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
The laboratory monitoring required when a patient is on an SSRI is:
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Complete blood count every three to four months
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Therapeutic blood levels every six months after a steady state is achieved
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Blood glucose every three to four months
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There is no laboratory monitoring required.
Explanation
For patients on selective serotonin reuptake inhibitors (SSRIs), routine laboratory monitoring is generally not required unless there are specific concerns. SSRIs are typically well tolerated, and blood tests are not necessary unless the patient has certain risk factors, such as a history of significant medical conditions, or is taking other medications that might interact with the SSRI. Monitoring blood glucose may be indicated in diabetic patients, but this is not specific to SSRI use. Likewise, SSRIs do not require monitoring of blood levels for therapeutic purposes. Regular follow-up visits and monitoring for side effects (such as serotonin syndrome, weight gain, or changes in mood) are important but don't typically involve routine laboratory tests.
Correct Answer Is:
D. There is no laboratory monitoring required.
Resiliency building includes positive ________ building.
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Self-talk
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Attitude
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Self-compassion
Explanation
Resiliency building involves developing positive self-talk, which is the internal dialogue that helps individuals navigate challenges and remain focused on growth. While attitude (B) and self-compassion (C) are also important aspects of resilience, self-talk is specifically about the way one speaks to themselves in difficult situations, making it the most appropriate choice.
Correct Answer Is:
A. Self-talk
The Vanderbilt ADHD diagnostic rating scale is mostly used in what age group?
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Ages 6 to 12
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Ages 5 to 10
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Ages 4 to 12
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Ages 5 to 5
Explanation
The Vanderbilt ADHD Diagnostic Rating Scale is typically used for children aged 6 to 12 years old. This scale helps in the assessment of ADHD symptoms, and it is frequently used in both clinical settings and educational environments to help diagnose and evaluate the severity of ADHD in school-aged children. The scale assesses behaviors such as inattention, hyperactivity, and impulsivity, providing a standardized tool for diagnosing ADHD in this age group.
Correct Answer Is:
A. Ages 6 to 12
Mild anxiety may be good as it focuses the individual on perceived danger. Therefore, the other stages of anxiety, acute anxiety versus chronic anxiety, may present with symptoms in children or adolescents as -----, -----------, OR.............
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Irritability, headaches, or sadness
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Headaches, skipped school, or suicidal behavior
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Suicidal behavior, poor attention, or concentration
Explanation
Mild anxiety can serve as a natural response to perceived danger, but as anxiety becomes acute or chronic, it may manifest as irritability, headaches, or sadness, especially in children and adolescents. These symptoms can reflect the emotional and physical toll anxiety takes on the individual. The other options (B and C) suggest more severe manifestations of anxiety that may occur with prolonged or untreated anxiety, but irritability, headaches, and sadness are more common early signs of anxiety in this age group.
Correct Answer Is:
A. Irritability, headaches, or sadness
According to trauma theory, which of the following best describes how early trauma can affect a child's development?
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A Trauma only affects physical development, not emotional functioning
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B Children quickly forget traumatic experiences, so long-term impact is rare
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C Trauma can disrupt brain development, emotional regulation, and attachment patterns
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D Trauma has no effect unless the child can clearly verbalize what happened
Explanation
Early trauma can have profound and lasting effects on a child’s development. Trauma may alter brain structure and function, impair emotional regulation, and negatively affect attachment with caregivers. These disruptions can increase the risk for behavioral, emotional, and mental health difficulties throughout childhood and into adulthood, even if the child cannot fully verbalize the traumatic experience.
Correct Answer Is:
C Trauma can disrupt brain development, emotional regulation, and attachment patterns
Billy, a 14-year-old male, presents for a follow-up; he has been treated for bipolar 1 disorder, most recently manic. He is taking risperidone, although has not been adherent to oral medication. The next best intervention is for the PMHNP to order:
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Intramuscular olanzapine
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Intramuscular risperidone
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Intramuscular ziprasidone
Explanation
For patients who are non-adherent to oral antipsychotic medication, switching to a long-acting injectable (LAI) form of the same medication (in this case, risperidone) is often the most effective intervention. This ensures more consistent medication adherence and provides better symptom control. Since Billy is already on risperidone, switching to intramuscular risperidone would be the next appropriate step to manage his bipolar disorder and prevent further manic episodes.
Correct Answer Is:
B. Intramuscular risperidone
Jamison has been prescribed citalopram (Celexa) to treat his depression. Appropriate education regarding how quickly selective serotonin reuptake inhibitor (SSRI) antidepressants work would be:
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Appetite and concentration improve in the first one to two weeks.
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Sleep should improve almost immediately upon starting citalopram.
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Full response to the SSRI may take two to four months after he reaches the full therapeutic dose.
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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.
Stages of stress include the alarm stage, the resistance, adaptation, and if continued stress occurs, exhaustion and ________ may occur.
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Adaptation
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Death
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Paranoia
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Anxiety
Explanation
If stress continues after the alarm, resistance, and adaptation stages, the body may reach exhaustion, and in extreme cases, death may occur due to the physical toll of prolonged stress. "Adaptation" (A) occurs earlier in the process, "paranoia" (C) and "anxiety" (D) are emotional responses, not outcomes of prolonged stress.
Correct Answer Is:
B. Death
Trazodone has an adverse drug effect in men called:
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Priapism
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Diarrhea
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Blue vision syndrome
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Peyronie's Disease
Explanation
Trazodone, a serotonin antagonist and reuptake inhibitor (SARI), is commonly used for depression and insomnia. However, one of its significant side effects in men is priapism, which is a prolonged and painful erection that requires immediate medical attention. Diarrhea, blue vision syndrome, and Peyronie's disease are not known adverse effects of trazodone. Priapism is a rare but serious side effect that may require discontinuation of the drug.
Correct Answer Is:
A. Priapism
Psychometric testing is considered by the psychiatric mental health nurse practitioner when "Joey," the 9-year-old male, presents with symptoms of ______ and ______ for a standardized approach to diagnosis.
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Hyperactivity and insomnia
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Inattention and failing grades
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Mood swings and failing grades
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Hyperactivity and hypoactivity
Explanation
Psychometric testing, such as ADHD rating scales, is often used when a child presents with symptoms like inattention and failing grades to provide a standardized approach to diagnosis. These symptoms are common in children with ADHD and can help to identify if the child’s academic performance is being impacted by attention-related issues. Other options, such as hyperactivity, insomnia, or mood swings, may also be relevant but are less specific to ADHD as primary concerns.
Correct Answer Is:
B. Inattention and failing grades
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