{"id":132684,"date":"2024-07-28T14:36:34","date_gmt":"2024-07-28T14:36:34","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132684"},"modified":"2024-07-28T14:36:36","modified_gmt":"2024-07-28T14:36:36","slug":"final-exam-nr607-nr-607-latest-2024-2025-update-diagnosis-management-in-psychiatric-mental-health-iii-complete-review-weeks-5-8-questions-and-verified-answers-100-correct-grade-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/07\/28\/final-exam-nr607-nr-607-latest-2024-2025-update-diagnosis-management-in-psychiatric-mental-health-iii-complete-review-weeks-5-8-questions-and-verified-answers-100-correct-grade-a\/","title":{"rendered":"Final Exam: NR607\/ NR 607 (Latest 2024\/ 2025 Update) Diagnosis &amp; Management in Psychiatric Mental Health III Complete Review (Weeks 5-8) Questions and Verified Answers| 100% Correct | Grade A \u2013 Chamberlain"},"content":{"rendered":"\n<p>Final Exam: NR607\/ NR 607 (Latest 2024\/ 2025 Update) Diagnosis &amp; Management in Psychiatric Mental Health III Complete Review (Weeks 5-8) Questions and Verified Answers| 100% Correct | Grade A \u2013 Chamberlain<\/p>\n\n\n\n<p>Social determinants of health<br>-Health Care Access and Quality<br>-Neighborhood and Built Environment<br>-Social and Community Context<br>-Economic Stability<br>-Education<\/p>\n\n\n\n<p>importance of gender-affirming psychotherapy during gender transition<br>-Trans Youth with Supportive Parents<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>77% reported life satisfaction<\/li>\n\n\n\n<li>33% reported life dissatisfaction<\/li>\n\n\n\n<li>70% described mental health as very good or excellent<\/li>\n\n\n\n<li>15% described their mental health as poor<\/li>\n\n\n\n<li>23% report suffering depression<\/li>\n\n\n\n<li>75% report not suffering depression<\/li>\n<\/ul>\n\n\n\n<p>-Trans Youth with Unsupportive Parents<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>64% reported low self-esteem<\/li>\n\n\n\n<li>13% reported high self-esteem<\/li>\n\n\n\n<li>0% faced no housing problems<\/li>\n\n\n\n<li>55% faced housing problems.<\/li>\n\n\n\n<li>4% did not attempt suicide<\/li>\n\n\n\n<li>57% attempted suicide<\/li>\n<\/ul>\n\n\n\n<p>Structural stigma in U.S. drug policies: Punitive Policies<br>-pregnant women anonymously tested for drug use:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prevalence of use similar between Black &amp; White women<br>\u27a3Black women 10x more likely to be reported to law enforcement<\/li>\n<\/ul>\n\n\n\n<p>-Indigenous women suffer from higher SUD rates compared to other racial &amp; ethnic groups<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>disproportionately affected by criminalization laws at the federal, state, &amp; tribal levels.<\/li>\n<\/ul>\n\n\n\n<p>-Consistent use of medication for OUD tx during pregnancy is significantly lower for women of color.<\/p>\n\n\n\n<p>Trauma responses: how the nervous system responds to trauma<br>-Flee<br>-Fight<br>-Freeze<br>-Collapse<\/p>\n\n\n\n<p>Trauma-informed care<br>-Safety<br>-Trust &amp; Transparency<br>-Peer Support<br>-Empowerment &amp; Choice<br>-Cultural, Historical, &amp; Gender Awareness<\/p>\n\n\n\n<p>Trauma-informed care: Safety<br>-most fundamental principle to avoiding retraumatization<br>-Creating a physical setting &amp; client-provider interactions that generate physical &amp; psychological safety are foundational to providing trauma-informed care.<\/p>\n\n\n\n<p>Trauma-informed care: Trust and Transparency<br>-Establishing a trusting relationship or therapeutic alliance is critical to the trauma-informed approach.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>kind, respectful interactions<\/li>\n\n\n\n<li>empowering intake procedures<\/li>\n\n\n\n<li>transparency in discussions of treatment goals &amp; modalities appropriate to the client&#8217;s developmental level.<\/li>\n<\/ul>\n\n\n\n<p>Trauma-informed care: Peer Support<br>-Providing opportunities for connecting with other trauma survivors may help to establish safety, foster hope, and promote healing through shared experience.<br>-Collaboration: Empowering the client to play an active role in decisions about their treatment<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>when developmentally appropriate, fosters a sense of responsibility &amp; helps to balance the level of power between the provider &amp; client.<\/li>\n<\/ul>\n\n\n\n<p>Trauma-informed care: Empowerment &amp; Choice<br>-Listening to &amp; acknowledging the client<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>help them find their voice &amp; give them a sense of control over their story.<br>-Prioritizing choice empowers clients to be partners in their care<\/li>\n\n\n\n<li>can promote self-efficacy, agency, &amp; dignity.<\/li>\n<\/ul>\n\n\n\n<p>Trauma-informed care: Cultural, Historical, and Gender Awareness<br>-acknowledges that some trauma may be a result of a client&#8217;s culture, historical events such as war or conflict, or being a part of a marginalized or minority group.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sensitivity to a client&#8217;s cultural, historical, or gender identity is important to ensuring their comfort &amp; safety during tx<\/li>\n<\/ul>\n\n\n\n<p>Social Determinants of Mental Health (SDOMH)<br>-Socioeconomic Status<br>-Education<br>-Social Support<br>-Childhood Experiences<br>-Discrimination &amp; Mental Health Stigma<br>-Access to Reimbursement for Mental Healthcare<br>-Criminalization of Mental Health Behaviors<br>-Physical Environment<br>-Social &amp; Cultural Factors<br>-Social Media<\/p>\n\n\n\n<p>SDOMH: Socioeconomic Status<br>can negatively affect mental health:<br>-Low income<br>-poverty<br>-unemployment<br>-job insecurity<br>-lack of access to resources<\/p>\n\n\n\n<p>SDOMH: Education<br>-Lower educational attainment plays a role in mental health outcomes<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>less education influences the knowledge, skills, &amp; opportunities for personal &amp; professional growth<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Social Support<br>-lack of supportive relationships with family, friends, communities, or other social connections<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>increase stress &amp; feelings of isolation \u2022 decrease resilience &amp; self-esteem<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Childhood Experiences<br>-Adverse childhood experiences (ACEs)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>can have long-lasting effects on mental health<\/li>\n\n\n\n<li>increase risk of developing mental disorders later in life<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Discrimination &amp; Mental Health Stigma<br>-Experiencing discrimination or stigma against serious mental illness, SUDs, or other forms of mental disorders<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>lead to chronic stress, low self-esteem, isolation, and prevent timely diagnosis, tx, &amp; support<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Access to Reimbursement for Mental Healthcare<br>-Limited access to &amp; reimbursement for mental healthcare services can prevent timely dx, tx, &amp; support.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>exacerbating mental health issues<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Criminalization of Mental Health Behaviors<br>-Failure of the justice system to recognize the behaviors of poorly treated serious mental illness &amp; SUDs can worsen mental health outcomes<\/p>\n\n\n\n<p>SDOMH: Physical Environment<br>-Living in unsafe, violent, or unhealthy physical environments<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>contribute to chronic stress &amp; negatively impact mental health<\/li>\n<\/ul>\n\n\n\n<p>SDOMH: Social &amp; Cultural Factors<br>-Cultural norms, social norms, &amp; societal expectations can negatively shape individual experiences &amp; mental health outcomes<\/p>\n\n\n\n<p>SDOMH: Social Media<br>-Hurtful social media communication may lead to high stress &amp; suicides<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>especially among youth<\/li>\n<\/ul>\n\n\n\n<p>Structural Racism and Racial Trauma<br>-refers to how institutions, policies, &amp; practices systematically disadvantage some racial or ethnic groups while privileging others<br>-Structural Racism in Mental Health Services<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Black men 4x more likely dx&#8217;d with schizophrenia than White males.<\/li>\n\n\n\n<li>Black, Indigenous, &amp; People of Color (BIPOC) youth with behavioral &amp; mental health conditions are more likely to be directed to the juvenile justice system than to specialty care institutions compared to non-Latinx white youth.<\/li>\n\n\n\n<li>Providers are less likely to be located in low-income neighborhoods with Black and Latinx residents compared to high-income neighborhoods with less than 1% of Black or Latinx residents.<\/li>\n\n\n\n<li>Black people make up 12% of the country&#8217;s population but 33% of the total prison population.<\/li>\n\n\n\n<li>BIPOC are less likely than Whites to own their homes regardless of their level of education, income, location, marital status, &amp; age.<\/li>\n\n\n\n<li>Black people are less likely than Whites to hold jobs that offer retirement savings prioritized by the U.S. tax code.<br>\u27a3creates a persistent wealth gap between White &amp; Black communities where the median savings of blacks are 21.4% of the median savings of whites.<\/li>\n<\/ul>\n\n\n\n<p>effects of structural racism on mental health<br>-Racial &amp; ethnic minority groups consistently experience higher rates of psychological distress, mental illness, &amp; poor mental health outcomes than their White counterparts<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>attributed to the chronic stressors &amp; adverse experiences of living in a racist society<br>-cumulative impact of racism can lead to racial trauma or race-based traumatic stress (RBTS)<\/li>\n<\/ul>\n\n\n\n<p>Racial symptomology may appear similar to individuals diagnosed with:<br>posttraumatic stress disorder (PTSD), sexual assault, domestic abuse, or war zone survivors<\/p>\n\n\n\n<p>symptoms of racial trauma:<br>-Depression, social anxiety, stress, substance abuse, agoraphobia, suicidal ideology, psychosis<br>-Intrusion symptoms<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>nightmares, flashbacks, physical reactions in the presence of reminders<br>-Avoidance behaviors<\/li>\n\n\n\n<li>staying away from places that are reminders of racist experiences<br>-Negative changes to thoughts or mood<\/li>\n\n\n\n<li>feelings of isolation, a belief that the world is unsafe<br>-Decreased interest in previously enjoyable activities<br>-Changes in arousal and reactivity<br>-Cultural paranoia, avoidance of White people (dominant group members), somatic complaints, and excessive worries about loved ones<\/li>\n<\/ul>\n\n\n\n<p>Agnieszka has experienced persistent racial discrimination since immigrating to the United States, which has led to chronic stress, anxiety, depression, and post-traumatic stress disorder (PTSD), exacerbating her chronic depression<\/p>\n\n\n\n<p>What racism&#8217;s effect is the patient experiencing?<br>Limited access to resources<br>Intersections with other social determinants<br>Cultural mistrust and mental healthcare disparities<br>Discrimination and racial trauma<br>Discrimination and racial trauma<\/p>\n\n\n\n<p>Princiana has encountered ongoing barriers to accessing housing and quality education. Her job insecurity and a lack of housing opportunities have escalated her feelings of hopelessness, powerlessness, and low self-esteem, detouring her from timely treatment for her mental health.<\/p>\n\n\n\n<p>What racism&#8217;s effect is the patient experiencing?<br>Limited access to resources<br>Intersections with other social determinants<br>Cultural mistrust and mental healthcare disparities<br>Discrimination and racial trauma<br>Limited access to resources<\/p>\n\n\n\n<p>Mateo has experienced ongoing racism as a person of color (POC), which has caused him to mistrust the mental healthcare system, resulting in inadequate care and treatment for his chronic schizophrenia<\/p>\n\n\n\n<p>What racism&#8217;s effect is the patient experiencing?<br>Limited access to resources<br>Intersections with other social determinants<br>Cultural mistrust and mental healthcare disparities<br>Discrimination and racial trauma<br>Cultural mistrust and mental healthcare disparities<\/p>\n\n\n\n<p>Diona is homeless due to substance use disorder and has chronic pain. In the emergency department, she self-reports a pain rating of 10 out of 10 and does not receive the same assessment and treatment as her White counterparts<\/p>\n\n\n\n<p>What racism&#8217;s effect is the patient experiencing?<br>Limited access to resources<br>Intersections with other social determinants<br>Cultural mistrust and mental healthcare disparities<br>Discrimination and racial trauma<br>Intersections with other social determinants<\/p>\n\n\n\n<p>types of stigma related to structural racism and mental health inequities:<br>-Internalized<br>-Anticipated<br>-Experienced<br>-Perceived<\/p>\n\n\n\n<p>Type of stigma that is Perceptions of social beliefs (e.g., stereotypes, prejudice, discrimination) that occur on the part of the client or provider<br>Perceived<\/p>\n\n\n\n<p>Type of stigma that is Perceptions of being a victim of stereotypes, prejudice, or discrimination that occur on the part of the client<br>Experienced<\/p>\n\n\n\n<p>Type of stigma that is Taking inward stereotypes, prejudice, or social discrimination that occur on the part of the client<br>Internalized<\/p>\n\n\n\n<p>Type of stigma that is Expectations of discrimination that occur on the part of the client<br>Anticipated<\/p>\n\n\n\n<p>Risk of Mental Health Disorders after COVID-19<br>154,000 COVID-19 patients in the VA system with no hx of mental illness 2 years prior to infection:<br>-depression: 39% increase<br>-anxiety: 35% increase<br>-sleep problems: 41% increase<\/p>\n\n\n\n<p>Racial Trauma Assessment<br>-Often PTSD assessment tools are used<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>provide few racial-trauma-specific prompts and it is unknown if they were validated using people of color<\/li>\n\n\n\n<li>tend to measure the impact of a specific traumatic event, not the accumulation of lifetime events<\/li>\n<\/ul>\n\n\n\n<p>-Race-Based Traumatic Stress Symptom Scale (RBTSSS)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>assesses symptoms associated with experiences of racism trauma<\/li>\n\n\n\n<li>has a complex scoring system<\/li>\n\n\n\n<li>measures only a single event<\/li>\n\n\n\n<li>does not adhere to the DSM-5 framework for diagnosing trauma<\/li>\n<\/ul>\n\n\n\n<p>-UConn Racial\/Ethnic Stress and Trauma Survey (UnRESTS)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>easy-to-use<\/li>\n\n\n\n<li>culturally informed tool for assessing racial trauma within a DSM-5 framework<\/li>\n\n\n\n<li>lengthy &amp; requires provider administration.<\/li>\n<\/ul>\n\n\n\n<p>-Racial Trauma Scale (RTS)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>newly developed self-report measure to quantify and assess trauma symptoms specific to racial discrimination<\/li>\n<\/ul>\n\n\n\n<p>Racial Trauma Scale (RTS)<br>9-Item Short-Form Research Version<br>-scored by adding all items<br>-Total scores range from 9 to 36<br>-three subscales:<br>(a) Lack of Safety: 3, 5, 9<br>(b) Negative Cognitions: 2, 6, 7<br>(c) Difficulty Coping: 1, 4, 8<\/p>\n\n\n\n<p>Racial Trauma-Informed Interventions<br>-principles of trauma-informed care:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Empowerment<\/li>\n\n\n\n<li>Trustworthiness<\/li>\n\n\n\n<li>Collaboration<\/li>\n\n\n\n<li>Choice<\/li>\n\n\n\n<li>Safety<\/li>\n<\/ul>\n\n\n\n<p>-healing ethno-racial trauma (HEART) framework (4 phases)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>I. Establish sanctuary space for clients experiencing ERT<\/li>\n\n\n\n<li>II. Acknowledge, reprocess, &amp; cope with symptoms of ERT<\/li>\n\n\n\n<li>III. Strengthen &amp; connect individuals, families, &amp; communities to survival strategies &amp; cultural traditions that heal<\/li>\n\n\n\n<li>IV. Liberation &amp; resistance<\/li>\n<\/ul>\n\n\n\n<p>Racial Trauma Community Collaboration &amp; Advocacy<br>-Concurrently addressing all determinants of health through changes in practice and policies is foundational to advancing anti-racism and health outcomes and equity<br>-Equitable access to health care is one example of an upstream intervention to reverse historical discrimination<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMHNP Roles: Advocacy, stakeholder engagement, coalition building, &amp; cross-sector partnerships<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Final Exam: NR607\/ NR 607 (Latest 2024\/ 2025 Update) Diagnosis &amp; Management in Psychiatric Mental Health III Complete Review (Weeks 5-8) Questions and Verified Answers| 100% Correct | Grade A \u2013 Chamberlain Social determinants of health-Health Care Access and Quality-Neighborhood and Built Environment-Social and Community Context-Economic Stability-Education importance of gender-affirming psychotherapy during gender transition-Trans Youth [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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