NR606/ NR 606 Midterm Exam
Diagnosis & Management in Psychiatric Mental Health II Practicum
Expected Questions and Verified Answers
1. Children in the pre-operational stage think and use what to represen
objects?
Ans>> symbolically, use words or pictures
2. in which stage of piaget's model does thinking become more
logical and organized about events and children can reason
inductively
Ans>> concrete opera- tional (age 7-11)
3. which stage is defined by the ability to reason abstractly and consider
hypo- thetical problems as well as moral, ethical, social, and political
issues?
Ans>> formal operations (12+)
1/
9
,4. Can a parent access information if the provider has concerns about
parental abuse or neglect?
Ans>> the provider can decide whether or not to treat the parent as a personal
representative
5. If the parent is not the child's personal representative under HIPPA,
do they have access to the health records?
Ans>> 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
6. A challenge to prescribing psychoactive medications in the perinatal
period is
Ans>> the paucity of evidence regarding the true risks for the pregnant client and
developing fetus
7. If a pregnant client is stable on their current medication regimen
what should the PMHNP keep in mind
Ans>> keep them on current med rather than switching
2/
9
, 8. When should the PMHNP refer the patient to a perinatal psychiatrist
Ans>> when the patient is on a high-risk medication for pregnancy
9. most common adverse effect associated with SSRIs and SNRIs
Ans>> neonatal withdrawal syndrome
10.symptoms of neonatal withdrawal syndrome
Ans>> Symptoms include tremors, high-pitched crying, and disturbed sleep
11.increase the risk of atrial septal defects.
Ans>> paroxetine
12.symptoms of newborn toxicity r/t benzodiazepine use during pregnanc
Ans>> - Symptoms include sedation, floppy muscle tone, and potential breathing
issues at birth
13.bipolar medications that are considered teratogenic and should be
avoid- ed
3/
9
Diagnosis & Management in Psychiatric Mental Health II Practicum
Expected Questions and Verified Answers
1. Children in the pre-operational stage think and use what to represen
objects?
Ans>> symbolically, use words or pictures
2. in which stage of piaget's model does thinking become more
logical and organized about events and children can reason
inductively
Ans>> concrete opera- tional (age 7-11)
3. which stage is defined by the ability to reason abstractly and consider
hypo- thetical problems as well as moral, ethical, social, and political
issues?
Ans>> formal operations (12+)
1/
9
,4. Can a parent access information if the provider has concerns about
parental abuse or neglect?
Ans>> the provider can decide whether or not to treat the parent as a personal
representative
5. If the parent is not the child's personal representative under HIPPA,
do they have access to the health records?
Ans>> 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
6. A challenge to prescribing psychoactive medications in the perinatal
period is
Ans>> the paucity of evidence regarding the true risks for the pregnant client and
developing fetus
7. If a pregnant client is stable on their current medication regimen
what should the PMHNP keep in mind
Ans>> keep them on current med rather than switching
2/
9
, 8. When should the PMHNP refer the patient to a perinatal psychiatrist
Ans>> when the patient is on a high-risk medication for pregnancy
9. most common adverse effect associated with SSRIs and SNRIs
Ans>> neonatal withdrawal syndrome
10.symptoms of neonatal withdrawal syndrome
Ans>> Symptoms include tremors, high-pitched crying, and disturbed sleep
11.increase the risk of atrial septal defects.
Ans>> paroxetine
12.symptoms of newborn toxicity r/t benzodiazepine use during pregnanc
Ans>> - Symptoms include sedation, floppy muscle tone, and potential breathing
issues at birth
13.bipolar medications that are considered teratogenic and should be
avoid- ed
3/
9
