NR-606 Diagnosis & Management
in Psychiatric-Mental Health II
Practicum
Midterm Exam Week 1 - 4
Question:
Piaget's Stages of Cognitive Development
Answer:
-Sensorimotor stage: Birth-2 yrs
• cognitive abilities based on reflexes
• object permanence & causality
-Preoperational stage: 2-7yrs
• can use mental representations, symbolic thought, & language
• thinking is egocentric
-Concrete operational stage: 7-11yrs
• logical operations when thinking/solving problems
• thinking is concrete
-Formal operational stage: 12yrs+
,• Adolescent can use abstract reasoning in addition to logical operations
• Child can understand theories, hypothesize, comprehend abstract ideas
(love & justice)
Question:
Screening, Brief Intervention, Referral to Treatment (SBIRT)
Answer:
-Screening
• Quickly assesses severity of substance use & ID the appropriate level of tx
-Brief intervention
• Focuses on increasing insight & awareness regarding substance use &
motivation toward behavioral change
-Referral
• Guidance to tx provides those identified as needing more extensive tx with
access to specialty care
Question:
Medication-Assisted Treatment (MAT)
Answer:
Treatment for opioid use disorder combining the use of medications
(methadone, buprenorphine, or naltrexone) with counseling and behavioral
therapies.
,Question:
Mental health and youth
Answer:
-13% of children ages 8-15 experience a mental health condition
-50% of children ages 8-15 experiencing a mental health condition do not
receive tx
-13-20% of children living in the U.S. (1 out of 5 children) experience a mental
health condition in a given year
-17% of high school students seriously consider suicide
-1/2 of all lifetime cases of mental illness begin by age 14
Question:
Barriers to Mental Health Treatment in Children and Adolescents
Answer:
-lack of sufficient information or access to services
-stigmas or negative perceptions towards mental health services
-many drop out before receiving effective treatment, often due to:
• poverty
• language barriers
• living in communities with scarce resources
• stressors such as
Question:
Prescribing Considerations for Children and Adolescents
Answer:
-physiologic factors impact pediatric med selection & dosing
-Children, more rapid metabolism than adults, may require larger dose of
med per unit of body weight
-Around puberty, pharmacokinetic properties reach adult parameters
• dosing after puberty may need to be decreased
-Developmental considerations
• attuned to signs of adverse effects, younger children may not be able to
communicate complaints
Question:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller quiz_bit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.58. You're not tied to anything after your purchase.
