Page 1 of 29
MIDTERM EXAM: NR606 / NR 606 DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC-MENTAL HEALTH II
PRACTICUM EXAM (LATEST 2025 UPDATES STUDY
BUNDLE WITH COMPLETE SOLUTIONS) | 100%
CORRECT | GRADE A - CHAMBERLAIN
Children in the pre-operational stage think _____ and use what
to represent objects? ......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 ......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? ......ANSWER......formal operations (12+)
,Page 2 of 29
Can a parent access information if the provider has concerns
about parental abuse or neglect? ......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?
......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 ......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 ......ANSWER......keep them
on current med rather than switching
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When should the PMHNP refer the patient to a perinatal
psychiatrist ......ANSWER......when the patient is on a high-risk
medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs
......ANSWER......neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome
......ANSWER......Symptoms include tremors, high-pitched crying,
and disturbed sleep
increase the risk of atrial septal defects.
......ANSWER......paroextine
symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy ......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. ......ANSWER......valproic acid
and carbamazepine
MIDTERM EXAM: NR606 / NR 606 DIAGNOSIS &
MANAGEMENT IN PSYCHIATRIC-MENTAL HEALTH II
PRACTICUM EXAM (LATEST 2025 UPDATES STUDY
BUNDLE WITH COMPLETE SOLUTIONS) | 100%
CORRECT | GRADE A - CHAMBERLAIN
Children in the pre-operational stage think _____ and use what
to represent objects? ......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 ......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? ......ANSWER......formal operations (12+)
,Page 2 of 29
Can a parent access information if the provider has concerns
about parental abuse or neglect? ......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?
......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 ......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 ......ANSWER......keep them
on current med rather than switching
, Page 3 of 29
When should the PMHNP refer the patient to a perinatal
psychiatrist ......ANSWER......when the patient is on a high-risk
medication for pregnancy
most common adverse effect associated with SSRIs and SNRIs
......ANSWER......neonatal withdrawal syndrome
symptoms of neonatal withdrawal syndrome
......ANSWER......Symptoms include tremors, high-pitched crying,
and disturbed sleep
increase the risk of atrial septal defects.
......ANSWER......paroextine
symptoms of newborn toxicity r/t benzodiazepine use during
pregnancy ......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. ......ANSWER......valproic acid
and carbamazepine
