Midterm Exam: NR606/ NR 606 (NEW Update 2024/ 2025) Psychiatric Mental Health II Review |Weeks 1-4 | Questions and Verified Answers| 100% Correct| A
... [Show More] Grade- Chamberlain
QUESTION
Addressing Parental Concerns: Collaborative Treatment Plans
Answer:
-tx plans for children typically made in collaboration with parents or guardians
-Collaboration between the PMHNP, clients, and families when creating the treatment plan is
key to ensuring the plan meets the client's needs and is comfortable and manageable for the
family
QUESTION
Ethical Considerations in the Treatment of Children and Adolescents
Answer:
Privacy and HIPAA
Informed Consent
Mandatory Reporting
QUESTION
Ethical Considerations in the Treatment of Children and Adolescents: Privacy and HIPAA
Answer:
-parents have right to req access to a minor's mental health record, including symptoms,
diagnosis, tx plan
• circumstances may limit that right
➣see HIPAA fact sheet
QUESTION
Ethical Considerations in the Treatment of Children and Adolescents: Informed Consent
Answer:
-Parents may decide whether to allow tx child is unable to provide true informed consent
-children may not be able to give legal consent, should be included in discussions about med &
tx whenever possible
• encourage tx adherence
QUESTION
Ethical Considerations in the Treatment of Children and Adolescents: Mandatory Reporting
Answer:
-PMHNPs mandated reporters in most states
• required to report suspicions about abuse or neglect to the appropriate authorities
-federal & state statutes include stipulations related to mandatory reporting
-PMHNPs responsible for following all relevant statutes in their state of practice
QUESTION
most common complication during the perinatal period?
Answer:
Mental health problems
QUESTION
maternal mental health
Answer:
-Up to 1 in 5 women will suffer from a maternal mental health disorder like postpartum
depression
-<15% of women receive tx
-1 in 7 will experience depression during pregnancy
-Up to 50% of women living in poverty will suffer from a maternal mental health disorder
-Maternal mental health disorders impact the whole family, not just moms
-More than 600,000 women will suffer from a maternal mental health disorder in the U.S. ever
year
-Anxiety & depression have risen 37% in teen girls. This will increase the number of women
suffering postpartum depression in the future
-Rates of depression are more than doubled in Black moms due to cumulative effects of stress
called weathering
QUESTION
Ethical Considerations in Maternal Mental Health Tx
Answer:
-PMHNP must carefully weigh the risks & benefits r/t starting, continuing, switching, or
discontinuing med therapy during the perinatal period
-work to create tx plans that respect clients' goals & perspectives
QUESTION
Prescribing Considerations in Maternal Mental Health Tx
Answer:
-Pharmacologic therapy during pregnancy may be necessary to prevent maternal and fetal harm
• health of the embryo or fetus depends on health of the mother
-risks and benefits of all psychoactive medications to both the pregnant client and fetus must be
considered
-risks and benefits of prescribing medications for breastfeeding clients must also be considered
• many drugs cross from the maternal circulation into breast milk and may pose harm to the
nursing baby
QUESTION
Prescribing Considerations in Maternal Mental Health Tx: Pregnancy
Answer:
-Nearly 50% of pregnancies are unplanned
-when prescribing for pts of reproductive age take into consideration that pregnancy may occur
• initiate discussions about medication safety
-may work with the pt 6-12 months before a planned pregnancy to adjust meds as needed
-be prepared to provide guidance to pts who have already conceived
-Most meds can be continued during pregnancy
-if tx plan includes med contraindicated during pregnancy:
• discuss pts intended method of birth control
• contingency plan for unplanned pregnancy
-decision made to D/C medication, drugs should be tapered whenever possible
-Communication throughout the pregnancy is crucial to ensure client saf [Show Less]