NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10)
Access The Exact Questions for NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10)
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
What’s Included:
- Unlock Actual Exam Questions and Answers for NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10) on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Free NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10) Questions
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
An appropriate first-line drug to try for mild to moderate generalized anxiety disorder is:
- Alprazolam (Xanax)
- Diazepam (Valium)
- Buspirone (Buspar)
- Amitriptyline (Elavil)
Explanation
Buspirone (Buspar) is considered an appropriate first-line treatment for mild to moderate generalized anxiety disorder (GAD). It is a non-benzodiazepine anxiolytic that works by influencing serotonin receptors. Unlike benzodiazepines (like alprazolam and diazepam), buspirone has a lower risk of dependence and does not cause sedation. Amitriptyline, a tricyclic antidepressant, is not typically a first-line treatment for GAD due to its side effects and risk profile.
Correct Answer Is:
C. Buspirone (Buspar)
Joey is an 8-year-old male who presents with his father to the PMHP's clinic and is displaying poor school grades and risk of school expulsion for poor academic performance. The PMHNP knows that the first intervention to address symptoms of attention deficit hyperactivity disorder is to coach the patient and parent on:
- Academic and/or parental educational involvement
- Behavioral and/or psychological educational interventions
- Behavioral and/or medication management interventions
Explanation
The first-line interventions for ADHD often include behavioral approaches (such as classroom behavior modification strategies) and medication management (such as psychostimulants or non-stimulants). Coaching the patient and parent on these interventions helps address the immediate concerns of academic performance and behavior. These strategies are foundational to managing ADHD symptoms, improving academic outcomes, and reducing disruptive behaviors.
Correct Answer Is:
C. Behavioral and/or medication management interventions
The genogram is helpful to the psychiatric mental health nurse practitioner because it shows:
- Anxiety connections
- Family relationships
- Emotional reactivity
- Fusion reaction
Explanation
A genogram is a visual representation of a family tree that includes information on family relationships, health history, and patterns of behavior. It is especially useful for understanding familial dynamics, relationship patterns, and the impact of family history on an individual's mental health. Anxiety connections (A) and emotional reactivity (C) are not typically the primary focus of a genogram, although they can be inferred from family dynamics. Fusion reaction (D) is unrelated to the purpose of a genogram.
Correct Answer Is:
B. Family relationships
The psychiatric mental health nurse practitioner knows to prescribe psychostimulants when medically necessary:
- Before breakfast
- After breakfast
- During breakfast
Explanation
Psychostimulants, such as those used to treat ADHD, are often prescribed to be taken before breakfast to maximize their effectiveness throughout the day. These medications can have a stimulating effect, and taking them before meals allows them to start working early and avoid interfering with appetite or eating.
Correct Answer Is:
A. Before breakfast
The PMHNP educates the family and child that another way to build resiliency is to encourage ___________.
- Dance therapy
- Mystical therapy
- Equine therapy
Explanation
Equine therapy, which involves interactions with horses, is often used to build emotional resilience, improve social skills, and manage mental health challenges. Dance therapy (A) and mystical therapy (B) may be beneficial in specific cases but are not as widely recognized for fostering resiliency as equine therapy.
Correct Answer Is:
C. Equine therapy
A 5-year-old child does not demonstrate improvement in ADHD symptoms while taking methylphenidate. Treatment options include:
- Change to dextroamphetamine
- Add clonidine patch
- Add atomoxetine
- Switch to bupropion
Explanation
If a 5-year-old child does not show improvement with methylphenidate, atomoxetine, a non-stimulant medication, is often considered as an alternative. It is effective for ADHD and does not have the abuse potential associated with stimulants. Dextroamphetamine (A) is another stimulant, which may not be effective for the child who does not respond to methylphenidate. Clonidine (B) can be added as an adjunct, especially for symptoms like hyperactivity and impulsivity, but atomoxetine is typically a more appropriate next step. Bupropion (D) is not commonly used for ADHD in young children.
Correct Answer Is:
C. Add atomoxetine
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
Prior to starting antidepressants, patients should have laboratory testing to rule out:
- Hypothyroidism
- Anemia
- Diabetes mellitus
- Low estrogen levels
Explanation
Before starting antidepressants, it is important to rule out hypothyroidism, as it can present with symptoms similar to depression (e.g., fatigue, low mood, weight gain). Hypothyroidism can also interfere with the effectiveness of antidepressant medications. While anemia, diabetes, and low estrogen levels may cause or contribute to mood symptoms, hypothyroidism is the most directly related condition that should be ruled out in this context.
Correct Answer Is:
A. Hypothyroidism
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.
How to Order
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .