NR 606 Midterm Exam 2025/2026 Summer/Fall Semesters. Complete Questions and Verified Answers (100% Correct Elaborations). Chamberlain University.

NR 606 Midterm Exam 2025/2026 Summer/Fall Semesters. Complete Questions and Verified Answers (100% Correct Elaborations). Chamberlain University. Children in the pre-operational stage think and use what to represent objects? - CORRECT ANSWER :symbolically, use words or pictures in which stage of Piaget’s model does thinking become more logical and organized about events and children can reason inductively - CORRECT ANSWER :concrete operational (age 7-11) which stage is defined by the ability to reason abstractly and consider hypothetical problems as well as moral, ethical, social, and political issues? - CORRECT ANSWER :formal operations (12+) Can a parent access information if the provider has concerns about parental abuse or neglect? - CORRECT ANSWER :the provider can decide whether or not to treat the parent as a personal representative If the parent is not the child's personal representative under HIPPA, do they have access to the health records? - CORRECT ANSWER :depending on state laws- if the state has a law against it then no, if the state does permit the provider to share health information, then the provider is able to A challenge to prescribing psychoactive medications in the perinatal period is - CORRECT ANSWER :the paucity of evidence regarding the true risks for the pregnant client and developing fetus If a pregnant client is stable on their current medication regimen what should the PMHNP keep in mind - CORRECT ANSWER :keep them on current med rather than switching When should the PMHNP refer the patient to a perinatal psychiatrist - CORRECT ANSWER :when the patient is on a high-risk medication for pregnancy most common adverse effect associated with SSRIs and SNRIs - CORRECT ANSWER :neonatal withdrawal syndrome symptoms of neonatal withdrawal syndrome - CORRECT ANSWER :Symptoms include tremors, high-pitched crying, and disturbed sleep increase the risk of atrial septal defects. - CORRECT ANSWER :paroxetine NR 606 Diagnosis & Management in Psychiatric-Mental Health II Practicum symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - CORRECT ANSWER :Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth bipolar medications that are considered teratogenic and should be avoided during pregnancy. - CORRECT ANSWER :valproic acid and carbamazepine Atypical antipsychotics that increase risk of gestational diabetes and large for gestational age infants - CORRECT ANSWER :olanzapine and quetiapine has also been found to increase the risk of musculoskeletal malformations in infants - CORRECT ANSWER :olanzapine the most used antipsychotics during pregnancy - CORRECT ANSWER :risperidone and quetiapine medications that are safe for breast feeding - CORRECT ANSWER :SSRIs, benzos, valproic acid, quetiapine medications that are safe for bottle feeding - CORRECT ANSWER :lithium, lamotrigine, clozapine smoking- related pregnancy complications - CORRECT ANSWER :ectopic pregnancy, placental abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low birth weight infants Smoking-related effects on neonates include - CORRECT ANSWER :sudden infant death syndrome and birth malformations such as oral clefts and neural tube defects smoking effects on infants, children, and adolescents include - CORRECT ANSWER :asthma, cognitive impairment, lower respiratory illness, attention deficit hyperactivity disorder (ADHD), and central nervous system tumors Health problems associated with alcohol use disorder include - CORRECT ANSWER :increased risk for miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational age, and preterm delivery risk of using cannabis during the perinatal period - CORRECT ANSWER :including preterm labor, low birth weight and small for gestational age deliveries, and adverse effects on fetal and adolescent brain growth, executive functioning skills, behavioral problems, and academic achievement Cocaine use during pregnancy is linked with poor pregnancy-related outcomes including NR 606 Diagnosis & Management in Psychiatric-Mental Health II Practicum - CORRECT ANSWER :premature rupture of membranes, placental abruption, preterm birth, low birth weight, and small for gestational age deliveries, as well as long-term effects in children and adolescents including lower short- term memory, child and adolescent delinquent behavior, earlier age of sexual activity, and substance use complications of opioid use during the perinatal period - CORRECT ANSWER :Eclampsia, heart attack or heart failure, and sepsis. Infants experience significant adverse effects, including neonatal abstinence syndrome, third trimester bleeding and mortality, postnatal growth deficiency, microcephaly, neurobehavioral problems, and sudden infant death syndrome includes policies, regulations, or laws that intentionally or unintentionally lead to discrimination - CORRECT ANSWER :structural stigma an example of structural stigma - CORRECT ANSWER :MAT encompasses the attitudes, beliefs, and behaviors of groups or individuals which form a stereotype that creates an emotional reaction or prejudice and results in discrimination. - CORRECT ANSWER :public stigma refers to the shame individuals internalize about negative stereotypes, may prevent themselves from seeking help - CORRECT ANSWER :self-stigma only validated behavioral health screening instrument designed specifically for pregnant women. It screens for alcohol, tobacco, marijuana, and illicit drug use. In addition, validated screening questions for depression and domestic violence can be included. - CORRECT ANSWER :The 4Ps Plus validated for use with adults to generate a risk level for each substance class. It can be self-administered or conducted via clinician interview and combines screening and brief assessment of past 90-day problematic use into one tool - CORRECT ANSWER :Tobacco, Alcohol, Prescription medication, and other Substance Use (TAPS) Tool assess substance use disorder risks among adolescents 12-17 years old. - CORRECT ANSWER :NIDAMED's Screening Tools for Adolescent Substance Use NR 606 Diagnosis & Management in Psychiatric-Mental Health II Practicum when is inpatient treatment recommended for alcohol use disorder in pregnant women? - CORRECT ANSWER :for clients at risk for moderate, severe, or complicated alcohol withdrawal as indicated by a score of more than 10 on the CIWA meds for tobacco use disorder that are safe in pregnancy - CORRECT ANSWER :nicotine replacement therapy (NRT), bupropion, or a combination why use IR over ER in pregnancy - CORRECT ANSWER :an help minimize infant exposure during pregnancy and breastfeeding. OUD meds that are safe during pregnancy - CORRECT ANSWER :methadone and buprenorphine