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NR606 Midterm Exam

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A 22-year-old client with type 2 diabetes was recently diagnosed with schizophrenia and needs a prescription for an antipsychotic medication. She is currently pregnant. Which medication would be most appropriate for the client? A. risperidone B. carbamazepine C. olanzapine D. quetiapine D. quetiapine One on the more commonly preferred atypical antipsychotics during pregnancy because it has relatively reassuring reproductive safety data and lower placental transfer than other antipsychotics. It also has a lower risk of metabolic adverse effects than olanzapine, making it a better choice for someone with type 2 diabetes. Which is a priority assessment for a pregnant client who takes quetiapine for schizophrenia? A. glucose tolerance test B. quetiapine levels C. lipid level D. height and weight A. glucose tolerance test For second-generation antipsychotics, remember the metabolic monitoring mnemonic: Blood glucose Weight/BMI Lipids Blood pressure A child presents with symptoms of irritability, fatigue, and difficulty sleeping. What additional symptom would help differentiate separation anxiety as the appropriate diagnosis? A. reports of nightmares about being kidnapped B. lack of eye contact C. difficulty speaking in the classroom D. blushing and trembling when spoken to A. reports of nightmares about being kidnapped A hallmark feature of separation anxiety disorder is excessive fear about being separated from attachment figures. A client who is 36 weeks pregnant with her second child presents with symptoms including fear, dread, and panic related to the upcoming birth. The client had an emergency C-section with her first and plans to deliver this child vaginally. Which is the most likely diagnosis for this client? A. post-traumatic stress disorder B. obsessive-compulsive disorder with peripartum onset C. generalized anxiety disorder with peripartum onset D. panic disorder with peripartum onset A. post-traumatic stress disorder This client's symptoms are most consistent with PTSD related to a previous traumatic childbirth. An emergency C-section can be experienced as a traumatic event, and the anticipation of another delivery can trigger intense fear or dread, panic related to childbirth, re-experiencing the prior trauma, hyperarousal and anxiety surrounding labor and delivery, avoidance of reminders of the traumatic birth Under what circumstances may a provider withhold a child's mental health treatment records from a parent or guardian? A. when there is concern of parental neglect B. when the insurance company requests that the provider withhold records C. when the client is 16 or older D. when the child requests that the provider withhold records A. when there is concern of parental neglect A provider may withhold a minor's mental health records from a parent or guardian when releasing the records could place the child at risk of harm, such as in cases of suspected abuse, suspected neglect, risk that disclosure would endanger the child or interfere with treatment A 12-year-old client presents with motor and verbal tics. What is the most appropriate initial treatment for the client? A. exercise therapy B. comprehensive behavioral intervention for tics C. antipsychotic medications D. psychoeducation B. comprehensive behavioral intervention for tics CBIT is the first-line treatment for children with bothersome motor and vocal tics, including Tourette syndrome. It is an evidence-based behavioral therapy that teaches the child to recognize the urge preceding a tic, use a competing response to reduce the tic, identify and modify environmental triggers

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Chamberlain University-Illinois NR 606


NR606 Midterm Exam
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Terms in this set (76)



A 22-year-old client with type 2 diabetes was recently D. quetiapine
diagnosed with schizophrenia and needs a prescription
for an antipsychotic medication. She is currently One on the more commonly preferred atypical antipsychotics during pregnancy
pregnant. Which medication would be most appropriate because it has relatively reassuring reproductive safety data and lower placental
for the client? transfer than other antipsychotics. It also has a lower risk of metabolic adverse
A. risperidone effects than olanzapine, making it a better choice for someone with type 2
B. carbamazepine diabetes.
C. olanzapine
D. quetiapine

, Which is a priority assessment for a pregnant client who A. glucose tolerance test
takes quetiapine for schizophrenia?
A. glucose tolerance test For second-generation antipsychotics, remember the metabolic monitoring
B. quetiapine levels mnemonic:
C. lipid level Blood glucose
D. height and weight Weight/BMI
Lipids
Blood pressure


A child presents with symptoms of irritability, fatigue, and A. reports of nightmares about being kidnapped
difficulty sleeping. What additional symptom would help
differentiate separation anxiety as the appropriate A hallmark feature of separation anxiety disorder is excessive fear about being
diagnosis? separated from attachment figures.
A. reports of nightmares about being kidnapped
B. lack of eye contact
C. difficulty speaking in the classroom
D. blushing and trembling when spoken to




A client who is 36 weeks pregnant with her second child A. post-traumatic stress disorder
presents with symptoms including fear, dread, and panic
related to the upcoming birth. The client had an This client's symptoms are most consistent with PTSD related to a previous
emergency C-section with her first and plans to deliver traumatic childbirth. An emergency C-section can be experienced as a traumatic
this child vaginally. Which is the most likely diagnosis for event, and the anticipation of another delivery can trigger intense fear or dread,
this client? panic related to childbirth, re-experiencing the prior trauma, hyperarousal and
A. post-traumatic stress disorder anxiety surrounding labor and delivery, avoidance of reminders of the traumatic
B. obsessive-compulsive disorder with peripartum onset birth
C. generalized anxiety disorder with peripartum onset
D. panic disorder with peripartum onset


Under what circumstances may a provider withhold a A. when there is concern of parental neglect
child's mental health treatment records from a parent or
guardian? A provider may withhold a minor's mental health records from a parent or
A. when there is concern of parental neglect guardian when releasing the records could place the child at risk of harm, such as
B. when the insurance company requests that the in cases of suspected abuse, suspected neglect, risk that disclosure would
provider withhold records endanger the child or interfere with treatment
C. when the client is 16 or older
D. when the child requests that the provider withhold
records

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