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 & Answers | Grade A | 100% Correct – Chamberlain

Question:

Tell me about the structural dissociation model

Answer:

Defense System: When a child is abused, their defense system will naturally

work to shield them from harm, BUT...

Attachment System: ...their attachment system will still want to be loved and

cared for by the parent.

This creates an internal tug-of-war where different motivational systems are working against each other simultaneously.This can cause a patient's conflicting parts to separate. That can lead to a split in their sense of self and a dysregulated nervous system.

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Question:

Define dissociation

Answer:

feelings of detachment from one's own body

Question:

Define derealization

Answer:

feelings that one's surroundings are not reality

Question:

Time line with adjustment disorder

Answer:

development of emotional or behavioral symptoms within 3 months of the onset of a new stressor lasts no longer than 6 months

Question:

Child has had symptoms for 2 months

Answer:

adjustment disorder is most likely. Symptoms do not meet criteria for other diagnoses. 2 / 4

Question:

Symptoms of adjustment disorder

Answer:

cause significant impairment in social or occupational functioning but do not persist past 6 months after the initial stressor has resolved.

Question:

What are specifiers for adjustment disorder

Answer:

-depressed mood -anxiety -mixed anxiety and depressed mood -disturbance of conduct -mixed disturbance of emotions and conduct

Question:

Treatment for adjustment disorder

Answer:

-Family therapy and/or individual therapy -Parent training -Meds usually aren't indicated as it resolves by 6 months 3 / 4

Question:

DSM5 adjustment disorder in children and adolescents

Answer:

• Development of emotional or behavioral symptoms in response to an

identifiable stressor(s) occurring within 3 months of the onset of the stressor.

These symptoms or behaviors are clinically significant, as evidenced by one or

both of the following:

-Marked distress that is out of proportion to the severity or intensity of the stressor, taking into account the external context and cultural factors.-Significant impairment in social, academic (occupational), or other important areas of functioning

Once the stressor or its consequences have terminated, the symptoms do not persist for more than 6 months.

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