NURS 6660 Midterm Exam/ NURS6660 Midterm Exam
Question.1
Jack is a 3-year-old boy who is being evaluated for developmental delay.
The mental status examination is significant for an inability to stack two
blocks or d
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NURS 6660 Midterm Exam/ NURS6660 Midterm Exam
Question.1
Jack is a 3-year-old boy who is being evaluated for developmental delay.
The mental status examination is significant for an inability to stack two
blocks or draw a circle. The PMHNP also appreciates the inability to
attend to any task for more than a few seconds. These findings indicate
an abnormality in:
A. Social relatedness
B. Thought process and content
C. Motor behavior
D. Judgment and insight
Question.2
During the mental status exam of Oliver, a 4-year-old child, the PMHNP
appreciates that he appears to be having transient visual and auditory
hallucinations. The PMHNP knows that the best approach to this finding
is to consider that:
A. This is most consistent with early-onset schizophrenia
B. An organic brain disorder should be ruled out
C. These are normal findings in very young children
D. Comprehensive psychiatric assessment is indicated
Question.3
Jason is a 17-month-old male who is referred for evaluation of an
unusually high level of irritability. His mother says he cries “all the
time,” and sometimes he just cannot be comforted; Jason’s pediatrician
felt that the complaint warranted an evaluation by child psychiatry.
Comprehensive assessment of Jason’s irritability should include all the
following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Question.4
When evaluating treatment strategies for a 14-year-old patient with
obsessive-compulsive disorder (OCD), the PMHNP considers that
evidence-based data from the Pediatric OCD Treatment Study (POTS)
suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
A. Clomipramine (Anafranil)
B. Sertraline (Zoloft)
C. Aripiprazole (Abilify)
D. Lithium (Eskalith)
Question.5
Which of the following behaviors is least suspicious for an adolescent
who is being bullied at school?
A. A significant change in study habits in which the patient is
demonstrating higher academic achievement to the exclusion of a social
life
B. A persistent, sustained increase in the number and variety of
physical complaints that have no obvious organic cause
C. Evidence that the patient has started smoking cigarettes and
seems to spend more time alone than usual
D. Migration to a completely different peer group and a change
in appearance and behavior to aggressively mimic the new group
Question.6
Michael is a 13-year-old boy who was involved in a t
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