NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
NR 607 FINAL Exam 2025/2026 Complete
Question and Answer 100% Accurate Summer
Fall Semesters Exam (2024/2025 May Session)
GRADED A
How the PMHNP does Code of Ethics: Respect for the Individual
-approaches professional relationships with compassion, caring, &
respect, acknowledging the dignity & worth of each individual.
-helps instill hope & empowers those with PMH disorders.
-affirms the worth & dignity of those with PMH disorders by advocating to
overcome (-) stigmas towards PMH diagnoses to ensure access to care.
How the PMHNP does Code of Ethics: Commitment to the Healthcare
Consumer
-recognizes & addresses personal attitudes & behaviors that could
interfere with meeting ethical guidelines for care.
-maintains proper boundaries.
participates in self, peer, & supervisory oversight of clinical skills &
practice.
-recognizes that those with brain-based mental health disorders may
have maladaptive coping behaviors, which impact the individual, family, &
society.
• Maladaptive behavior may continue in spite of (-) consequences.
,NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
• Behavioral change may involve setbacks.
-is aware of the need to balance human rights with safety, including
coercive measures or forced tx when individuals are unable to maintain
their own safety.
How the PMHNP does Code of Ethics: Advocacy for the Healthcare
Consumer
-strives to protect the rights, health, & safety of clients.
-maintains confidentiality according to HIPAA requirements &
professional boundaries in all interactions
-recognizes the power differential in the therapeutic relationship &
understands that any sort of sexual activity or intimacies with current
clients, their close family members, guardians, or significant others is
unethical.
How the PMHNP does Code of Ethics: Responsibility and Accountability for
Practice
-must be responsible & accountable for their own practice.
-must be able to articulate competencies & be aware of scope of practice
professional standards guiding their own practice.
-must understand the scope of other team members' practice in order to
delegate appropriately.
,NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
How the PMHNP does Code of Ethics: Duties to Self and Others
-owes the same duties to self as to others.
-accords moral worth & dignity to oneself & others, including colleagues.
-is committed to practicing self-care, managing stress, & maintaining
supportive relationships to meet personal needs outside of therapeutic
relationships.
-identifies & addresses moral distress.
Bettina is a 24-year-old who presents to the mental health clinic after a
referral from her primary care provider. She endorses symptoms of
depression that began "when I was still in college," including excessive
sleepiness, withdrawal from social activities, the guilt associated with
"leaving my friends hanging," and anhedonia. Bettina states that she saw a
counselor through the college health service, which helped her symptoms
somewhat, but she was unable to continue with counseling after
graduation two years ago. She made an appointment with her primary
care provider to discuss medications for depressive symptoms and was
prescribed citalopram 20 mg daily. After six weeks on the medication, she
did not experience relief of symptoms and returned to the provider at
which time her dose was increased to 40 mg daily. She had a follow-up
appointment with the provider six months later, at which time she was
prescr
continue current medications and add aripiprazole 2 mg daily
, NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
Rationale: The most appropriate treatment for Bettina is to continue her
current medications and add aripiprazole 2 mg daily. According to the
STAR*D guidelines, the client may choose to remain on the current
medications and add an atypical antipsychotic medication such as
aripiprazole. Alternatively, the client may choose to discontinue current
medications and start a tricyclic or tetracyclic antidepressant. The client
may also choose to begin therapy. Inpatient admission is not indicated for
this client.
Carlos is a 25-year-old who was admitted to the inpatient psychiatric unit
after a nonfatal suicide attempt. He has a history of major depressive
disorder which was initially diagnosed when he was 22, at which time he
was started on sertraline 50 mg and then increased to sertraline 100 mg.
Carlos attempted suicide approximately four months after beginning the
sertraline. At that time, he was referred for psychotherapy and prescribed
aripiprazole 5 mg in addition to sertraline. Carlos states that while his
symptoms of depression improved after starting the aripiprazole, they
never completely disappeared. He endorses frequent thoughts of dying but
states "Most of the time, they are just thoughts of not being here
anymore- they aren't active thoughts of killing myself." Carlos states that
he attempted suicide by overdosing on his medications after his girlfriend
broke up with him. Currently, he endorses active sui
prescribe electroconvulsive therapy
NR 607 FINAL Exam 2025/2026 Complete
Question and Answer 100% Accurate Summer
Fall Semesters Exam (2024/2025 May Session)
GRADED A
How the PMHNP does Code of Ethics: Respect for the Individual
-approaches professional relationships with compassion, caring, &
respect, acknowledging the dignity & worth of each individual.
-helps instill hope & empowers those with PMH disorders.
-affirms the worth & dignity of those with PMH disorders by advocating to
overcome (-) stigmas towards PMH diagnoses to ensure access to care.
How the PMHNP does Code of Ethics: Commitment to the Healthcare
Consumer
-recognizes & addresses personal attitudes & behaviors that could
interfere with meeting ethical guidelines for care.
-maintains proper boundaries.
participates in self, peer, & supervisory oversight of clinical skills &
practice.
-recognizes that those with brain-based mental health disorders may
have maladaptive coping behaviors, which impact the individual, family, &
society.
• Maladaptive behavior may continue in spite of (-) consequences.
,NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
• Behavioral change may involve setbacks.
-is aware of the need to balance human rights with safety, including
coercive measures or forced tx when individuals are unable to maintain
their own safety.
How the PMHNP does Code of Ethics: Advocacy for the Healthcare
Consumer
-strives to protect the rights, health, & safety of clients.
-maintains confidentiality according to HIPAA requirements &
professional boundaries in all interactions
-recognizes the power differential in the therapeutic relationship &
understands that any sort of sexual activity or intimacies with current
clients, their close family members, guardians, or significant others is
unethical.
How the PMHNP does Code of Ethics: Responsibility and Accountability for
Practice
-must be responsible & accountable for their own practice.
-must be able to articulate competencies & be aware of scope of practice
professional standards guiding their own practice.
-must understand the scope of other team members' practice in order to
delegate appropriately.
,NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
How the PMHNP does Code of Ethics: Duties to Self and Others
-owes the same duties to self as to others.
-accords moral worth & dignity to oneself & others, including colleagues.
-is committed to practicing self-care, managing stress, & maintaining
supportive relationships to meet personal needs outside of therapeutic
relationships.
-identifies & addresses moral distress.
Bettina is a 24-year-old who presents to the mental health clinic after a
referral from her primary care provider. She endorses symptoms of
depression that began "when I was still in college," including excessive
sleepiness, withdrawal from social activities, the guilt associated with
"leaving my friends hanging," and anhedonia. Bettina states that she saw a
counselor through the college health service, which helped her symptoms
somewhat, but she was unable to continue with counseling after
graduation two years ago. She made an appointment with her primary
care provider to discuss medications for depressive symptoms and was
prescribed citalopram 20 mg daily. After six weeks on the medication, she
did not experience relief of symptoms and returned to the provider at
which time her dose was increased to 40 mg daily. She had a follow-up
appointment with the provider six months later, at which time she was
prescr
continue current medications and add aripiprazole 2 mg daily
, NR 607 Diagnosis & Management in Psychiatric-Mental Health III Practicum
Rationale: The most appropriate treatment for Bettina is to continue her
current medications and add aripiprazole 2 mg daily. According to the
STAR*D guidelines, the client may choose to remain on the current
medications and add an atypical antipsychotic medication such as
aripiprazole. Alternatively, the client may choose to discontinue current
medications and start a tricyclic or tetracyclic antidepressant. The client
may also choose to begin therapy. Inpatient admission is not indicated for
this client.
Carlos is a 25-year-old who was admitted to the inpatient psychiatric unit
after a nonfatal suicide attempt. He has a history of major depressive
disorder which was initially diagnosed when he was 22, at which time he
was started on sertraline 50 mg and then increased to sertraline 100 mg.
Carlos attempted suicide approximately four months after beginning the
sertraline. At that time, he was referred for psychotherapy and prescribed
aripiprazole 5 mg in addition to sertraline. Carlos states that while his
symptoms of depression improved after starting the aripiprazole, they
never completely disappeared. He endorses frequent thoughts of dying but
states "Most of the time, they are just thoughts of not being here
anymore- they aren't active thoughts of killing myself." Carlos states that
he attempted suicide by overdosing on his medications after his girlfriend
broke up with him. Currently, he endorses active sui
prescribe electroconvulsive therapy
