MANAGEMENT IN PSYCHIATRIC-MENTAL
HEALTH II PRACTICUM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY
focus on core psychiatric nursing concepts and mental health
management across the lifespan
KEY TOPICS COVERED ON THE MIDTERM
Foundations of psychiatric care
Diagnosis and management
Pharmacology principles
NR 606
Children in the pre-operational stage think _____ and use what to
represent objects? - CORRECT-ANSWERS--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-
ANSWERS--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-ANSWERS--formal operations (12+)
,Can a parent access information if the provider has concerns about
parental abuse or neglect? - CORRECT-ANSWERS--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-ANSWERS--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-ANSWERS--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-ANSWERS--keep them on
current med rather than switching
When should the PMHNP refer the patient to a perinatal psychiatrist -
CORRECT-ANSWERS--when the patient is on a high-risk medication for
pregnancy
most common adverse effect associated with SSRIs and SNRIs - CORRECT-
ANSWERS--neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome - CORRECT-ANSWERS--
Symptoms include tremors, high-pitched crying, and disturbed sleep
increase the risk of atrial septal defects. - CORRECT-ANSWERS--paroextine
, symptoms of newborn toxicity r/t benzodiazepine use during pregnancy -
CORRECT-ANSWERS--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-ANSWERS--valproic acid and
carbamazepine
Atypical antipsychotics that increase risk of gestational diabetes and large
for gestational age infants - CORRECT-ANSWERS--olanzapine and
quetiapine
has also been found to increase the risk of musculoskeletal malformations
in infants - CORRECT-ANSWERS--olanzapine
the most used antipsychotics during pregnancy - CORRECT-ANSWERS--
risperidone and quetiapine
medications that are safe for breast feeding - CORRECT-ANSWERS--SSRIs,
benzos, valproic acid, quetiapine
medications that are safe for bottle feeding - CORRECT-ANSWERS--lithium,
lamotrigine, clozapine
smoking- related pregnancy complications - CORRECT-ANSWERS--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-ANSWERS--
sudden infant death syndrome and birth malformations such as oral clefts
and neural tube defects