NURS 6660 Final Exam: Walden University
Question1
Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to 50 years have been characteriz
...
NURS 6660 Final Exam: Walden University
Question1
Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to 50 years have been characterized by increased attention to this issue and the publication of various ethical codes and practice position statements by professional organizations. Which of the following is not a true statement with respect to confidentiality of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when child abuse or
maltreatment has occurred.
B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age
or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics
states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best approach is when the child and PMHNP agree on disclosure.
Question 2
Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very proactive and involved in her care, and Debi has achieved remission 2 months after beginning treatment with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling Debi’s parents about important issues in management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive
symptoms
B. The mean length of major depressive episode in adolescents is 4 months
C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I within 5 years
D. Adolescent-onset depression typically needs long-term pharmacologic management to
prevent relapse
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