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+ 1 / 4
• 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. 2 / 4
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 ➣problems in the family 3 / 4
➣violence in the community ➣unstable housing ➣unemployment ➣food insecurity -Cost -scheduling conflicts -long waitlists for services -high staff turnover
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:
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