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Week 4: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. $10.49
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Week 4: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain.
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Week 4: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. Week 4: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questio...

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  • February 4, 2025
  • 33
  • 2024/2025
  • Exam (elaborations)
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  • NR606/ NR 606
  • NR606/ NR 606

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Week 4: NR606/ NR 606 (Latest Update 2025/
i,- i,- i,- i,- i,- i,- i,- i,-




2026) Diagnosis & Management in Psychiatric
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Mental Health II Practicum | Questions with i,- i,- i,- i,- i,- i,- i,-




Verified Answers| 100% Correct- Chamberlain. i,- i,- i,- i,-




Tony is a 56-year-old who has recently been diagnosed with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



schizophrenia. He takes amiodarone for a history of cardiac i,- i,- i,- i,- i,- i,- i,- i,- i,-



dysrhythmias. He does not use alcohol or other drugs. He is a i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nonsmoker. Which of the following is the most appropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,-



medication for Tony? i,- i,-




aripiprazole
lurasidone
quetiapine
risperidone i,-i,- i,- risperidone


Rationale: Amiodarone is a moderate CYP3A4 inhibitor.
i,- i,- i,- i,- i,- i,- i,-



Risperidone does not interact with CYP3A4 inhibitors or inducers.
i,- i,- i,- i,- i,- i,- i,- i,-




Jenny is a 22-year-old who has been prescribed aripiprazole 15
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



mg/day for the past 8 months. She has gained approximately 30
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



lbs. during treatment. Jenny's psychiatric symptoms have been
i,- i,- i,- i,- i,- i,- i,- i,-

,managed well on aripiprazole and she has no other adverse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



effects. What is the most appropriate initial intervention for Jenny?
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switch to a different antipsychotic medication
i,- i,- i,- i,- i,-




prescribe metformin i,-




refer to a bariatric specialist
i,- i,- i,- i,- i,-i,- i,- prescribe metformin i,-




Rationale: Prescribing metformin as an adjunct treatment to assist
i,- i,- i,- i,- i,- i,- i,- i,- i,-



with weight loss associated with antipsychotics is appropriate.
i,- i,- i,- i,- i,- i,- i,- i,-



Jenny is well-managed on the current dose of aripiprazole;
i,- i,- i,- i,- i,- i,- i,- i,- i,-



switching to a different medication is not indicated at this time.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Referral to a bariatric specialist may be indicated if the client
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



continues to gain weight but is not indicated as the most
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



appropriate initial intervention. i,- i,-




Scott is a 33-year-old who is currently without housing. He has
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been unable to adhere to his prescribed oral medication regimen.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



The PMHNP recommends a long-acting intramuscular form of
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medication. Scott is willing to try but would like to receive the
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medication at the community clinic near the shelter where he is
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staying. Which medication option is the least appropriate for
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Scott at this time?
i,- i,- i,-

,aripiprazole monohydrate i,-




olanzapine
paliperidone palmitate i,-




risperidone i,-i,- i,- olanzapine


Rationale: Olanzapine must be given in a registered health care
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



facility with available emergency medical services. The client
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receiving olanzapine must be monitored for 3 hours post-
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injection.


Autism Spectrum Disorder (ASD)
i,- i,- i,- i,-i,- i,- -neurological and i,- i,-



developmental disorder i,-




-impacts communication, relationships with others, learning,
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behavior
-1-2% of population
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-all racial, ethnic, and socioeconomic groups
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-Males 4x more likely than females
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-Factors with increased risk:
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• having a sibling with ASD
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• having older parents
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• having certain genetic conditions:
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, ➣Fragile X syndrome i,- i,-




➣Down syndrome i,-




• very low birth weight
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-spectrum disorder i,-




• wide variation in the types and severity of symptoms
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➣symptoms typically appear in first 2 years of life i,- i,- i,- i,- i,- i,- i,- i,-




Develop schizophrenia i,- i,-i,- i,- -Many genes play a role i,- i,- i,- i,-




• as do epigenetic factors
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• Heritability as high as 79%
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-gene-environment interaction i,-




-Environmental Triggers: i,-




• Regular Cannabis Use
i,- i,- i,-




• Exposure to Early Life Trauma
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➣Sexual Abuse i,-




➣Emotional Abuse i,-




➣Emotional Neglect i,-




➣Bullying


schizophrenia Neuroanatomy -Mesocortical & ventromedial
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prefrontal cortex: negative and affective symptoms
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