Special Populations in Psychiatric Care Flashcards
6 cards from real Psychiatric-Mental Health Nurse Practitioner Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Special Populations in Psychiatric Care flashcards as text
Fetal alcohol spectrum disorder (FASD) results from prenatal alcohol exposure. Which characteristic is most associated with the neurodevelopmental profile of FASD?
Answer: Intellectual disability, executive function deficits, and poor adaptive behavior
FASD commonly causes intellectual disability, executive function impairment, poor impulse control, and adaptive behavior deficits due to teratogenic brain damage.
A PMHNP is treating a patient with intellectual disability (ID) and severe self-injurious behavior. Pharmacotherapy should:
Answer: Be used adjunctively with behavioral interventions after identifying the function of the behavior
In ID, behavioral analysis to identify the function of self-injury is essential before or alongside pharmacotherapy, as medications address symptoms rather than causes.
When assessing grief in a patient who lost a spouse 14 months ago with persistent daily yearning and functional impairment, a PMHNP would consider:
Answer: Prolonged grief disorder (PGD)
DSM-5-TR introduced prolonged grief disorder for adults with intense grief symptoms (yearning, difficulty accepting loss) persisting beyond 12 months after bereavement with functional impairment.
A PMHNP is conducting a psychiatric evaluation of an adolescent. Assent (versus consent) means:
Answer: The parent gives permission and the adolescent agrees to participate in treatment
Assent is the adolescent's affirmative agreement to treatment alongside parental consent, recognizing the minor's developing autonomy even when they cannot legally consent.
A PMHNP working with patients who have co-occurring serious mental illness (SMI) and substance use disorder should prioritize which treatment model?
Answer: Integrated dual diagnosis treatment addressing both conditions simultaneously
Integrated dual diagnosis treatment has the strongest evidence base for co-occurring SMI and SUD, as both disorders interact and must be addressed concurrently.
Which DSM-5 neurodevelopmental disorder requires persistent deficits in social communication across multiple contexts AND restricted, repetitive behaviors for diagnosis?
Answer: Autism spectrum disorder (ASD)
ASD requires both persistent social communication deficits AND restricted, repetitive behaviors present in early development per DSM-5 criteria.