Final Exam: NR 606 NR606 Latest

Final Exam: NR 606 / NR606 (Latest

Update 2025 / 2026) Diagnosis and Management in Psychiatric-Mental Health II Practicum | Questions & Verified Answers | 100% Correct | Grade A - Chamberlain

Question:

_______ disorder is characterized by the persistent ingestion of nonfood items that do not contain nutritional value for at least one month. Commonly ingested substances vary with age and availability and range from clay, paper, soap, hair, and soil to chalk, paint, metal, pebbles, or ice.

Answer:

PICA

Question:

What are some commonly ingested items with PICA?

Answer:

clay, paper, soap, hair, soil, chalk, pain, metal, pebbles, ice

• / 4

Question:

What is the DSM-5 criteria for PICA?

Answer:

For a pica diagnosis, the DMS-5-TR (APA, 2022) diagnostic criteria specify that eating behaviors must not be developmentally appropriate or culturally or socially sanctioned practices. Pica, like other eating and feeding disorders, often occurs comorbidly with other medical and mental health conditions; in these circumstances, pica must be severe enough to require clinical attention to receive a separate diagnosis.

Ingestion for at least ONE MONTH

Question:

Name some risk factors for a PICA diagnosis

Answer:

neglect, lack of supervision and developmental delay

iron and zinc deficiency may cause PICA

• / 4

Question:

Name some medical complications of PICA

Answer:

Severe Anemia

Lead poisoning from excess consumption of paint flakes

Consumption of abrasive items such as rocks might cause intestinal obstruction or tear Infections from organisms and parasites that get inside the body from the consumption of dirt or mud

Infections may damage the liver or kidneys

Esophageal tears caused by sharp or harsh objects like metal scraps

Damage to the brain from eating lead or any other harmful substances

Constipation, bloody stool, or diarrhea

Mouth and teeth injuries

DEATH- depending on the substance ingested

• / 4

Question:

As a PMHNP, what tests/labs would you order to assess for PICA related symptoms or PICA poison ingestion?

Answer:

Iron/ Anemia labs CBC Zinc Labs Check lead levels

Question:

What is the first line treatment for PICA?

Answer:

PSYCHOTHERAPY

PICA treatment is spearheaded by behavioral interventions.

Removal of ingested substances

Rewards Sytem

Use nutritional substances for replenishment if nutritional deficits are causing the PICA

• / 4