NR 606 Complete Exam Guide Clinical Practicum Questions & Model Answers.pdf

Nr 606 Complete Exam Guide Clinical Practicum
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Questions & Model Answers v v v v




Children in the pre-operational stage think _____ and use what to represent objects? - CORRECT ANSWER✔
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✔symbolically, use words or pictures v v v v




in which stage of piaget's model does thinking become more logical and organized about events and
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children can reason inductively - CORRECT ANSWER✔✔concrete operational (age 7-11)
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which stage is defined by the ability to reason abstractly and consider hypothetical problems as well as
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moral, ethical, social, and political issues? - CORRECT ANSWER✔✔formal operations (12+)
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Can a parent access information if the provider has concerns about parental abuse or neglect? - CORRECT
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ANSWER✔✔the provider can decide whether or not to treat the parent as a personal representative
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If the parent is not the child's personal representative under HIPPA, do they have access to the health
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records? - CORRECT ANSWER✔✔depending on state laws- if the state has a law against it then no, if the
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state does permit the provider to share health information then the provider is able to
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A challenge to prescribing psychoactive medications in the perinatal period is - CORRECT ANSWER✔✔the
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paucity of evidence regarding the true risks for the pregnant client and developing fetus
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,If a pregnant client is stable on their current medication regimen what should the PMHNP keep in mind -
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CORRECT ANSWER✔✔keep them on current med rather than switching
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When should the PMHNP refer the patient to a perinatal psychiatrist - CORRECT ANSWER✔✔when the
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patient is on a high-risk medication for pregnancy
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most common adverse effect associated with SSRIs and SNRIs - CORRECT ANSWER✔✔neonatal
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withdrawal syndrome
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symptoms of neonatal withdrawal syndrome - CORRECT ANSWER✔✔Symptoms include tremors, high-
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pitched crying, and disturbed sleep
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increase the risk of atrial septal defects. - CORRECT ANSWER✔✔paroextine
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symptoms of newborn toxicity r/t benzodiazepine use during pregnancy - CORRECT ANSWER✔✔
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Symptoms include sedation, floppy muscle tone, and potential breathing issues at birth
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bipolar medications that are considered teratogenic and should be avoided during pregnancy. - CORRECT
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ANSWER✔✔valproic acid and carbamazepine
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Atypical antipsychotics that increase risk of gestational diabetes and large for gestational age infants -
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CORRECT ANSWER✔✔olanzapine and quetiapine
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has also been found to increase the risk of musculoskeletal malformations in infants - CORRECT ANSWER✔
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✔olanzapine



the most used antipsychotics during pregnancy - CORRECT ANSWER✔✔risperidone and quetiapine
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, medications that are safe for breast feeding - CORRECT ANSWER✔✔SSRIs, benzos, valproic acid,
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quetiapine
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medications that are safe for bottle feeding - CORRECT ANSWER✔✔lithium, lamotrigine, clozapine
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smoking- related pregnancy complications - CORRECT ANSWER✔✔ectopic pregnancy, placental
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abruption, placenta previa, fetal mortality, and stillbirth, as well as preterm birth and low birth weight
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infants
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Smoking-related effects on neonates include - CORRECT ANSWER✔✔sudden infant death syndrome and
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birth malformations such as oral clefts and neural tube defects
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smoking effects on infants, children, and adolescents include - CORRECT ANSWER✔✔asthma, cognitive
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impairment, lower respiratory illness, attention deficit hyperactivity disorder (ADHD), and central nervous
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system tumors
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Health problems associated with alcohol use disorder include - CORRECT ANSWER✔✔increased risk for
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miscarriage, stillbirth, congenital anomalies, low birth weight, small for gestational age, and preterm
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delivery
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risk of using cannabis during the perinatal period - CORRECT ANSWER✔✔including preterm labor, low birth
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weight and small for gestational age deliveries, and adverse effects on fetal and adolescent brain growth,
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executive functioning skills, behavioral problems, and academic achievement
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Cocaine use during pregnancy is linked with poor pregnancy-related outcomes including - CORRECT
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ANSWER✔✔premature rupture of membranes, placental abruption, preterm birth, low birth weight, and
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small for gestational age deliveries, as well as long-term effects in children and adolescents including lower
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short-term memory, child and adolescent delinquent behavior, earlier age of sexual activity, and substance
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use
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