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Week 6: 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 6: 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 6: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questions with Verified Answers| 100% Correct- Chamberlain. Week 6: NR606/ NR 606 (Latest Update 2025/ 2026) Diagnosis & Management in Psychiatric Mental Health II Practicum | Questio...

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  • February 4, 2025
  • 44
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • week 6 nr606 nr 606
  • NR606/ NR 606
  • NR606/ NR 606
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Week 6: NR606/ NR 606 (Latest Update 2025/ i,- i,- i,- i,- i,- i,- i,- i,-




2026) Diagnosis & Management in Psychiatrici,- i,- i,- i,- i,- i,-




Mental Health II Practicum | Questions with i,- i,- i,- i,- i,- i,- i,-




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




Aniyah is a 7-year-old who presents to the emergency
i,- i,- i,- i,- i,- i,- i,- i,- i,-



department with complaints of abdominal pain. Her mother i,- i,- i,- i,- i,- i,- i,- i,-



endorses a reduced appetite over the past three days, and she
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



has not had a bowel movement in five days. Aniyah has no past
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



medical history. She lives with her mother and older brother; her
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



parents are separated, and her father moved out two months
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



ago. Aniyah is in second grade; her developmental progress is
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



age-appropriate. The medical team completed an assessment i,- i,- i,- i,- i,- i,- i,-



including an abdominal x-ray, which shows multiple rectangular
i,- i,- i,- i,- i,- i,- i,- i,-



radiopaque foreign bodies in the large intestine. After the x-ray
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



was completed, Aniyah admitted to eating pencil erasers daily for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the past two months.
i,- i,- i,-




Which of the following is the most appropriate ICD-10-CM for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Aniyah?


F98.3
F50.8
F50.9
F32.9 i,-i,- i,- F98.3

,Rationale: Aniyah meets the diagnostic criteria for pica: persistent
i,- i,- i,- i,- i,- i,- i,- i,- i,-



eating of nonfood substances for at least a month, inappropriate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



to developmental level, and not a part of a culturally supported
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



practice. The ICD-10-CM code for pica in children is F98.3 and for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



adults is F50.8. i,- i,-




Nichole is a 17-year-old who is 29 weeks pregnant with her first
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



child. She has no past medical or psychiatric history. She was
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



referred to the PMHNP (Psychiatric Mental Health Nurse
i,- i,- i,- i,- i,- i,- i,- i,-



Practitioner) by her obstetrician (OB) after she admitted to i,- i,- i,- i,- i,- i,- i,- i,- i,-



cravings for and consumption of paper on a regular basis.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



Nichole's OB ordered a complete blood count (CBC), i,- i,- i,- i,- i,- i,- i,- i,-



comprehensive metabolic profile (CMP), and glucose tolerance i,- i,- i,- i,- i,- i,- i,-



test, all of which were normal. Nichole complains of mild
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



heartburn and occasional constipation which she has been i,- i,- i,- i,- i,- i,- i,- i,-



treating with over-the-counter antacids and laxatives. Nichole
i,- i,- i,- i,- i,- i,- i,-



endorses eating about 3-4 sheets of copy paper each day,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



typically during her restroom breaks at school. She has been
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



doing so for the past 8-10 weeks. She has not discussed this
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



behavior with anyone other than her OB; she states that she finds
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the behavior "a bit weird and embarrassing." She states that other
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



than eating paper, s
i,- no i,- i,- i,-i,- i,-




Rationale: Although Nichole believes her behavior is "weird and
i,- i,- i,- i,- i,- i,- i,- i,- i,-



embarrassing," she does not meet the diagnostic criteria for pica. i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

,Although she has been consuming nonfood substances for over a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



month, her behavior is occurring in the context of her pregnancy
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



and the ingestion of paper does not pose potential medical risks.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




Avoidant/restrictive food intake disorder (ARFID) i,- i,- i,- i,- i,-i,- i,- -added to i,- i,-



the DSM-5 in 2013
i,- i,- i,-




-reduced intake of food volume or variety due to:
i,- i,- i,- i,- i,- i,- i,- i,-




• fear of aversive consequences of eating
i,- i,- i,- i,- i,- i,-




• lack of interest in food or eating
i,- i,- i,- i,- i,- i,- i,-




• sensory sensitivity to food
i,- i,- i,- i,-




-thought to be as prevalent as anorexia nervosa & bulimia
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nervosa
-associated with nutritional, medical, and/or psychosocial
i,- i,- i,- i,- i,- i,-



impairment
-Children with ARFID typically eat only a few preferred food items
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




• do not meet nutritional needs
i,- i,- i,- i,- i,-




• habitual food avoidance which affects their weight & nutritional
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



health
• mealtime often disruptive behaviors, spitting food out, batting it
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



away, holding food in the mouth, refusing to swallow it, escapist
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



actions

, increased risk for ARFID i,- i,- i,- i,-i,- i,- -Children with mental health i,- i,- i,- i,-



conditions including: i,-




• anxiety disorders
i,- i,-




• OCD
i,-




• autism spectrum disorder
i,- i,- i,-




• ADHD
i,-




• intellectual disabilities
i,- i,-




-presence of a maternal eating disorder i,- i,- i,- i,- i,-




-Hx of: i,-




• GERD
i,-




• vomiting
i,-




• other medical problems
i,- i,- i,-




Avoidant/restrictive food intake disorder (ARFID) DSM-5-TR dx i,- i,- i,- i,- i,- i,- i,-i,-



requires each of the following:
i,- i,- i,- i,- i,-




-an eating or feeding disturbance that is not due to a food
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



shortage or cultural practice and is associated with one or more
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



of the following:
i,- i,-




• significant weight loss
i,- i,- i,-




• significant nutritional deficiency
i,- i,- i,-




• dependence on enteral feeding or oral nutritional supplements
i,- i,- i,- i,- i,- i,- i,- i,-




• impaired psychosocial functioning
i,- i,- i,-

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