NR 606 Midterm Actual Exam Newest Actual Exam With
Complete Questions And Correct Detailed Answers
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What are barriers to seeking mental health care in children & adolescents? - answer -;Children-
Although children and adolescents may seek help, they usually drop out before treatment is effective
due to poverty, language barriers, living in communities with lack of resources, stressors such as family
issues, violence in the community, unstable housing, unemployment and food insecurity.
Adolescents- Many parents lack an access to sufficient care for their children or themselves during
perinatal. Parents and adolescents are reluctant to receive care due to the stigmas or negative
perceptions towards mental health services.
What are some barriers that pregnant women are faced with when attempting to seek care for mental
health? - answer -;Perinatal- cost, scheduling conflicts and high staff turnover rate causes issues for
families seeking care.
Less than 15% of women get treated for PPD.
Explain the sensorimotor stage (ages 0-2) according to Piaget. - answer -;Children experience the world
through their senses and motor responses. The goal of this stage is object permanence.
Explain the pre-operational stage (ages 2-7) according to Piaget. - answer -;Children think symbolically
and think very concrete. They learn to use words or pictures to represent objects. They are egocentric
and have difficulty seeing things from others' perspectives. Pre-operational thinking is very concrete. So
think very straight forward when you are teaching them:
"You know how its hard for you to sit still and pay attention in school? This medicine will help you" .
Imagination is still strong however abstract thinking is difficult. Think Ade's responses. THE ABSENCE OF
OBJECT PERMANENCE.
,Explain the concrete-operational stage (ages 7-11) according to Piaget. - answer -;Children begin to
think more logical and organized about concrete events. They begin to reason inductively, from specific
information to principles. Using similes within teaching is great for this group.
"It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like fixing
the brakes." Time, space, and quantity is understood however not as separate concepts.
Explain the Formal-operational stage (ages 12 and up) according to Piaget. - answer -;Adolescents and
young adults begin to reason abstractly and can consider hypothetical problems. They begin to think
more about moral, philosophical, ethical, social, and political issues.
"This medication can help you ignore distractions so you can complete tasks. They can also help with
self-control, which may help you get along better with your friends and parents. Do you have any
concerns about taking the medication?" They begin to start planning at this age.
-50% of lifetime mental illnesses begin at the age of 14.
-50% of children ages 8-15 are not treated for mental illnesses - answer -;
How does consent work with children? - answer -;Parents may decide whether to allow treatment if the
child is unable to provide true informed consent (Preston et al., 2021). Although children may not be
able to give legal consent, they should be included in discussions about medication and treatment
whenever possible. Child input into treatment decisions may encourage treatment adherence. Positive
experiences with providers and treatment can help instill the perception that treatment is beneficial,
which can support positive mental health behaviors in the future.
What should be included in the consent form and documentation when discussing information (such as
taking psychotropic drugs) with pregnant patients? - answer -;Informed consent should include
side effects
possible/rare side effects to mother and baby regardless of incidence
the patient's decision to continue or discontinue treatment
potential risks of continuing or discontinuing treatment
Referral to perinatal psychiatrist if the patient is at high risk or on a high-risk medication.
complications of opioid use during the perinatal period - 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 -
answer -;structural stigma
an example of structural stigma - 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. - answer -;public stigma
refers to the shame individuals internalize about negative stereotypes, may prevent themselves from
seeking help - 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. - 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 - answer -;Tobacco, Alcohol, Prescription medication, and other
Substance Use (TAPS) Tool
assess substance use disorder risks among adolescents 12-17 years old. - answer -;NIDAMED's Screening
Tools for Adolescent Substance Use
when is inpatient treatment recommended for alcohol use disorder in pregnant women? - 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 - answer -;nicotine replacement therapy
(NRT), bupropion, or a combination
why use IR over ER in pregnancy - answer -;an help minimize infant exposure during pregnancy and
breastfeeding.
, OUD meds that are safe during pregnancy - answer -;methadone and buprenorphine
OUD meds that are safe during breastfeeding - answer -;methadone, buprenorphine, and naltrexone
neurological condition characterized by persistent, uncontrollable worrying that causes emotional
distress + symptoms on most days, for a period of at least six months. - answer -;GAD
mood disorder characterized by depressive symptoms that last longer than two weeks + 5 or more of
the following: irritable mood, diminished interest in activities, significant weight or appetite changes,
fatigue, feelings of worthlessness, sleep disturbances, and the diminished ability to concentrate -
answer -;MDD
Untreated MMHDs can have long-term negative impact on mother including - answer -;Have poor
nutrition
Use substances such as alcohol, tobacco, or drugs
Experience physical, emotional, or sexual abuse
Be less responsive to baby's cues
Have fewer positive interactions with baby
Experience breastfeeding challenges
Question their competence as mothers
Untreated MMHDs can have long-term negative impact on the child including - answer -;Low birth
weight or small head size
Pre-term birth
Longer stay in the NICU
Excessive crying
Impaired parent-child interactions
Social-emotional, cognitive, language, motor, and adaptive behavior development
Adverse Childhood Experience
Complete Questions And Correct Detailed Answers
(Verified Answers) |Already Graded A+
What are barriers to seeking mental health care in children & adolescents? - answer -;Children-
Although children and adolescents may seek help, they usually drop out before treatment is effective
due to poverty, language barriers, living in communities with lack of resources, stressors such as family
issues, violence in the community, unstable housing, unemployment and food insecurity.
Adolescents- Many parents lack an access to sufficient care for their children or themselves during
perinatal. Parents and adolescents are reluctant to receive care due to the stigmas or negative
perceptions towards mental health services.
What are some barriers that pregnant women are faced with when attempting to seek care for mental
health? - answer -;Perinatal- cost, scheduling conflicts and high staff turnover rate causes issues for
families seeking care.
Less than 15% of women get treated for PPD.
Explain the sensorimotor stage (ages 0-2) according to Piaget. - answer -;Children experience the world
through their senses and motor responses. The goal of this stage is object permanence.
Explain the pre-operational stage (ages 2-7) according to Piaget. - answer -;Children think symbolically
and think very concrete. They learn to use words or pictures to represent objects. They are egocentric
and have difficulty seeing things from others' perspectives. Pre-operational thinking is very concrete. So
think very straight forward when you are teaching them:
"You know how its hard for you to sit still and pay attention in school? This medicine will help you" .
Imagination is still strong however abstract thinking is difficult. Think Ade's responses. THE ABSENCE OF
OBJECT PERMANENCE.
,Explain the concrete-operational stage (ages 7-11) according to Piaget. - answer -;Children begin to
think more logical and organized about concrete events. They begin to reason inductively, from specific
information to principles. Using similes within teaching is great for this group.
"It's kind of like you've got a great bike. The brakes just need some fixing. The medication is like fixing
the brakes." Time, space, and quantity is understood however not as separate concepts.
Explain the Formal-operational stage (ages 12 and up) according to Piaget. - answer -;Adolescents and
young adults begin to reason abstractly and can consider hypothetical problems. They begin to think
more about moral, philosophical, ethical, social, and political issues.
"This medication can help you ignore distractions so you can complete tasks. They can also help with
self-control, which may help you get along better with your friends and parents. Do you have any
concerns about taking the medication?" They begin to start planning at this age.
-50% of lifetime mental illnesses begin at the age of 14.
-50% of children ages 8-15 are not treated for mental illnesses - answer -;
How does consent work with children? - answer -;Parents may decide whether to allow treatment if the
child is unable to provide true informed consent (Preston et al., 2021). Although children may not be
able to give legal consent, they should be included in discussions about medication and treatment
whenever possible. Child input into treatment decisions may encourage treatment adherence. Positive
experiences with providers and treatment can help instill the perception that treatment is beneficial,
which can support positive mental health behaviors in the future.
What should be included in the consent form and documentation when discussing information (such as
taking psychotropic drugs) with pregnant patients? - answer -;Informed consent should include
side effects
possible/rare side effects to mother and baby regardless of incidence
the patient's decision to continue or discontinue treatment
potential risks of continuing or discontinuing treatment
Referral to perinatal psychiatrist if the patient is at high risk or on a high-risk medication.
complications of opioid use during the perinatal period - 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 -
answer -;structural stigma
an example of structural stigma - 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. - answer -;public stigma
refers to the shame individuals internalize about negative stereotypes, may prevent themselves from
seeking help - 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. - 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 - answer -;Tobacco, Alcohol, Prescription medication, and other
Substance Use (TAPS) Tool
assess substance use disorder risks among adolescents 12-17 years old. - answer -;NIDAMED's Screening
Tools for Adolescent Substance Use
when is inpatient treatment recommended for alcohol use disorder in pregnant women? - 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 - answer -;nicotine replacement therapy
(NRT), bupropion, or a combination
why use IR over ER in pregnancy - answer -;an help minimize infant exposure during pregnancy and
breastfeeding.
, OUD meds that are safe during pregnancy - answer -;methadone and buprenorphine
OUD meds that are safe during breastfeeding - answer -;methadone, buprenorphine, and naltrexone
neurological condition characterized by persistent, uncontrollable worrying that causes emotional
distress + symptoms on most days, for a period of at least six months. - answer -;GAD
mood disorder characterized by depressive symptoms that last longer than two weeks + 5 or more of
the following: irritable mood, diminished interest in activities, significant weight or appetite changes,
fatigue, feelings of worthlessness, sleep disturbances, and the diminished ability to concentrate -
answer -;MDD
Untreated MMHDs can have long-term negative impact on mother including - answer -;Have poor
nutrition
Use substances such as alcohol, tobacco, or drugs
Experience physical, emotional, or sexual abuse
Be less responsive to baby's cues
Have fewer positive interactions with baby
Experience breastfeeding challenges
Question their competence as mothers
Untreated MMHDs can have long-term negative impact on the child including - answer -;Low birth
weight or small head size
Pre-term birth
Longer stay in the NICU
Excessive crying
Impaired parent-child interactions
Social-emotional, cognitive, language, motor, and adaptive behavior development
Adverse Childhood Experience
