NR606 Week 4 Midterm Exam

Q11. A 22-year-old pregnant client with type 2 diabetes and schizophrenia — best antipsychotic choice:
➡️ D. Quetiapine

Q22. Priority assessment for a pregnant client on quetiapine:
➡️ A. Glucose tolerance test

Q33. Symptom that differentiates separation anxiety from other disorders:
➡️ A. Reports of nightmares about being kidnapped

Q4. Most likely diagnosis for a 36-week pregnant client with fear, dread, and panic about delivery after prior traumatic C-section:
➡️ D. Panic disorder with peripartum onset

Q55. Circumstance when a provider may withhold a child’s mental health records from parents/guardians:
➡️ A. When there is concern of parental neglect

Q6. Most appropriate initial treatment for a 12-year-old with motor and verbal tics:
➡️ B. Comprehensive behavioral intervention for tics

Q7. Complex vocal tic in Tourette syndrome:
➡️ D. A child who repeats the last word spoken by someone else (echolalia)

Q8. Factor that helps differentiate baby blues from maternal depression:
➡️ A. Length of time since the delivery

Q9. Contributing factor to increased maternal mental health disorders among Black women:
➡️ A. Lack of Black providers

Q10. Information supporting early-onset schizophrenia in a 16-year-old with visual hallucinations:
➡️ D. The child has increasing social isolation and withdrawal over the past year

A — Risks of discontinuing treatment
12. A — Child flaps hands repeatedly
13. A — Limited vocabulary
14. A — Irritability and crankiness
15. A — Worry across multiple domains (schoolwork, current events, illness)
16. D — Applied behavior analysis (ABA) therapy
17. A — Blushing/stammering/trembling when answering in class
18. A — Sibling with ASD
19. A — Smokes ½ pack per day
20. A — Depression with peripartum onset
A 5-year-old with autism spectrum disorder and severe impairment
✅ A. ASD requiring very substantial support
Pregnant woman with opioid use disorder denied treatment due to policy
✅ A. Structural
2-year-old evaluated for Rett syndrome
✅ D. Loss of fine motor skills with development of hand flapping
12-year-old meeting diagnostic criteria for unipolar depression
✅ A. Five
Cannabis use during pregnancy
✅ A. Low birth weight
Client most likely to receive adequate mental health treatment
✅ A. A 12-year-old who lives with his grandmother, a retired social worker
10-year-old with ADHD prescribed a stimulant – developmentally appropriate education
✅ A. “Think of your brain as a car. This medicine will help it run faster and smoother.”
22-week pregnant client with mania symptoms
✅ A. Lithium
Common lifelong complication of prenatal alcohol exposure
✅ A. Learning disabilities
Most common symptom in childhood-onset schizophrenia
✅ D. Auditory hallucinations
A 12-year-old who is easily distracted, irritable, and has been suspended for exaggerated behavior in class → A. a 12-year-old who is easily distracted, irritable, and has been suspended from school for inappropriate exaggerated behavior in class