NR 606 Midterm Study Guide EXAM / NR 606 MIDTERM ACTUAL
EXAM COMPLETE REAL QUESTIONS AND WELL ELABORATED
ANSWERS (CORRECT VERIFIED ANSWERS) LATEST UPDATES
|GUARANTEED PASS. (BRAND NEW!!) NR605 MIDTERM 2026-2027
Piaget's Stages of Cognitive Development
-Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical
operations
• Child can understand theories, hypothesize, comprehend abstract
ideas (love & justice)
,Screening, Brief Intervention, Referral to Treatment (SBIRT)
-Screening
• Quickly assesses severity of substance use & ID the appropriate level
of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding
substance use & motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive
tx with access to specialty care
Medication-Assisted Treatment (MAT)
Treatment for opioid use disorder combining the use of medications
(methadone, buprenorphine, or naltrexone) with counseling and
behavioral therapies.
Mental health and youth
-13% of children ages 8-15 experience a mental health condition
-50% of children ages 8-15 experiencing a mental health condition do
not receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a
mental health condition in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
,Barriers to Mental Health Treatment in Children and Adolescents
-lack of sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Prescribing Considerations for Children and Adolescents
-physiologic factors impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger
dose of med per unit of body weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not
be able to communicate complaints
, Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD
(Attention Deficit Hyperactivity Disorders) for the first time.
Consider Piaget's stages, match the developmentally-
appropriate education statements with the correct client:
"It's kind of like you've got a great bike. The brakes just need some
fixing. The medication is like fixing the brakes."
"This medication can help you ignore distractions so you can
complete tasks. They can also help with self-control, which ma
"Do you know how it's sometimes hard for you to sit still and pay
attention at school? This medicine will help you."
Rationale: Kassia is in the Preoperational Stage. This stage usually
lasts from ages 2-7. Children think symbolically. They learn to use
words or pictures to represent objects. They are egocentric and
have difficulty seeing things from others' perspectives.
Preoperational thinking is very concrete.
EXAM COMPLETE REAL QUESTIONS AND WELL ELABORATED
ANSWERS (CORRECT VERIFIED ANSWERS) LATEST UPDATES
|GUARANTEED PASS. (BRAND NEW!!) NR605 MIDTERM 2026-2027
Piaget's Stages of Cognitive Development
-Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
• Adolescent can use abstract reasoning in addition to logical
operations
• Child can understand theories, hypothesize, comprehend abstract
ideas (love & justice)
,Screening, Brief Intervention, Referral to Treatment (SBIRT)
-Screening
• Quickly assesses severity of substance use & ID the appropriate level
of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding
substance use & motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive
tx with access to specialty care
Medication-Assisted Treatment (MAT)
Treatment for opioid use disorder combining the use of medications
(methadone, buprenorphine, or naltrexone) with counseling and
behavioral therapies.
Mental health and youth
-13% of children ages 8-15 experience a mental health condition
-50% of children ages 8-15 experiencing a mental health condition do
not receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a
mental health condition in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
,Barriers to Mental Health Treatment in Children and Adolescents
-lack of sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
➣problems in the family
➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
Prescribing Considerations for Children and Adolescents
-physiologic factors impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger
dose of med per unit of body weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not
be able to communicate complaints
, Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD
(Attention Deficit Hyperactivity Disorders) for the first time.
Consider Piaget's stages, match the developmentally-
appropriate education statements with the correct client:
"It's kind of like you've got a great bike. The brakes just need some
fixing. The medication is like fixing the brakes."
"This medication can help you ignore distractions so you can
complete tasks. They can also help with self-control, which ma
"Do you know how it's sometimes hard for you to sit still and pay
attention at school? This medicine will help you."
Rationale: Kassia is in the Preoperational Stage. This stage usually
lasts from ages 2-7. Children think symbolically. They learn to use
words or pictures to represent objects. They are egocentric and
have difficulty seeing things from others' perspectives.
Preoperational thinking is very concrete.
