NR 606 Midterm Actual Exam Newest 2026-2027 Actual
Exam With Complete Questions And Correct Detailed
Answers (Verified Answers) |Already Graded A+
Chamberlain University-Illinois |NR 606
Thought Disorder: - Answer :-impairment in the process of thinking & difficulty organizing thoughts in a
logical pattern
• incoherent speech
• loose associations
• meaningless words
• perseveration
Disorganized behavior: - Answer :-disordered or impaired behavior or communication
• childlike silliness
• unpredictable agitation
• inappropriate clothing for the weather
• poor hygiene
Erica is a 24-year-old with a newly diagnosed schizophreniform disorder. She is a current smoker. She
does not use alcohol or other drugs. She has no medical history. Which of the following would be the
least appropriate initial medication for Erica?
aripiprazole
lurasidone
olanzapine
quetiapine - Answer :olanzapine
,Rationale: Olanzapine requires up to 30% increased dosage for clients who smoke concurrently.
Initiating a medication that does not interact with smoking is preferable.
Tony is a 56-year-old who has recently been diagnosed with schizophrenia. He takes amiodarone for a
history of cardiac dysrhythmias. He does not use alcohol or other drugs. He is a nonsmoker. Which of
the following is the most appropriate medication for Tony?
aripiprazole
lurasidone
quetiapine
risperidone - Answer :risperidone
Rationale: Amiodarone is a moderate CYP3A4 inhibitor. Risperidone does not interact with CYP3A4
inhibitors or inducers.
Jenny is a 22-year-old who has been prescribed aripiprazole 15 mg/day for the past 8 months. She has
gained approximately 30 lbs. during treatment. Jenny's psychiatric symptoms have been managed well
on aripiprazole and she has no other adverse effects. What is the most appropriate initial intervention
for Jenny?
switch to a different antipsychotic medication
prescribe metformin
refer to a bariatric specialist - Answer :prescribe metformin
Rationale: Prescribing metformin as an adjunct treatment to assist with weight loss associated with
antipsychotics is appropriate. Jenny is well-managed on the current dose of aripiprazole; switching to a
different medication is not indicated at this time. Referral to a bariatric specialist may be indicated if the
client continues to gain weight but is not indicated as the most appropriate initial intervention.
Scott is a 33-year-old who is currently without housing. He has been unable to adhere to his prescribed
oral medication regimen. The PMHNP recommends a long-acting intramuscular form of medication.
,Scott is willing to try but would like to receive the medication at the community clinic near the shelter
where he is staying. Which medication option is the least appropriate for Scott at this time?
aripiprazole monohydrate
olanzapine
paliperidone palmitate
risperidone - Answer :olanzapine
Rationale: Olanzapine must be given in a registered health care facility with available emergency
medical services. The client receiving olanzapine must be monitored for 3 hours post-injection.
Autism Spectrum Disorder (ASD) - Answer :-neurological and developmental disorder
-impacts communication, relationships with others, learning, behavior
-1-2% of population
-all racial, ethnic, and socioeconomic groups
-Males 4x more likely than females
-Factors with increased risk:
• having a sibling with ASD
• having older parents
• having certain genetic conditions:
➣Fragile X syndrome
➣Down syndrome
• very low birth weight
-spectrum disorder
• wide variation in the types and severity of symptoms
➣symptoms typically appear in first 2 years of life
DSM-5-TR criteria for ASD - Answer :-persistent deficits in communication and social interaction across
multiple contexts and restrictive, repetitive patterns of behavior, interests, or activities
, -Symptoms must appear early in development and can cause clinically significant impairment in
functioning
-severity is classified based on the level of support needed by the individual
ASD Diagnosis and Screening - Answer :-The American Academy of Pediatrics (AAP) recommends that all
children be screened for ASD
• Providers perform basic developmental screenings at children's 18-month and 24-month well-child
visits
• demonstrate developmental differences in behavior or functioning require additional evaluation,
typically performed by a team of ASD specialists
➣child psychologist, speech-language pathologist, occupational therapist, developmental pediatrician,
or neurologist
-Dx based on clinical observations, observations in a natural setting, caregiver history, or self-reports
ASD different developmental screening tools available - Answer :-Screening tools:
• Ages and Stages Questionnaires (ASQ)
• Communication and Symbolic Behavior Scales (CSBS)
• Parents' Evaluation of Developmental Status (PEDS)
• Modified Checklist for Autism in Toddlers (MCHAT)
• Screening Tool for Autism in Toddlers and Young Children (STAT)
-Diagnostic tools
• Autism Diagnosis Interview - Revised (ADI-R)
• Autism Diagnostic Observation Schedule - Generic
• Childhood Autism Rating Scale (CARS)
• Gilliam Autism Rating Scale - Second Edition (GARS-2)
Early signs of ASD include: - Answer :-avoiding eye contact
-showing little interest in peers or caretakers
-limited language abilities
-frustration with minor changes in routine
Exam With Complete Questions And Correct Detailed
Answers (Verified Answers) |Already Graded A+
Chamberlain University-Illinois |NR 606
Thought Disorder: - Answer :-impairment in the process of thinking & difficulty organizing thoughts in a
logical pattern
• incoherent speech
• loose associations
• meaningless words
• perseveration
Disorganized behavior: - Answer :-disordered or impaired behavior or communication
• childlike silliness
• unpredictable agitation
• inappropriate clothing for the weather
• poor hygiene
Erica is a 24-year-old with a newly diagnosed schizophreniform disorder. She is a current smoker. She
does not use alcohol or other drugs. She has no medical history. Which of the following would be the
least appropriate initial medication for Erica?
aripiprazole
lurasidone
olanzapine
quetiapine - Answer :olanzapine
,Rationale: Olanzapine requires up to 30% increased dosage for clients who smoke concurrently.
Initiating a medication that does not interact with smoking is preferable.
Tony is a 56-year-old who has recently been diagnosed with schizophrenia. He takes amiodarone for a
history of cardiac dysrhythmias. He does not use alcohol or other drugs. He is a nonsmoker. Which of
the following is the most appropriate medication for Tony?
aripiprazole
lurasidone
quetiapine
risperidone - Answer :risperidone
Rationale: Amiodarone is a moderate CYP3A4 inhibitor. Risperidone does not interact with CYP3A4
inhibitors or inducers.
Jenny is a 22-year-old who has been prescribed aripiprazole 15 mg/day for the past 8 months. She has
gained approximately 30 lbs. during treatment. Jenny's psychiatric symptoms have been managed well
on aripiprazole and she has no other adverse effects. What is the most appropriate initial intervention
for Jenny?
switch to a different antipsychotic medication
prescribe metformin
refer to a bariatric specialist - Answer :prescribe metformin
Rationale: Prescribing metformin as an adjunct treatment to assist with weight loss associated with
antipsychotics is appropriate. Jenny is well-managed on the current dose of aripiprazole; switching to a
different medication is not indicated at this time. Referral to a bariatric specialist may be indicated if the
client continues to gain weight but is not indicated as the most appropriate initial intervention.
Scott is a 33-year-old who is currently without housing. He has been unable to adhere to his prescribed
oral medication regimen. The PMHNP recommends a long-acting intramuscular form of medication.
,Scott is willing to try but would like to receive the medication at the community clinic near the shelter
where he is staying. Which medication option is the least appropriate for Scott at this time?
aripiprazole monohydrate
olanzapine
paliperidone palmitate
risperidone - Answer :olanzapine
Rationale: Olanzapine must be given in a registered health care facility with available emergency
medical services. The client receiving olanzapine must be monitored for 3 hours post-injection.
Autism Spectrum Disorder (ASD) - Answer :-neurological and developmental disorder
-impacts communication, relationships with others, learning, behavior
-1-2% of population
-all racial, ethnic, and socioeconomic groups
-Males 4x more likely than females
-Factors with increased risk:
• having a sibling with ASD
• having older parents
• having certain genetic conditions:
➣Fragile X syndrome
➣Down syndrome
• very low birth weight
-spectrum disorder
• wide variation in the types and severity of symptoms
➣symptoms typically appear in first 2 years of life
DSM-5-TR criteria for ASD - Answer :-persistent deficits in communication and social interaction across
multiple contexts and restrictive, repetitive patterns of behavior, interests, or activities
, -Symptoms must appear early in development and can cause clinically significant impairment in
functioning
-severity is classified based on the level of support needed by the individual
ASD Diagnosis and Screening - Answer :-The American Academy of Pediatrics (AAP) recommends that all
children be screened for ASD
• Providers perform basic developmental screenings at children's 18-month and 24-month well-child
visits
• demonstrate developmental differences in behavior or functioning require additional evaluation,
typically performed by a team of ASD specialists
➣child psychologist, speech-language pathologist, occupational therapist, developmental pediatrician,
or neurologist
-Dx based on clinical observations, observations in a natural setting, caregiver history, or self-reports
ASD different developmental screening tools available - Answer :-Screening tools:
• Ages and Stages Questionnaires (ASQ)
• Communication and Symbolic Behavior Scales (CSBS)
• Parents' Evaluation of Developmental Status (PEDS)
• Modified Checklist for Autism in Toddlers (MCHAT)
• Screening Tool for Autism in Toddlers and Young Children (STAT)
-Diagnostic tools
• Autism Diagnosis Interview - Revised (ADI-R)
• Autism Diagnostic Observation Schedule - Generic
• Childhood Autism Rating Scale (CARS)
• Gilliam Autism Rating Scale - Second Edition (GARS-2)
Early signs of ASD include: - Answer :-avoiding eye contact
-showing little interest in peers or caretakers
-limited language abilities
-frustration with minor changes in routine
