NR-606: Diagnosis & Management in
Psychiatric-Mental Health II Practicum
Midterm Exam |2025/2026 | - Chamberlain
University Questions and Correct Answers |
Latest Version | Verified Solution 100%
Children in the pre-operational stage think _____ and use what to represent objects?
symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and organized about events and
children can reason inductively
concrete operational (age 7-11)
which stage is defined by the ability to reason abstractly and consider hypothetical problems as well
as moral, ethical, social, and political issues?
formal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or neglect?
the provider can decide whether or not to treat the parent as a personal representative
If the parent is not the child's personal representative under HIPPA, do they have access to the health
records?
depending on state laws- if the state has a law against it then no, if the state does permit the provider to
share health information then the provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is
the paucity of evidence regarding the true risks for the pregnant client and developing fetus
If a pregnant client is stable on their current medication regimen what should the PMHNP keep in
mind
keep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist
when the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs
, neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome
Symptoms include tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects.
paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy
Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth
bipolar medications that are considered teratogenic and should be avoided during pregnancy.
valproic acid and carbamazepine
Atypical antipsychotics that increase risk of gestational diabetes and large for gestational age infants
olanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in infants
olanzapine
the most used antipsychotics during pregnancy
risperidone and quetiapine
medications that are safe for breast feeding
SSRIs, benzos, valproic acid, quetiapine
medications that are safe for bottle feeding
lithium, lamotrigine, clozapine
smoking- related pregnancy complications
ectopic pregnancy, placental abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm
birth and low birth weight infants
Smoking-related effects on neonates include
sudden infant death syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include
asthma, cognitive impairment, lower respiratory illness, attention deficit hyperactivity disorder (ADHD),
and central nervous system tumors
Health problems associated with alcohol use disorder include
increased risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational
age, and preterm delivery
Psychiatric-Mental Health II Practicum
Midterm Exam |2025/2026 | - Chamberlain
University Questions and Correct Answers |
Latest Version | Verified Solution 100%
Children in the pre-operational stage think _____ and use what to represent objects?
symbolically, use words or pictures
in which stage of piaget's model does thinking become more logical and organized about events and
children can reason inductively
concrete operational (age 7-11)
which stage is defined by the ability to reason abstractly and consider hypothetical problems as well
as moral, ethical, social, and political issues?
formal operations (12+)
Can a parent access information if the provider has concerns about parental abuse or neglect?
the provider can decide whether or not to treat the parent as a personal representative
If the parent is not the child's personal representative under HIPPA, do they have access to the health
records?
depending on state laws- if the state has a law against it then no, if the state does permit the provider to
share health information then the provider is able to
A challenge to prescribing psychoactive medications in the perinatal period is
the paucity of evidence regarding the true risks for the pregnant client and developing fetus
If a pregnant client is stable on their current medication regimen what should the PMHNP keep in
mind
keep them on current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist
when the patient is on a high-risk medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs
, neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome
Symptoms include tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects.
paroextine
symptoms of newborn toxicity r/t benzodiazepine use during pregnancy
Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth
bipolar medications that are considered teratogenic and should be avoided during pregnancy.
valproic acid and carbamazepine
Atypical antipsychotics that increase risk of gestational diabetes and large for gestational age infants
olanzapine and quetiapine
has also been found to increase the risk of musculoskeletal malformations in infants
olanzapine
the most used antipsychotics during pregnancy
risperidone and quetiapine
medications that are safe for breast feeding
SSRIs, benzos, valproic acid, quetiapine
medications that are safe for bottle feeding
lithium, lamotrigine, clozapine
smoking- related pregnancy complications
ectopic pregnancy, placental abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm
birth and low birth weight infants
Smoking-related effects on neonates include
sudden infant death syndrome and birth malformations such as oral clefts and neural tube defects
smoking effects on infants, children, and adolescents include
asthma, cognitive impairment, lower respiratory illness, attention deficit hyperactivity disorder (ADHD),
and central nervous system tumors
Health problems associated with alcohol use disorder include
increased risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational
age, and preterm delivery
