NR 606 MIDTERM REVIEW WEEK 1 MODULES EXAM

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NR 606 MIDTERM REVIEW (WEEK 1 MODULES) EXAM

QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -47 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What is the PMHNP's responsibility regarding abuse/neglect?

Answer:

Mandated reporting per state/federal law.

Question 2: What pregnancy complications are associated with tobacco use?

Answer:

Placental abruption, previa, fetal mortality, stillbirth, preterm birth, low birth weight.

Question 3: What is the most common substance used in pregnancy?

Answer:

Tobacco.

Question 4: Why is cost a concern for pediatric psych meds?

Answer:

They are among the most expensive medications for children.Question 5: Scenario: Patient reports only mild shakiness, slight anxiety, oriented x3. Estimated

CIWA ?3.

Answer:

Mild withdrawal ? supportive care only.

Question 6: What conditions are common in the perinatal period?

Answer:

Depression, anxiety, OCD, PTSD, bipolar disorder, substance use disorder.

Question 7: In pregnancy, what CIWA-Ar score requires inpatient treatment?

Answer:

>10.Question 8: Does Kenya need referral to a perinatal psychiatrist for fluoxetine?

Answer:

No - fluoxetine is not a high-risk medication in pregnancy.

Question 9: Why is clozapine not safe in breastfeeding?

Answer:

Risk of infant neutropenia; requires WBC monitoring if used.

Question 10: Which psych meds are considered safe for breastfeeding?

Answer:

SSRIs, benzodiazepines (monitor), valproic acid (monitor infant serum), quetiapine (low exposure).Question 11: Scenario: Patient is shaky with damp shirt, moderate tremor, anxious, oriented x3.Estimated CIWA ?11.

Answer:

Moderate withdrawal ? benzodiazepines indicated.Question 12: Case: Allie is pregnant and stable on lithium for bipolar disorder. What should the PMHNP do?

Answer:

Schedule appointment with partner, continue lithium for now, recommend symptom/mood tracking.

Question 13: What CIWA-Ar score range is considered severe withdrawal?

Answer:

?16 (high risk of seizures/DTs; ICU-level care may be needed).

Question 14: When is alcohol exposure most harmful in pregnancy?

Answer:

First trimester.

Question 15: Why are PMHNPs important in pediatric mental health?

Answer:

They provide psychopharmacological and psychotherapeutic care across the lifespan.Question 16: Case: Kenya is pregnant and stable on fluoxetine. What should be discussed?

Answer:

Common adverse effects (neonatal withdrawal), rare risks (PPHN), risks of discontinuation, client's decision.Question 17: What trend has been recognized about major mental illnesses in children?

Answer:

Major mental illnesses often begin in childhood, interfering with normal development and causing suffering.Question 18: Why are medication discussions essential for clients of reproductive age?

Answer:

Nearly 50% of pregnancies are unplanned ? need to plan medication safety in advance.

Question 19: What are common barriers to pediatric mental health treatment?

Answer:

Most kids see PCPs with limited training; shortage of specialists.

Question 20: How should children be involved in treatment planning?

Answer:

Age-appropriate education, inclusion in decision-making, expressing concerns.

Question 21: What does AAP recommend for infant feeding?

Answer:

Exclusive breastfeeding for the first 6 months.

Question 22: How does pregnancy change drug pharmacokinetics?

Answer:

Increased plasma volume, altered CYP450 metabolism, increased renal excretion ? dose adjustments needed.Question 23: Scenario: Patient reports "bugs crawling on wall," severe hallucinations, sweaty, anxious, disoriented to date. Estimated CIWA ?17.

Answer:

Severe withdrawal ? high-dose benzodiazepines, ICU-level monitoring.

Question 24: How are pediatric treatment plans different from adult ones?

Answer:

Usually collaborative with parents/guardians.

Question 25: What concerns might parents have with child medication treatment?

Answer:

Fears about side effects, addiction, reliance on meds instead of addressing family/school stressors.Question 26: What is the PMHNP's ethical responsibility in perinatal mental health?

Answer:

Support maternal mental health, minimize risks, respect client goals, balance risks/benefits.

Question 27: What is the HIPAA rule about parents as personal representatives?

Answer:

Parents usually have access to child records unless abuse/neglect suspected; state law may modify access.Question 28: What adverse outcomes are associated with untreated perinatal mental illness?

Answer:

Preterm birth, low birth weight, maternal substance use, developmental harm.

Question 29: What does the CIWA-Ar tool measure?

Answer:

10 alcohol withdrawal symptoms: nausea/vomiting, tremor, sweats, anxiety, agitation, tactile disturbances, auditory disturbances, visual disturbances, headache, orientation.