NR 439 evidence based practice EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

NR EXAM
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Exam Solution
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NR606 Midterm Exam 2026 A+ GRADE ASSURED COMP
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LETE SOLUTIONS AND VERIFIED ANSWERS (829FC)
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QUESTION 1 zm




Steps for Obtaining Informed Consent
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ANSWER

-Assess pt ability to understand medical info, tx options, to make a voluntary decision. -
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Present relevant info with accuracy and sensitivity: • diagnosis • nature & purpose of tx options • b
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enefits, risks, burdens of all tx options, including forgoing tx -
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Document informed consent conversation in the medical record, including all consent forms.
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QUESTION 2 zm




Underlying assumptions for child and adolescent psychotherapy
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ANSWER

Developmental considerations Family involvement Systems involvement Resiliency
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QUESTION 3 zm




Piaget's Stages of Cognitive Development
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ANSWER

-Sensorimotor stage: Birth- zm zm



2 yrs • cognitive abilities based on reflexes • object permanence & causality -
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Preoperational stage: 2- zm zm



7yrs • can use mental representations, symbolic thought, & language • thinking is egocentric -
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Concrete operational stage: 7-
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11yrs • logical operations when thinking/solving problems • thinking is concrete -
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Formal operational stage: 12yrs+ • Adolescent can use abstract reasoning in addition to logical oper
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ations • Child can understand theories, hypothesize, comprehend abstract ideas (love & justice)
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QUESTION 4 zm

,Screening, Brief Intervention, Referral to Treatment (SBIRT)
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ANSWER

-Screening • Quickly assesses severity of substance use & ID the appropriate level of tx -
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Brief intervention • Focuses on increasing insight & awareness regarding substance use & motivatio
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n toward behavioral change -
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Referral • Guidance to tx provides those identified as needing more extensive tx with access to speci
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alty care zm




QUESTION 5 zm




Medication-Assisted Treatment (MAT) zm zm




ANSWER

Treatment for opioid use disorder combining the use of medications (methadone, buprenorphine, or
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naltrexone) with counseling and behavioral therapies.
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QUESTION 6 zm




Mental health and youth zm zm zm




ANSWER

-13% of children ages 8-15 experience a mental health condition -50% of children ages 8-
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15 experiencing a mental health condition do not receive tx -13-
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20% of children living in the U.S. (1 out of 5 children) experience a mental health condition in a giv
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en year -17% of high school students seriously consider suicide -
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1/2 of all lifetime cases of mental illness begin by age 14
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QUESTION 7 zm




Barriers to Mental Health Treatment in Children and Adolescents
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ANSWER

-lack of sufficient information or access to services -
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stigmas or negative perceptions towards mental health services -
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many drop out before receiving effective treatment, often due to: • poverty • language barriers • livi
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ng in communities with scarce resources • stressors such as ➣problems in the family ➣violence in t
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he community ➣unstable housing ➣unemployment ➣food insecurity -Cost -scheduling conflicts -
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long waitlists for services -high staff turnover
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QUESTION 8 zm




Prescribing Considerations for Children and Adolescents
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ANSWER

,-physiologic factors impact pediatric med selection & dosing -
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Children, more rapid metabolism than adults, may require larger dose of med per unit of body weig
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ht - zm



Around puberty, pharmacokinetic properties reach adult parameters • dosing after puberty may nee
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d to be decreased -
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Developmental considerations • attuned to signs of adverse effects, younger children may not be abl
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e to communicate complaints
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QUESTION 9 zm




Addressing Parental Concerns: Collaborative Treatment Plans
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ANSWER

-tx plans for children typically made in collaboration with parents or guardians -
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Collaboration between the PMHNP, clients, and families when creating the treatment plan is key to e
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nsuring the plan meets the client's needs and is comfortable and manageable for the family
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QUESTION 10 zm




Ethical Considerations in the Treatment of Children and Adolescents
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ANSWER

Privacy and HIPAA Informed Consent Mandatory Reporting
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QUESTION 11 zm




most common complication during the perinatal period?
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ANSWER

Mental health problems zm zm




QUESTION 12 zm




maternal mental health zm zm




ANSWER

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Up to 1 in 5 women will suffer from a maternal mental health disorder like postpartum depression
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-<15% of women receive tx -1 in 7 will experience depression during pregnancy -
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Up to 50% of women living in poverty will suffer from a maternal mental health disorder -
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Maternal mental health disorders impact the whole family, not just moms -
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More than 600,000 women will suffer from a maternal mental health disorder in the U.S. ever year
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-
Anxiety & depression have risen 37% in teen girls. This will increase the number of women sufferin
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g postpartum depression in the future -
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, Rates of depression are more than doubled in Black moms due to cumulative effects of stress called
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weathering
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QUESTION 13 zm




Ethical Considerations in Maternal Mental Health Tx
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ANSWER

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PMHNP must carefully weigh the risks & benefits r/t starting, continuing, switching, or discontinuing
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zmmed therapy during the perinatal period -
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work to create tx plans that respect clients' goals & perspectives
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QUESTION 14 zm




Prescribing Considerations in Maternal Mental Health Tx
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ANSWER

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Pharmacologic therapy during pregnancy may be necessary to prevent maternal and fetal harm • he
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alth of the embryo or fetus depends on health of the mother -
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risks and benefits of all psychoactive medications to both the pregnant client and fetus must be con
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sidered - zm



risks and benefits of prescribing medications for breastfeeding clients must also be considered • ma
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ny drugs cross from the maternal circulation into breast milk and may pose harm to the nursing ba
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by



QUESTION 15 zm




Discontinuation of medications for pregnancy is associated with a relapse rate of ______
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_____% for clients who take mood stabilizers
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ANSWER

80-100%



QUESTION 16 zm




Informed consent: pregnancy zm zm




ANSWER

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must initiate discussion with pt regarding informed consent for tx • whether new symptoms during
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pregnancy or already established with care • risks of continuing current meds and the risks of stop
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ping them -help pt process their risk factors & tx hx to make an informed decision -
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if must remain on high-
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