NURS 6660 Midterm Exam.Questions and Answers
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. T
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NURS 6660 Midterm Exam.Questions and Answers
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
C
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
B
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
D
Which of the following is the most common anxiety disorder of childhood?
A. Generalized anxiety disorder
B. Separation anxiety disorder
C. Social anxiety disorder
D. Obsessive-compulsive disorder
A
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)
B
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
A
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which his mother, the driver, was killed. After suffering multiple injuries and weeks in the hospital, Michael was discharged to home with physical therapy. He ultimately made a complete physical recovery but is unable to get into a car. Just the thought of riding in a car produces profound physiologic symptoms. He has been diagnosed with post-traumatic stress disorder (PTSD). His avoidance of riding in a car is conceptualized as:
A. Panic attacks
B. Operant conditioning
C. Hyper arousal
D. Flashbacks
C
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