Exam (elaborations)
NR606 MIDTERM EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
NR606 MIDTERM EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
NR606 MIDTERM EXAMQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Steps for Obtaining Informed Consent - ANSWER -Assess pt ability to understand medical info, tx options,
to make a voluntary decision.
-Present relevant info with accuracy and sensitivity:
• diagnosis
• nature & purpose of tx options
• benefits, risks, burdens of all tx options, including forgoing tx
-Document informed consent conversation in the medical record, including all consent forms.
Underlying assumptions for child and adolescent psychotherapy - ANSWER Developmental
considerations
Family involvement
Systems involvement
Resiliency
Underlying assumptions for child and adolescent psychotherapy: Developmental considerations -
ANSWER -developmental level will impact how they:
• reason
• approach relationships
• regulate emotion and behavior
• communicate
-Developmental considerations
• inform the diagnostic process
• guide tx planning
Underlying assumptions for child and adolescent psychotherapy: Family involvement - ANSWER -Family
involvement in tx & decision-making
,• a norm in child and adolescent psychotherapy
-invite parents to share the hx of the child or adolescent's chief complaint & prior tx, medical &
developmental hx, & behavioral info privately with the therapist ahead of the session
• avoid feelings of criticism or discouragement
-collaborate with parent or caregiver as a tx partner
Underlying assumptions for child and adolescent psychotherapy: Systems involvement - ANSWER -
Therapists must consider the systems that surround children & adolescents & promote their
development
• family
• school
• peers
• the community
-Therapy can help promote the child/adolescent's socioemotional competence
-help develop a community support system
Underlying assumptions for child and adolescent psychotherapy: Resiliency - ANSWER -therapist work to
promote resiliency in children & adolescents
• using strength-based orientation
-supports:
• functioning
• self-regulation
• deal with challenges they faces
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)
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
Medication-Assisted Treatment (MAT) - ANSWER Treatment for opioid use disorder combining the use of
medications (methadone, buprenorphine, or naltrexone) with counseling and behavioral therapies.
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
, 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
➣problems in the family
➣violence in the community
➣unstable housing
➣unemployment
➣food insecurity
-Cost
-scheduling conflicts
-long waitlists for services
-high staff turnover
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
Kassia, a 5-year-old, is prescribed a stimulant medication for ADHD (Attention Deficit Hyperactivity
Disorders) for the first time.
Consider Piaget's stages, match the developmentally-appropriate education statements with the correct
client:
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 or Stuvia-credit 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 Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now