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Exam (elaborations)

NR606 Week 1 Questions with Verified Answers (Correct Update)

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NR606 Week 1 Questions with Verified Answers (Correct Update)

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NR606 Week 1 Questions with Verified Answers (Correct Update)

Question 1: most common complication during the perinatal period?

Answer: Mental health problems

Question 2: Allie is a 26-year-old who has been receiving treatment for bipolar I disorder for 3 years.
Her symptoms have been in remission with lithium 500 mg twice daily. She also completed 12 weeks
of interpersonal and social rhythm therapy (IPSRT) upon diagnosis and used the life charting
methodology to track her symptoms. She calls her PMHNP and states "I just found out I'm
pregnant. My partner and I were not expecting this, but we are excited! I am worried about what
lithium will do to my baby. Sh

Answer: schedule an appointment for Allie and her husband to discuss a treatment plan as soon
as possible ask Allie to continue taking lithium at the current dose for now recommend that Allie
begin tracking her mood, sleep schedule, and other symptoms Rationale: Rationale: The PMHNP
should schedule an appointment as soon as possible to discuss Allie's treatment plan during her
pregnancy. Discontinuation of medications for pregnancy is associated with a relapse rate of
80-100% for clients who take mood stabilizers; therefore, the client should not abruptly cease
taking lithium (Ortega et al., 2023). Clients with a diagnosis of bipolar disorder may benefit from
tracking the symptoms of their illness, especially during stressful times. Although reassurance is
appropriate, the PMHNP should not minimize the potential risks of continuing medication by
telling the client that no harm will come to the baby.

Question 3: Discontinuation of medications for pregnancy is associated with a relapse rate of
___________% for clients who take mood stabilizers

Answer: 80-100%

Question 4: A program policy that prohibits individuals from using specific forms of prescribed
medication for addiction (MAT) treatment is an example of __________ stigma

Answer: structural

Question 5: A stereotypic belief that individuals choose to use alcohol or other drugs and blame them
for their substance use disorder is an example of _________ stigma

Answer: public

Question 6: State Policy on Substance Use During Pregnancy

Answer: authorizing civil commitment -criminalizing the behavior as child abuse or neglect
-requiring providers to notify child protective services when an infant is affected by illegal
substance abuse -requiring providers to report or test for prenatal drug exposure, which is
permissible evidence in child-welfare proceedings




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