NR 606 Complete Exam Guide Clinical
Practicum Questions & Model Answers
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✔✔paroextine
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 - 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
Practicum Questions & Model Answers
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✔✔paroextine
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 - 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
