NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10)
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Free NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10) Questions
Children ages ______ to ______ are developing sexual identity. It is important for the PMHNP to ask about gender identity to determine if additional assessment may be warranted.
- 9 to 10
- 10 to 11
- 12 to 13
Explanation
Children between the ages of 9 to 10 are typically in the developmental stage where they begin to explore and form their sexual identity. At this age, they are starting to understand gender roles, sexual orientation, and their own gender identity. It is essential for the PMHNP to ask about gender identity to understand any potential concerns or struggles, as this stage is critical for forming a secure sense of self. Addressing these issues early can support healthy development and help identify any areas where further evaluation or intervention may be necessary.
Correct Answer Is:
A. 9 to 10
During the mental status examination, the psychiatric mental health nurse practitioner addresses a formal and concise method of subjective and objective assessments including evidence-based screening tools to formulate a(n) ------------
- Mood disorder
- Diagnosis
- Differential diagnosis
- Anxiety disorder
Explanation
The purpose of the mental status examination (MSE) is to gather both subjective and objective data that helps the psychiatric mental health nurse practitioner formulate a diagnosis. Evidence-based screening tools are used to support this process by providing structured data to identify and confirm the presence of specific conditions. While differential diagnosis (C) is an important part of the process, the end goal of the MSE is to establish a clear diagnosis, not just to rule out other possibilities.
Correct Answer Is:
B. Diagnosis
First-line therapy treatment for the initial diagnosis of attention deficit hyperactivity disorder (ADHD) is:
- Behavioral interventions
- Pharmacology
- Psychopharmacology
Explanation
For the initial diagnosis of ADHD, behavioral interventions are typically the first-line treatment, especially for younger children. These interventions may include behavior therapy, parent training, and school-based strategies to help the child improve attention, organization, and impulse control. Pharmacological treatments (like stimulants) may be added if behavioral interventions alone are insufficient. Psychopharmacology refers to the use of medications for psychiatric disorders, but it's not the first approach for ADHD unless necessary for symptom management.
Correct Answer Is:
A. Behavioral interventions
Past family history includes clues for mental disorders therefore, -------- is part of the psychiatric assessment.
- Sister history
- Brother history
- Family history
Explanation
Family history is a critical component of the psychiatric assessment, as it can provide clues about genetic predispositions to mental health disorders. Understanding the mental health history of family members helps the clinician assess potential risk factors and hereditary conditions that may influence the patient’s condition. Sister history (A) and brother history (B) are part of the family history, but "family history" (C) is the most accurate and comprehensive term.
Correct Answer Is:
C. Family history
The PMHNP is aware the most important part of assessment includes head-to-toe assessment, developmental assessment, cognitive assessment, and -------- assessment.
- Psychosocial
- Psychological
- Forensic
- Substance
Explanation
A psychosocial assessment is a crucial component of the overall assessment process, focusing on the patient’s social environment, relationships, coping mechanisms, and mental health. This assessment helps the PMHNP understand how a patient’s social context influences their mental well-being. Psychological (B) and forensic (C) assessments may be relevant in specific cases, but psychosocial assessment is fundamental. Substance (D) use assessment is also important but not the most comprehensive as part of the broader assessment process.
Correct Answer Is:
A. Psychosocial
Trisomy 21 is a phenotype expressed in ______ syndrome.
- Rett's
- Down's
- Autosomal
Explanation
Trisomy 21 is the genetic condition that causes Down syndrome. It occurs when an individual has three copies of chromosome 21 instead of the usual two. Rett’s syndrome (A) is a separate genetic disorder that typically affects girls, and "autosomal" (C) refers to chromosomes that are not sex chromosomes, but does not specifically describe the condition associated with trisomy 21.
Correct Answer Is:
B. Down's
Jamison has been prescribed citalopram (Celexa) to treat his depression. Appropriate education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
- Appetite and concentration improve in the first one to two weeks.
- Sleep should improve almost immediately upon starting citalopram.
- Full response to the SSRI may take two to four months after he reaches the full therapeutic dose.
- His dysphoria will improve in one to two weeks.
Explanation
SSRIs like citalopram (Celexa) often take several weeks to show full effects in treating depression, typically 2-4 months after reaching the full therapeutic dose. While some symptoms like sleep, appetite, or concentration may show improvement within the first 1-2 weeks, a full response, including improvement in mood and overall dysphoria, typically requires a longer duration of treatment. It is important for patients to continue taking the medication as prescribed and communicate with their healthcare provider about progress or any concerns.
Correct Answer Is:
C. Full response to the SSRI may take two to four months after he reaches the full therapeutic dose.
The long-term Xanax patient comes in and states they need a higher dose of the medication. They deny any additional, new, or accelerating triggers of their anxiety. What is the probable reason they want a higher dose?
- They have become tolerant of the medication, which is characterized by the need for higher and higher doses.
- They are a drug seeker.
- They are suicidal.
- They need additional counseling on lifestyle modification.
Explanation
Tolerance occurs when a person who has been taking a medication for a long time develops a reduced response to it, requiring a higher dose to achieve the same effect. In the case of Xanax (a benzodiazepine), tolerance can develop over time, leading to the need for higher doses to manage anxiety. This is a common reason patients request higher doses after long-term use, especially when there have been no new triggers or significant changes in anxiety. If the patient were a drug seeker, they would likely be seeking the medication for non-medical reasons, and if they were suicidal, that would typically present with other signs such as hopelessness or direct expressions of self-harm. Lifestyle modification counseling might help reduce the anxiety, but it would not be the immediate cause of the need for a higher dose.
Correct Answer Is:
A. They have become tolerant of the medication, which is characterized by the need for higher and higher doses.
In children and adolescents, at what age is it recommended to assess for depression?
- Ages 11 to 18
- Ages 12 to 15
- Ages 13 to 18
- Ages 10 to 11
Explanation
Depression should be assessed in children and adolescents starting at ages 11 to 18, as this is the period during which signs of depression commonly emerge. Assessing for depression before this age may not be as effective, as younger children may not have developed the language or cognitive skills to express depressive symptoms.
Correct Answer Is:
A. Ages 11 to 18
During stressful times, symptoms may include insomnia, irritability, and ------- in children.
- Hyperactivity
- Depression
- Chest pain
Explanation
During stressful times, children may exhibit symptoms such as insomnia and irritability, along with hyperactivity. Hyperactivity is a common reaction to stress in children, manifesting as increased energy or restlessness. Depression (B) is a potential symptom but less commonly associated with immediate stress compared to hyperactivity. Chest pain (C) is not typically a direct symptom of stress in children, although it may be related to anxiety or other medical conditions.
Correct Answer Is:
A. Hyperactivity
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