FINAL EXAM WEEK 11-NURS 6660
Question 1
1 out of 1 points
Conventional antipsychotics are not first-line interventions in early-onset
... [Show More] schizophrenia
due to the risk of dystonic reactions. However, when children are not responsive to firstline therapy with atypical antipsychotics, which of the following is the most appropriate
conventional choice?
Selected
Answer:
D.
Chlorpromazi
ne
Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written expression are most
favorable when they are characterized by:
Selected
Answer:
Intensive, continuous administration of individually tailored, one-on-one
expressive and creative writing therapy
Question 3
1 out of 1 points
Linda is a 5-year-old girl who has persistent pica; she was finally referred for care when
her kindergarten teacher became alarmed by her eating of potentially toxic nonfood
substances. Linda’s mother admits during the history that Linda has been doing this for
years, but thought it was not a big deal since Linda didn’t eat anything dangerous.
Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s
unusual symptom because it didn’t seem unsafe. While discussing management
strategies with Linda’s mother, the PMHNP counsels that the most rapidly successful
treatment strategy appears to be:
Selected
Answer:
A.
Aversion
therapy
Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can occur at any
point in the lifespan. Characteristic findings in infants include:
Selected
Answer:
C.
Failure to
thrive
Question 5
1 out of 1 points
Katelyn is a16-year-old girl who presents for therapy with her mother and father. Katelyn
was born with male genitalia but has felt like a female “all of her life.” She says she knew
something was different as far back as she can remember. She always wanted to wear
her mother’s clothes and makeup and play with other girls. Katelyn started dressing and
openly identifying as a girl when she was 13 years old, and her parents are trying to be
supportive but they are struggling. Most recently Katelyn has developed an intimate
partner relationship with Jennifer, a 15-year-old girl who was gender-assigned female at
birth and identifies as a female. Katelyn’s father does not understand the relationship.
The PMHNP explains that Katelyn:
Selected
Answer:
C.
Is a transgender female who identifies as
lesbian
Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major depressive disorder
in children except:
Selected
Answer:
C.
There must be somatic or psychomotor
complaints.
Question 7
1 out of 1 points
Donna is a 16-year-old transgender female who has been through extensive individual
and family counseling and is ready to start hormone therapy with estrogen,
progesterone, and testosterone-blocking agents. When counseling her specifically about
the risks, benefits, and required monitoring of hormonal therapy, the PMHNP advises
Donna that:
Selected
Answer:
C.
Sterility is a probable consequence
of hormone therapy
Question 8
1 out of 1 points
The leading cause of death in youths living in juvenile residential facilities is:
Selected
Answer:
A.
Suicid
e
Question 9
1 out of 1 points
The PMHNP is working with a pediatrician colleague on a journal article to increase
awareness and improve diagnostic strategies for early-onset bipolar disorder. Based upon
a review of the longitudinal research on this disorder, the literature review of this article
should include all the following except:
Selected
Answer:
C.
Higher socioeconomic status and lifetime psychosis are predictors of
more rapid cycling in early-onset bipolar disorder
Question 10
1 out of 1 points
Tiana is a 10-year-old girl who is being referred for evaluation because her school
performance is appreciably below what is expected at her age. Historically she has been
a very happy child, likes school, and looks forward to going. However, over the last
several months her teacher reports that she is much slower than her peers in reading,
and she appears to be upset and withdrawn when asked to read in class. The PMHNP
would expect additional report from the teacher to include all the following except:
Selected
Answer:
A.
Inability to copy correctly from a
printed text [Show Less]