NR 606 Midterm Exam UPDATED
QUESTIONS AND CORRECT 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
QUESTIONS AND CORRECT 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
