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NR606 FINAL EXAM (ACTUAL EXAM) WITH 180+ QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+ $13.99
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NR606 FINAL EXAM (ACTUAL EXAM) WITH 180+ QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+

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NR606 FINAL EXAM (ACTUAL EXAM) WITH 180+ QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+

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  • September 9, 2024
  • 114
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR606
  • NR606

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NurseLNJ

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NR606 FINAL EXAM (ACTUAL EXAM) WITH
180+ QUESTIONS WITH VERY ELABORATED
ANSWERS CORRECTRY WELL ORGANIZED
LATEST 2024 – 2025 ALREADY GRADED A+




Clients who experience prolonged grief disorder may benefit from: - ANSWERS-
referral to a grief specialist and bereavement support groups



Brief Grief Questionnaire - ANSWERS--aid in the diagnosis of prolonged grief
disorder

• How much are you having trouble accepting the death of ______________?

• How much does your grief still interfere with your life?

• How much are you having images or thoughts of _____________ when s/he
died or other thoughts about the death that really bother you?

• Are there things you used to do when ______ was alive that you don't feel
comfortable doing anymore, or that you avoid? How much are you avoiding these
things?



-All questions answered with:

,Not at all: 0 Somewhat: 1 A lot: 2



-score of 4+ suggests ind may have complicated grief

• Refer to grief specialist for further eval



Rochelle is a 16-year-old high school junior who presents with her mother for an
initial consult with the PMHNP. Two months ago, another high school student
brought a gun to school and shot eight students and two teachers. Three victims
died. Rochelle did not know any of the victims personally. Since the shooting,
Rochelle has frequently been tearful, and she is angry at times. She and her
classmates have been attending school virtually, but Rochelle has had difficulty
with concentration and often skips classes. and she told her mother she will
"never go back to that building again." Rochelle has also told her mother that she
feels guilty for "making it out alive" and that life does not seem worth living any
longer. Her mother reports that Rochelle, once a happy child, does not seem
capable of happiness any longer, and she has started to stay out all night with
friends; when she comes home in the morning, her - ANSWERS-PTSD



Rationale: Rochelle meets the diagnostic criteria for PTSD. She has been involved
in a traumatic event and has experienced recurrent memories of the event.
Avoidance symptoms: she avoids external reminders of the trauma by refusing to
go to the school building where the trauma occurred. Negative cognition/mood
symptoms: she experiences a persistent negative emotional state as evidenced by
crying, anger, and guilt. She is unable to experience positive emotions such as
happiness. Arousal symptoms: she has difficulty concentrating and has engaged in
risk-taking behaviors that were not present before the trauma. Her symptoms
have lasted over a month, which rules out a diagnosis of acute stress disorder.

,Stimulant Medications: Lisdexamfetamine (Vyvanse) - ANSWERS--Biologically
inactive until metabolized by the body (Prodrug)

-Less abuse & diversion potential than other stimulants

-Higher-cost medication



Non-stimulant medication: Atomoxetine (Strattera) - ANSWERS--Noradrenergic
(NRI)

-Initial drug of choice for adults with ADHD

-no abuse potential

-tolerated well when prescribed in BID dosing

-appropriate choice for comorbid substance abuse

-may augment the effects of antidepressants & antianxiety meds

-can be dosed at bedtime if fatigue is noted

-unlikely to worsen tics



Non-stimulant medication: Clonidine - ANSWERS--α 2 agonist

• May be taken as monotherapy or with stimulant medications

-enhances precortical function for better mental focus

-appetite neutral

-may help with sleep disturbances, administer at bedtime

-adverse effects:

• sedation, brain fog

, -monitor of BP closely during initial titration, risk of hypotension

-tapered to avoid rebound hypertension post discontinuation



Non-stimulant medication: guanfacine - ANSWERS--α 2 agonist

• May be taken as monotherapy or with stimulant medications

-may also be used for children with tics, sleep disturbances, or aggression

-tolerability & convenience enhanced by once-daily oral controlled-release
formulation

-adverse effects:

• sedation, headache, decreased appetite

-reduced side-effect profile comparable to clonidine

-bedtime administration to avoid daytime sedation



Non-stimulant medication: Bupropion (Wellbutrin) - ANSWERS--Norepinephrine
Dopamine Reuptake Inhibitor

-off-label use for ADHD in adults

-appropriate for clients with concurrent depression or tobacco abuse




Stimulant Medications: Methylphenidate - ANSWERS--Low risk of adverse effects

-Available formulations:

• Ritalin - available in immediate release (IR) and extended release (XR) available
in beads that may be sprinkled on food for children who cannot swallow pills

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