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Exam (elaborations)

NR606 Midterm Exam With Complete Solutions Latest Update

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NR606 Midterm Exam With Complete Solutions Latest Update

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  • October 27, 2024
  • 108
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Solution 2024/2025
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NR606 Midterm Exam With Complete Solutions
Latest Update

Steps for Obtaining Informed Consent ANS✔✔ -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 ANS✔✔
Developmental considerations

Family involvement

Systems involvement

Resiliency



Alpha Adrenergic medication's that can be used for clients with ASD, who
have hyper activity, impulsive, behaviors, and sleep problems? ANS✔✔
Guanfacine

Clonidine



Medications that may be use for clients with ASD, who have aggressive
behaviors, Tantrum, sleep, disorders, or motor tics? ANS✔✔ Second
generation antipsychotic like aripiprazole

, Solution 2024/2025
Pepper



Tricyclic antidepressant medication's that may be used for clients with ASD,
who have repetitive behaviors and aggression ANS✔✔ Clomipramine



Medication so maybe use for clients with ASD you have hyperactivity, short,
attention, span, and impulsive behaviors ANS✔✔ Stimulant medication, such
as methylphenidate



Treatment for childhood and said schizophrenia (COS)? ANS✔✔
Antipsychotics however, they have a high risk of metabolic side effects,
including weight gain.



Monitoring for Antipsychotic long term? ANS✔✔ Monitoring of weight

Blood pressure

Fasting glucose

Lipid levels



Why do you want to reserve the use of tar dive dyskinesia for clients who do
not respond to second generation antipsychotic? ANS✔✔ there is a higher
risk of Tardive dyskinesia



First line treatment for tics? ANS✔✔ Psychoeducation and behavioral
therapy such as comprehensive behavioral interventions for ticks can be
used if standalone cycle education is insufficient then pharmacological
agents



Medication's for tics? ANS✔✔ Antipsychotics, such as

Pimozide and

, Solution 2024/2025
Pepper
Aripiprazole to control tics



Side effects to watch out for with antipsychotics such as aripiprazole ANS✔✔
Monitoring for adverse effect, such as motor impairment

Hypersomnia

Endocrine dysfunction



Underlying assumptions for child and adolescent psychotherapy:
Developmental considerations ANS✔✔ -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 ANS✔✔ -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

, Solution 2024/2025
Pepper
-collaborate with parent or caregiver as a tx partner



Underlying assumptions for child and adolescent psychotherapy: Systems
involvement ANS✔✔ -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
ANS✔✔ -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 ANS✔✔ -Sensorimotor stage:
Birth-2 yrs

• cognitive abilities based on reflexes

• object permanence & causality

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