NR606 Week 4: Midterm Exam (Dec-2025)

A 17-year-old client who is diagnosed with schizophrenia refuses to take oral medication. Which is the best treatment option?

Answers: A – D

A Consult with the client and his family about alternate treatment options ✅
B Discuss rewards-based therapy to encourage the client to take medications.
C Consult with the client’s parents about alternate treatment options
D Provide a referral to a residential treatment center

Which pregnant client is at greatest risk for postpartum psychosis?

Answers: A – D

A a 32-year-old client with a history of well-managed bipolar II disorder ✅
B a 28-year-old client with poorly managed obsessive-compulsive disorder
C a 24-year-old client with a history of one episode of major depressive disorder
D a 40-year-old client diagnosed with anxiety with peripartum onset

An adolescent client who experienced a psychotic episode was prescribed aripiprazole. He has been taking the medication for six months and symptoms have resolved. The client wishes to discontinue the medication. What is the best response by the nurse practitioner?

Answers: A – D

A recommend tapering the dosage over three months
B agree to discontinue the medication
C recommend continuing the medication for a total of one year ✅
D recommend continuing the medication for a total of two years

A 15-year-old presents with symptoms of agitation and auditory hallucinations. He has three first-degree relatives who have type 2 diabetes. Which medication would be the best initial choice?

Answers: A – D

A clozapine
B risperidone
C olanzapine
D aripiprazole ✅

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), when would the use of the “with peripartum onset” specifier be appropriate?

Answers: A – D

A when symptoms occur during pregnancy or within four weeks after birth ✅
B when symptoms occur during pregnancy or within one year after birth
C when symptoms occur during pregnancy or within two weeks after birth
D when symptoms occur during pregnancy or within 6 months after birth

A client who delivered her first child 3 weeks ago presents with concerns about recurrent intrusive images of the baby drowning. She has stopped bathing the child due to fears of accidentally drowning him. She knows these thoughts are bizarre and she denies the impulse to harm the baby. Which is the most likely diagnosis for this client?

Answers: A – D

A obsessive-compulsive disorder with peripartum onset ✅
B baby blues
C psychosis with peripartum onset
D generalized anxiety disorder with peripartum onset………………………………………………$60