NR-606 Diagnosis & Management
in Psychiatric-Mental Health II
Practicum
Midterm Exam Week 1 - 4
Question:
Piaget's Stages of Cognitive Development
Answer:
-Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
,• Adolescent can use abstract reasoning in addition to logical operations
• Child can understand theories, hypothesize, comprehend abstract ideas
(love & justice)
Question:
Screening, Brief Intervention, Referral to Treatment (SBIRT)
Answer:
-Screening
• Quickly assesses severity of substance use & ID the appropriate level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance use &
motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive tx with
access to specialty care
Question:
Medication-Assisted Treatment (MAT)
Answer:
Treatment for opioid use disorder combining the use of medications
(methadone, buprenorphine, or naltrexone) with counseling and behavioral
therapies.
,Question:
Mental health and youth
Answer:
-13% of children ages 8-15 experience a mental health condition
-50% of children ages 8-15 experiencing a mental health condition do not
receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a mental
health condition in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
Question:
Barriers to Mental Health Treatment in Children and Adolescents
Answer:
-lack of sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
, ➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Question:
Prescribing Considerations for Children and Adolescents
Answer:
-physiologic factors impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger dose of
med per unit of body weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not be able to
communicate complaints
Question:
in Psychiatric-Mental Health II
Practicum
Midterm Exam Week 1 - 4
Question:
Piaget's Stages of Cognitive Development
Answer:
-Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
,• Adolescent can use abstract reasoning in addition to logical operations
• Child can understand theories, hypothesize, comprehend abstract ideas
(love & justice)
Question:
Screening, Brief Intervention, Referral to Treatment (SBIRT)
Answer:
-Screening
• Quickly assesses severity of substance use & ID the appropriate level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance use &
motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive tx with
access to specialty care
Question:
Medication-Assisted Treatment (MAT)
Answer:
Treatment for opioid use disorder combining the use of medications
(methadone, buprenorphine, or naltrexone) with counseling and behavioral
therapies.
,Question:
Mental health and youth
Answer:
-13% of children ages 8-15 experience a mental health condition
-50% of children ages 8-15 experiencing a mental health condition do not
receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a mental
health condition in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
Question:
Barriers to Mental Health Treatment in Children and Adolescents
Answer:
-lack of sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
, ➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Question:
Prescribing Considerations for Children and Adolescents
Answer:
-physiologic factors impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger dose of
med per unit of body weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not be able to
communicate complaints
Question:
