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ANCC Child/Adolescent Psych and Mental Health CNS - Blogs Sample Questions

You have an adolescent patient who has attempted suicide by taking an overdose of over-the-counter pain killers. Which of the following should be your priority in the care of this patient?





Correct Answer:
assess the patient for risk of harm to himself or others
when managing an adolescent patient who has attempted suicide by taking an overdose of over-the-counter painkillers, the immediate priority is to assess the patient for risk of harm to himself or others. this initial assessment is crucial as it helps to determine the immediate safety needs of the patient and to plan further steps in treatment and intervention.

the rationale behind prioritizing the assessment of risk includes several critical factors: 1. **immediate safety concerns**: the foremost concern is to ensure the safety of the patient. this involves evaluating their current mental state, intentions, and capability to attempt suicide again or harm others. it is important to stabilize the patient both medically and psychologically to prevent another suicide attempt. 2. **understanding the severity and intent**: assessing the patient helps in understanding the severity of the suicide attempt and the underlying intent. this assessment includes exploring the reasons behind the attempt, the method and lethality of the method used, and whether the attempt was impulsive or planned. 3. **developing a treatment plan**: based on the assessment, healthcare providers can develop an appropriate treatment plan. this might involve immediate interventions, such as hospitalization if the risk of another attempt is high, and longer-term treatments such as psychotherapy, medication, or both.

while other actions like consulting with a suicide prevention team, prescribing medication, or referring to a psychiatrist are important components of managing a suicidal patient, these steps generally follow after ensuring the patient is no longer a direct threat to themselves or others. the initial assessment guides these subsequent decisions, ensuring that they are tailored to the specific needs and risks associated with the individual patient.

it is also crucial to involve the patient’s family or caregivers as appropriate, and to consider legal or ethical requirements such as mandatory reporting laws or obtaining necessary consents for treatment. continuous monitoring and reassessment are essential components of ongoing care to ensure the safety and well-being of the patient.

in summary, the priority in caring for an adolescent who has attempted suicide is to first assess their risk of further harm. this foundational step is vital for ensuring immediate safety and forms the basis for all subsequent therapeutic decisions and interventions aimed at recovery and prevention of future suicide attempts.

Which of the following statements about attention deficit hyperactivity disorder (ADHD) is least accurate?





Correct Answer:
adhd is composed of symptoms that will not change throughout the client’s life span.


the statement that "adhd is composed of symptoms that will not change throughout the client’s life span" is least accurate. adhd, an attention deficit hyperactivity disorder, is indeed characterized by symptoms such as inattention, hyperactivity, and impulsivity. however, it is well-documented in medical and psychological research that the manifestations and impact of these symptoms can change over time. during childhood, hyperactivity may be more prominent, while in adolescence and adulthood, issues such as time management, organizational skills, and maintaining focus become more significant. this evolution in symptoms necessitates periodic reassessment and adjustment of treatment strategies.

contrary to the notion that adhd symptoms are static, they are dynamic and can be influenced by a variety of factors including age, environment, and the development of coping strategies. as individuals with adhd age, they often develop skills to manage their symptoms better or their life situation changes in ways that accommodate their needs more effectively. for instance, adults might choose professions that are better aligned with their attention span and activity level, thus mitigating some of the challenges experienced in more structured settings like traditional schools.

further addressing the other statements, there are indeed several non-stimulant medications, such as atomoxetine and some antidepressants, which have been approved for use in adhd and have shown effectiveness. these options are particularly important for individuals who may not respond well to stimulant medications or who experience adverse effects from them.

the assertion that a common behavioral manifestation of adhd is frequent accidental injuries aligns with research findings that suggest individuals with adhd may have impaired motor coordination or may engage in riskier behaviors due to impulsivity, contributing to a higher incidence of accidents.

lastly, the statement that adhd is the most common neurobehavioral disorder among school-age children is supported by epidemiological data. adhd is widely recognized and diagnosed frequently among this age group, highlighting its prevalence relative to other neurobehavioral disorders in children.

in conclusion, the statement about adhd symptoms being unchanging throughout life is the least accurate, as it does not reflect the variable nature of the disorder across different stages of an individual's life. understanding this dynamic is crucial for providing effective, personalized care and support to those with adhd.


Additional Blogs for ANCC - American Nurses Credentialing Center dfgdfgdfg

In your journey to get ANCC Child/Adolescent Psych and Mental Health CNS certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the American Nurses Credentialing Center.

Exam Edge Blogs for ANCC - American Nurses Credentialing Center