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NRNP 6665 Final Exam: Test Questions & Answers: Latest Updated Solution

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Which of the following is not a true statement with respect to confidentiality of the child or adolescent client? (AnsA. The PMHNP should not be concerned with consent for disclosure when child abuse or maltreatment has occurred. B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age or older can give consent for disclosure. C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics states that consent is not required for disclosure. D. Regardless of code or position statement by any organization, the best approach is when the child and PMHNP agree on disclosure. Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work. Andrew says he doesn't feel any different, but both his parents and teachers report improvement in his mood. He has been more stable, is getting along better with friends and siblings, and is even more interested in his schoolwork. The PMHNP plans to maintain Andrew on this medication and knows that he will need which of the following ongoing laboratory assessments? (AnsA. Complete blood count, thyroid function tests, and serum calciumB. Liver function tests, complete blood count, and 12-lead electrocardiogram C. White blood cell differential, fasting glucose, and fasting lipid profile D. Comprehensive metabolic panel, complete blood count, and thyroid function tests The therapeutic outcomes for children with disorders of written expression are most favorable when they are characterized by: (AnsA. Concomitant pharmacotherapy with a psychostimulant to promote attention and focus B. Multimodal therapy to include group interaction with peer-to-peer feedback on writing samples C. variety of tutors who will offer a variety of writing techniques, composition strategies, and critiques D. Intensive, continuous administration of individually tailored, one-onone expressive and creative writing therapy Aripiprazole (Ansability/ antipsychotic (atypical) S/sx: drowsinessRisperidone (Ans- Atypical antipsychotic causing high prolactin levels with lots of extrapyramidal SE Amphetamine IR (AnsAdderall CNS Stimulant Amphetamine XR (Ans- Adderall (XR) CNS Stimulant Dextroamphetamine (AnsCNS stimulant *Mech*: Inc catecholamines at the synaptic cleft, especially NE and dopamine. *Use*: ADHD, narcolepsy, apetite control

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