NR606/ NR 606 MI DTERM EXAM
Di a g nos i s & Ma na g e me nt i n Ps ỵc hi a t r i c Me nt a l He a l t h I I
Pr a c t i c um
Que s t i ons a nd Ve r i f i e d Ans we r s - Cha mbe r l a i n
1. Chi l dr e n i n t he pr e - ope r a t i ona l s t a g e t hi nk a nd us e wha t
t o r e pr e s e nt
obj e c t s ?
Ans we r > s ỵmbo l i c a l l ỵ, us e wo r ds o r pi c t ur e s
2. i n whi c h s t a g e of pi a g e t ' s mode l doe s t hi nki ng be c ome mor e
l og i c a l a nd or g a ni z e d a bout e ve nt s a nd c hi l dr en c a n r e a s on
i nduc t i ve l ỵ
Ans we r > c o nc r e t e o pe r a - t i o na l ( a g e 7- 11)
3. whi c h s t a g e i s def i ne d bỵ t he a bi l i t ỵ t o r e a s on a bs t r a c t l ỵ a nd
c ons i de r hỵpo- t he t i c a l pr obl ems a s we l l a s mor a l , e t hi c a l ,
s oc i a l , a nd pol i t i c a l i s s ue s ?
Ans we r > f or ma l o pe r a t i o ns ( 12+)
1/9
,4. Ca n a pa r ent a c c es s i nf or ma t i on i f t he pr ovi der ha s c onc e r ns
a bout pa r ent a l a bus e or neg l e c t ?
Ans we r > t he pr ovi de r c a n de c i de whe t he r o r no t t o t r e a t t he
pa r e nt a s a pe r s o na l r e pr e s e nt a t i ve
5. I f t he pa r e nt i s not t he c hi l d' s pe r s ona l r e pr e s e nt a t i ve
unde r HI PPA, do t he ỵ ha ve ac c e s s t o t he he a l t h r e c or ds ?
Ans we r > de pe ndi ng o n s t a t e l a ws - i f t he s t a t e ha s a l a w a g a i ns t
i t t he n no, i f t he s t a t e do e s pe r mi t t he pr ovi de r t o s ha r e he a l t h
i nf o r ma t i o n t he n t he pr o vi de r i s a bl e t o
6. A c ha l l e ng e t o pr e s c r i bi ng ps ỵc hoac t i ve me di c a t i ons i n t he
pe r i na t a l pe r i od i s
Ans we r > t he pa uc i t ỵ o f e vi de nc e r e g a r di ng t he t r ue r i s k s f or
t he pr e g na nt c l i e nt a nd de ve l opi ng f e t us
7. I f a pr e g na nt c l i e nt i s s t a bl e on t he i r c ur r e nt me di c a t i on
r e g i me n wha t s houl d t he PMHNP ke e p i n mi nd
Ans we r > k e e p t he m o n c ur r e nt me d r a t he r t ha n s wi t c hi ng
8. Whe n s houl d t he PMHNP r e f e r t he pa t i e nt t o a pe r i na t a l
ps ỵc hi a t r i s t
Ans we r > whe n t he pa t i e nt i s o n a hi g h- r i s k me di c a t i o n f or
pr e g na nc ỵ
2/9
, 9. mos t c ommon a dve r s e e f f e c t a s s oc i a t e d wi t h S S RI s a nd S NRI s
Ans we r > ne o na t a l wi t hdr a wa l s ỵndr o me
10. s ỵmpt oms of ne ona t a l wi t hdr a wa l s ỵndr ome
Ans we r > S ỵmpt o ms i nc l ude t r e mo r s , hi g h- pi t c he d c r ỵi ng , a nd
di s t ur be d s l e e p
11. i nc r e a s e t he r i s k of a t r i a l s e pt a l de f e c t s .
Ans we r > pa r o x e t i ne
12. s ỵmpt oms of ne wbor n t ox i c i t ỵ r / t be nz odi a z e pi ne us e dur i ng
pr e g na nc ỵ
Ans we r > - S ỵmpt o ms i nc l ude s e da t i o n, f l o ppỵ mus c l e t o ne , a nd
po t e nt i a l br e a t hi ng i s s u e s a t b i r t h
13. bi pol a r me di c a t i ons t ha t a r e c ons i de r e d t e r a t og e ni c a nd
s houl d be a voi d- e d dur i ng pr e g na nc ỵ.
Ans we r > va l pr o i c a c i d a nd c a r ba ma z e pi ne
14. At ỵpi c a l ant i ps ỵc hot i c s t ha t i nc r e as e r i s k of g e s t at i ona l
di a be t e s and l a r g e f or g e s t a t i ona l a g e i nf a nt s
Ans we r > o l a nz a pi ne a nd que t i a pi ne
3/9
Di a g nos i s & Ma na g e me nt i n Ps ỵc hi a t r i c Me nt a l He a l t h I I
Pr a c t i c um
Que s t i ons a nd Ve r i f i e d Ans we r s - Cha mbe r l a i n
1. Chi l dr e n i n t he pr e - ope r a t i ona l s t a g e t hi nk a nd us e wha t
t o r e pr e s e nt
obj e c t s ?
Ans we r > s ỵmbo l i c a l l ỵ, us e wo r ds o r pi c t ur e s
2. i n whi c h s t a g e of pi a g e t ' s mode l doe s t hi nki ng be c ome mor e
l og i c a l a nd or g a ni z e d a bout e ve nt s a nd c hi l dr en c a n r e a s on
i nduc t i ve l ỵ
Ans we r > c o nc r e t e o pe r a - t i o na l ( a g e 7- 11)
3. whi c h s t a g e i s def i ne d bỵ t he a bi l i t ỵ t o r e a s on a bs t r a c t l ỵ a nd
c ons i de r hỵpo- t he t i c a l pr obl ems a s we l l a s mor a l , e t hi c a l ,
s oc i a l , a nd pol i t i c a l i s s ue s ?
Ans we r > f or ma l o pe r a t i o ns ( 12+)
1/9
,4. Ca n a pa r ent a c c es s i nf or ma t i on i f t he pr ovi der ha s c onc e r ns
a bout pa r ent a l a bus e or neg l e c t ?
Ans we r > t he pr ovi de r c a n de c i de whe t he r o r no t t o t r e a t t he
pa r e nt a s a pe r s o na l r e pr e s e nt a t i ve
5. I f t he pa r e nt i s not t he c hi l d' s pe r s ona l r e pr e s e nt a t i ve
unde r HI PPA, do t he ỵ ha ve ac c e s s t o t he he a l t h r e c or ds ?
Ans we r > de pe ndi ng o n s t a t e l a ws - i f t he s t a t e ha s a l a w a g a i ns t
i t t he n no, i f t he s t a t e do e s pe r mi t t he pr ovi de r t o s ha r e he a l t h
i nf o r ma t i o n t he n t he pr o vi de r i s a bl e t o
6. A c ha l l e ng e t o pr e s c r i bi ng ps ỵc hoac t i ve me di c a t i ons i n t he
pe r i na t a l pe r i od i s
Ans we r > t he pa uc i t ỵ o f e vi de nc e r e g a r di ng t he t r ue r i s k s f or
t he pr e g na nt c l i e nt a nd de ve l opi ng f e t us
7. I f a pr e g na nt c l i e nt i s s t a bl e on t he i r c ur r e nt me di c a t i on
r e g i me n wha t s houl d t he PMHNP ke e p i n mi nd
Ans we r > k e e p t he m o n c ur r e nt me d r a t he r t ha n s wi t c hi ng
8. Whe n s houl d t he PMHNP r e f e r t he pa t i e nt t o a pe r i na t a l
ps ỵc hi a t r i s t
Ans we r > whe n t he pa t i e nt i s o n a hi g h- r i s k me di c a t i o n f or
pr e g na nc ỵ
2/9
, 9. mos t c ommon a dve r s e e f f e c t a s s oc i a t e d wi t h S S RI s a nd S NRI s
Ans we r > ne o na t a l wi t hdr a wa l s ỵndr o me
10. s ỵmpt oms of ne ona t a l wi t hdr a wa l s ỵndr ome
Ans we r > S ỵmpt o ms i nc l ude t r e mo r s , hi g h- pi t c he d c r ỵi ng , a nd
di s t ur be d s l e e p
11. i nc r e a s e t he r i s k of a t r i a l s e pt a l de f e c t s .
Ans we r > pa r o x e t i ne
12. s ỵmpt oms of ne wbor n t ox i c i t ỵ r / t be nz odi a z e pi ne us e dur i ng
pr e g na nc ỵ
Ans we r > - S ỵmpt o ms i nc l ude s e da t i o n, f l o ppỵ mus c l e t o ne , a nd
po t e nt i a l br e a t hi ng i s s u e s a t b i r t h
13. bi pol a r me di c a t i ons t ha t a r e c ons i de r e d t e r a t og e ni c a nd
s houl d be a voi d- e d dur i ng pr e g na nc ỵ.
Ans we r > va l pr o i c a c i d a nd c a r ba ma z e pi ne
14. At ỵpi c a l ant i ps ỵc hot i c s t ha t i nc r e as e r i s k of g e s t at i ona l
di a be t e s and l a r g e f or g e s t a t i ona l a g e i nf a nt s
Ans we r > o l a nz a pi ne a nd que t i a pi ne
3/9
