Final Exam: NR606 / NR 606 (Latest
Update 2024 / 2025) Diagnosis & Management in Psychiatric-Mental Health II Practicum | Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Individuals with untreated _______ are at particular risk for developing a SUD
Answer:
ADHD
Question:
Adolescent substance use Screening
Answer:
-American Academy of Pediatrics (AAP) recommended universally screening all adolescents for substance use during routine healthcare visits • using a Substance Use Screening, Brief Intervention, & Referral (SBIRT) approach -commonly used SBIRT tool is the CRAFFT screening tool 1 / 4
• recommended by the AAP Bright Futures Guidelines for preventative care screenings.
Question:
CRAFFT tool
Answer:
• C: Have you ever ridden in a Car driven by someone, including yourself, who
was "high" or had been using alcohol or drugs • R: Do you ever use alcohol or drugs to Relax, feel better about yourself or fit in?
• A: Do you ever use alcohol or drugs while you are by yourself (Alone)?
• F: Do you ever Forget things that you did while using alcohol or drugs?
• F: Do your Family or Friends ever tell you that you should cut down on your
drinking or drug use?
• T: Have you ever gotten into Trouble while you were using alcohol or drugs?
*2+ yes answers suggest a significant problem
Question:
SUD screening tools to use with adolescents 12-18 years
Answer:
-Screening to Brief Intervention (S2BI) -Brief Screener for Tobacco, Alcohol, and other drugs (BSTAD)
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Question:
Drug testing
Answer:
-AAP supports the use of drug testing in:
• emergencies • on a voluntary basis as part of a full assessment of behavioral or mental health symptoms • as part of therapy or monitoring of a client with an identified substance use disorder -the use of "suspicionless" drug testing as a means of screening for drug use is not useful for both practical & ethical reasons -parents may request that a provider drug test their child • AAP cautions against the use of involuntary drug testing on a mentally competent adolescent
Question:
AAPs position on drug testing at home and in schools
Answer:
video
Question:
Adolescent SUDs Tx
Answer:
-Behavioral treatments 3 / 4
• most prevalent interventions for adolescent SUDs • CBT, group therapy, contingency management, motivational interviewing -12-step programs or peer-to-peer programs -Residential treatment • clients who require stabilization, present a danger to themselves or their families, or present a public safety risk -family involvement is often integral • tx plan may include family therapy -Multidimensional Family Therapy • may be an alternative to residential tx for substance use & co-occurring mental health disorders -Medication-assisted treatment (MAT) is less likely to be used with adolescent clients -Community Reinforcement and Family Training (CRAFT) tx strategy • increase motivation & communication skills within a family impacted by addiction
Question:
Adverse childhood experiences (ACEs)
Answer:
traumatic events that occur before a child reaches age 18 -Growing up in a family with mental health or substance use problems can also cause traumatic injury -ACEs, stressful or traumatic experiences • sexual or domestic violence, physical or emotional abuse, or neglect
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