to receive the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication at the community clinic near the shelter where he is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
staying. Which medication option is the least appropriate for
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Scott at this time?
i,- i,- i,-
,aripiprazole monohydrate i,-
olanzapine
paliperidone palmitate i,-
risperidone i,-i,- i,- olanzapine
Rationale: Olanzapine must be given in a registered health care
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
facility with available emergency medical services. The client
i,- i,- i,- i,- i,- i,- i,- i,-
receiving olanzapine must be monitored for 3 hours post-
i,- i,- i,- i,- i,- i,- i,- i,-
injection.
Autism Spectrum Disorder (ASD)
i,- i,- i,- i,-i,- i,- -neurological and i,- i,-
developmental disorder i,-
-impacts communication, relationships with others, learning,
i,- i,- i,- i,- i,- i,-
behavior
-1-2% of population
i,- i,-
-all racial, ethnic, and socioeconomic groups
i,- i,- i,- i,- i,-
-Males 4x more likely than females
i,- i,- i,- i,- i,-
-Factors with increased risk:
i,- i,- i,- i,-
• having a sibling with ASD
i,- i,- i,- i,- i,-
• having older parents
i,- i,- i,-
• having certain genetic conditions:
i,- i,- i,- i,-
, ➣Fragile X syndrome i,- i,-
➣Down syndrome i,-
• very low birth weight
i,- i,- i,- i,-
-spectrum disorder i,-
• wide variation in the types and severity of symptoms
i,- i,- i,- i,- i,- i,- i,- i,- i,-
➣symptoms typically appear in first 2 years of life i,- i,- i,- i,- i,- i,- i,- i,-
Develop schizophrenia i,- i,-i,- i,- -Many genes play a role i,- i,- i,- i,-
• as do epigenetic factors
i,- i,- i,- i,-
• Heritability as high as 79%
i,- i,- i,- i,- i,-
-gene-environment interaction i,-
-Environmental Triggers: i,-
• Regular Cannabis Use
i,- i,- i,-
• Exposure to Early Life Trauma
i,- i,- i,- i,- i,-
➣Sexual Abuse i,-
➣Emotional Abuse i,-
➣Emotional Neglect i,-
➣Bullying
schizophrenia Neuroanatomy -Mesocortical & ventromedial
i,- i,-i,- i,- i,- i,- i,-
prefrontal cortex: negative and affective symptoms
i,- i,- i,- i,- i,-
i,- i,- i,- i,- i,- i,- i,- i,-
2026) Diagnosis & Management in Psychiatric
i,- i,- i,- i,- i,- i,-
Mental Health II Practicum | Questions with i,- i,- i,- i,- i,- i,- i,-
Verified Answers| 100% Correct- Chamberlain. i,- i,- i,- i,-
Tony is a 56-year-old who has recently been diagnosed with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
schizophrenia. He takes amiodarone for a history of cardiac i,- i,- i,- i,- i,- i,- i,- i,- i,-
dysrhythmias. He does not use alcohol or other drugs. He is a i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nonsmoker. Which of the following is the most appropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication for Tony? i,- i,-
aripiprazole
lurasidone
quetiapine
risperidone i,-i,- i,- risperidone
Rationale: Amiodarone is a moderate CYP3A4 inhibitor.
i,- i,- i,- i,- i,- i,- i,-
Risperidone does not interact with CYP3A4 inhibitors or inducers.
i,- i,- i,- i,- i,- i,- i,- i,-
Jenny is a 22-year-old who has been prescribed aripiprazole 15
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
mg/day for the past 8 months. She has gained approximately 30
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
lbs. during treatment. Jenny's psychiatric symptoms have been
i,- i,- i,- i,- i,- i,- i,- i,-
,managed well on aripiprazole and she has no other adverse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
effects. What is the most appropriate initial intervention for Jenny?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
switch to a different antipsychotic medication
i,- i,- i,- i,- i,-
prescribe metformin i,-
refer to a bariatric specialist
i,- i,- i,- i,- i,-i,- i,- prescribe metformin i,-
Rationale: Prescribing metformin as an adjunct treatment to assist
i,- i,- i,- i,- i,- i,- i,- i,- i,-
with weight loss associated with antipsychotics is appropriate.
i,- i,- i,- i,- i,- i,- i,- i,-
Jenny is well-managed on the current dose of aripiprazole;
i,- i,- i,- i,- i,- i,- i,- i,- i,-
switching to a different medication is not indicated at this time.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Referral to a bariatric specialist may be indicated if the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
continues to gain weight but is not indicated as the most
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate initial intervention. i,- i,-
Scott is a 33-year-old who is currently without housing. He has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
been unable to adhere to his prescribed oral medication regimen.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
The PMHNP recommends a long-acting intramuscular form of
i,- i,- i,- i,- i,- i,- i,- i,-
medication. Scott is willing to try but would like to receive the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
medication at the community clinic near the shelter where he is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
staying. Which medication option is the least appropriate for
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Scott at this time?
i,- i,- i,-
,aripiprazole monohydrate i,-
olanzapine
paliperidone palmitate i,-
risperidone i,-i,- i,- olanzapine
Rationale: Olanzapine must be given in a registered health care
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
facility with available emergency medical services. The client
i,- i,- i,- i,- i,- i,- i,- i,-
receiving olanzapine must be monitored for 3 hours post-
i,- i,- i,- i,- i,- i,- i,- i,-
injection.
Autism Spectrum Disorder (ASD)
i,- i,- i,- i,-i,- i,- -neurological and i,- i,-
developmental disorder i,-
-impacts communication, relationships with others, learning,
i,- i,- i,- i,- i,- i,-
behavior
-1-2% of population
i,- i,-
-all racial, ethnic, and socioeconomic groups
i,- i,- i,- i,- i,-
-Males 4x more likely than females
i,- i,- i,- i,- i,-
-Factors with increased risk:
i,- i,- i,- i,-
• having a sibling with ASD
i,- i,- i,- i,- i,-
• having older parents
i,- i,- i,-
• having certain genetic conditions:
i,- i,- i,- i,-
, ➣Fragile X syndrome i,- i,-
➣Down syndrome i,-
• very low birth weight
i,- i,- i,- i,-
-spectrum disorder i,-
• wide variation in the types and severity of symptoms
i,- i,- i,- i,- i,- i,- i,- i,- i,-
➣symptoms typically appear in first 2 years of life i,- i,- i,- i,- i,- i,- i,- i,-
Develop schizophrenia i,- i,-i,- i,- -Many genes play a role i,- i,- i,- i,-
• as do epigenetic factors
i,- i,- i,- i,-
• Heritability as high as 79%
i,- i,- i,- i,- i,-
-gene-environment interaction i,-
-Environmental Triggers: i,-
• Regular Cannabis Use
i,- i,- i,-
• Exposure to Early Life Trauma
i,- i,- i,- i,- i,-
➣Sexual Abuse i,-
➣Emotional Abuse i,-
➣Emotional Neglect i,-
➣Bullying
schizophrenia Neuroanatomy -Mesocortical & ventromedial
i,- i,-i,- i,- i,- i,- i,-
prefrontal cortex: negative and affective symptoms
i,- i,- i,- i,- i,-
