NR-606- MIDTERM EXAM
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1. What are barriers to seeking mental health Children- Although children and adoles-
care in children & adolescents? cents may seek help, they usually drop out
before treatment is effective due to pover-
ty, language barriers, living in communi-
ties with lack of resources, stressors such
as family issues, violence in the communi-
ty, unstable housing, unemployment and
food insecurity.
Adolescents- Many parents lack an access
to sufficient care for their children or them-
selves during perinatal. Parents and ado-
lescents are reluctant to receive care due
to the stigmas or negative perceptions to-
wards mental health services.
2. What are some barriers that pregnant Perinatal- cost, scheduling conflicts and
women are faced with when attempting to high staff turnover rate causes issues for
seek care for mental health? families seeking care.
Less than 15% of women get treated for
PPD.
3. Explain the sensorimotor stage (ages 0-2) Children experience the world through
according to Piaget. their senses and motor responses. The
goal of this stage is object permanence.
4. Explain the pre-operational stage (ages Children think symbolically and think very
2-7) according to Piaget. concrete. They learn to use words or pic-
tures to represent objects. They are ego-
centric and have difficulty seeing things
from others' perspectives. Pre-operational
thinking is very concrete. So think very
, NR-606- MIDTERM EXAM
Study online at https://quizlet.com/_gepluy
straight forward when you are teaching
them:
"You know how its hard for you to sit still
and pay attention in school? This medicine
will help you" . Imagination is still strong
however abstract thinking is difficult. Think
Ade's responses. THE ABSENCE OF OBJECT
PERMANENCE.
5. Explain the concrete-operational stage Children begin to think more logical and
(ages 7-11) according to Piaget. organized about concrete events. They be-
gin to reason inductively, from specific in-
formation to principles. Using similes with-
in teaching is great for this group.
"It's kind of like you've got a great bike. The
brakes just need some fixing. The medica-
tion is like fixing the brakes." Time, space,
and quantity is understood however not as
separate concepts.
6. Explain the Formal-operational stage (ages Adolescents and young adults begin to
12 and up) according to Piaget. reason abstractly and can consider hypo-
thetical problems. They begin to think more
about moral, philosophical, ethical, social,
and political issues.
"This medication can help you ignore dis-
tractions so you can complete tasks. They
can also help with self-control, which may
help you get along better with your friends
and parents. Do you have any concerns
about taking the medication?" They begin
to start planning at this age.
, NR-606- MIDTERM EXAM
Study online at https://quizlet.com/_gepluy
7. -50% of lifetime mental illnesses begin at
the age of 14.
-50% of children ages 8-15 are not treated
for mental illnesses
8. How does consent work with children? Parents may decide whether to allow treat-
ment if the child is unable to provide true
informed consent (Preston et al., 2021).
Although children may not be able to give
legal consent, they should be included in
discussions about medication and treat-
ment whenever possible. Child input into
treatment decisions may encourage treat-
ment adherence. Positive experiences with
providers and treatment can help instill
the perception that treatment is beneficial,
which can support positive mental health
behaviors in the future.
9. What should be included in the consent Informed consent should include
form and documentation when discussing side effects
information (such as taking psychotropic possible/rare side effects to mother and
drugs) with pregnant patients? baby regardless of incidence
the patient's decision to continue or dis-
continue treatment
potential risks of continuing or discontinu-
ing treatment
Referral to perinatal psychiatrist if the pa-
tient is at high risk or on a high-risk med-
ication.
10.
, NR-606- MIDTERM EXAM
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What are some points that PMHNP should Metabolism- Children have a higher me-
take into consideration when prescribing tabolism than adults and may require
medications for children? higher dose of medication per body
Metabolism, Excretion, Side effects weight. When they reach puberty in ado-
lescents is when the medication is usually
titrated down because they are reaching a
metabolism of an adult.
Excretion- Children are going to excrete
medications quicker due to high metabo-
lism. Ensure to use proper prescribing pro-
tocol per weight. Again, may need higher
doses than adults.
Side effects- Children may not understand
that they are experiencing side effects so
the PMHNP must ensure to educate and
include the child in prescribing education
as well as be keen to side effects that the
child may or may not describe. (Listen to
the parents as well). Allow children to par-
ticipate in the treatment plan
11. PMHNP are mandatory reporters and The Child Abuse Prevention and Treatment
MUST report any forms of child abuse, ne- Act
glect or suspicions of such to the authori-
ties. There are federal and state guidelines
that we are expected to follow. What is this
federal guideline called?
12. What are some prescribing considerations The physiologic changes that occur during
for women who are pregnant? pregnancy impact the pharmacokinetics of
many medications. An increase in blood
plasma level may increase the distribution
Study online at https://quizlet.com/_gepluy
1. What are barriers to seeking mental health Children- Although children and adoles-
care in children & adolescents? cents may seek help, they usually drop out
before treatment is effective due to pover-
ty, language barriers, living in communi-
ties with lack of resources, stressors such
as family issues, violence in the communi-
ty, unstable housing, unemployment and
food insecurity.
Adolescents- Many parents lack an access
to sufficient care for their children or them-
selves during perinatal. Parents and ado-
lescents are reluctant to receive care due
to the stigmas or negative perceptions to-
wards mental health services.
2. What are some barriers that pregnant Perinatal- cost, scheduling conflicts and
women are faced with when attempting to high staff turnover rate causes issues for
seek care for mental health? families seeking care.
Less than 15% of women get treated for
PPD.
3. Explain the sensorimotor stage (ages 0-2) Children experience the world through
according to Piaget. their senses and motor responses. The
goal of this stage is object permanence.
4. Explain the pre-operational stage (ages Children think symbolically and think very
2-7) according to Piaget. concrete. They learn to use words or pic-
tures to represent objects. They are ego-
centric and have difficulty seeing things
from others' perspectives. Pre-operational
thinking is very concrete. So think very
, NR-606- MIDTERM EXAM
Study online at https://quizlet.com/_gepluy
straight forward when you are teaching
them:
"You know how its hard for you to sit still
and pay attention in school? This medicine
will help you" . Imagination is still strong
however abstract thinking is difficult. Think
Ade's responses. THE ABSENCE OF OBJECT
PERMANENCE.
5. Explain the concrete-operational stage Children begin to think more logical and
(ages 7-11) according to Piaget. organized about concrete events. They be-
gin to reason inductively, from specific in-
formation to principles. Using similes with-
in teaching is great for this group.
"It's kind of like you've got a great bike. The
brakes just need some fixing. The medica-
tion is like fixing the brakes." Time, space,
and quantity is understood however not as
separate concepts.
6. Explain the Formal-operational stage (ages Adolescents and young adults begin to
12 and up) according to Piaget. reason abstractly and can consider hypo-
thetical problems. They begin to think more
about moral, philosophical, ethical, social,
and political issues.
"This medication can help you ignore dis-
tractions so you can complete tasks. They
can also help with self-control, which may
help you get along better with your friends
and parents. Do you have any concerns
about taking the medication?" They begin
to start planning at this age.
, NR-606- MIDTERM EXAM
Study online at https://quizlet.com/_gepluy
7. -50% of lifetime mental illnesses begin at
the age of 14.
-50% of children ages 8-15 are not treated
for mental illnesses
8. How does consent work with children? Parents may decide whether to allow treat-
ment if the child is unable to provide true
informed consent (Preston et al., 2021).
Although children may not be able to give
legal consent, they should be included in
discussions about medication and treat-
ment whenever possible. Child input into
treatment decisions may encourage treat-
ment adherence. Positive experiences with
providers and treatment can help instill
the perception that treatment is beneficial,
which can support positive mental health
behaviors in the future.
9. What should be included in the consent Informed consent should include
form and documentation when discussing side effects
information (such as taking psychotropic possible/rare side effects to mother and
drugs) with pregnant patients? baby regardless of incidence
the patient's decision to continue or dis-
continue treatment
potential risks of continuing or discontinu-
ing treatment
Referral to perinatal psychiatrist if the pa-
tient is at high risk or on a high-risk med-
ication.
10.
, NR-606- MIDTERM EXAM
Study online at https://quizlet.com/_gepluy
What are some points that PMHNP should Metabolism- Children have a higher me-
take into consideration when prescribing tabolism than adults and may require
medications for children? higher dose of medication per body
Metabolism, Excretion, Side effects weight. When they reach puberty in ado-
lescents is when the medication is usually
titrated down because they are reaching a
metabolism of an adult.
Excretion- Children are going to excrete
medications quicker due to high metabo-
lism. Ensure to use proper prescribing pro-
tocol per weight. Again, may need higher
doses than adults.
Side effects- Children may not understand
that they are experiencing side effects so
the PMHNP must ensure to educate and
include the child in prescribing education
as well as be keen to side effects that the
child may or may not describe. (Listen to
the parents as well). Allow children to par-
ticipate in the treatment plan
11. PMHNP are mandatory reporters and The Child Abuse Prevention and Treatment
MUST report any forms of child abuse, ne- Act
glect or suspicions of such to the authori-
ties. There are federal and state guidelines
that we are expected to follow. What is this
federal guideline called?
12. What are some prescribing considerations The physiologic changes that occur during
for women who are pregnant? pregnancy impact the pharmacokinetics of
many medications. An increase in blood
plasma level may increase the distribution
