NRNP 6665 Midterm Exam
Question 1
A Relaxation therapy
.
B Social skills training
.
C Motivational
. Interviewing
D Applied
... [Show More] behavioral
. analysis
Question 2
A The child’s clinical presentation fulfills the specific symptom based
. diagnostic criteria.
B The child’s symptoms are not caused by other diagnoses or stressors.
.
C The child’s symptoms are impairing a child’s functioning in at least two
. settings.
D A and B
.
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A Allow child to keep a cell phone at bedside.
.
B Establish bedtime routines and maintain consistently.
.
C Limit use of electronics in the evening i.e., television,
. computer, etc.
D Set and maintain a bedtime that will allow for adequate
. sleep.
Question 4
A Aripiprazole (Abilify)
.
B Ziprasidone
. (Geodon)
C Haloperidol (Haldol)
.
D Risperidone
. (Risperdal)
Question 5
A Safety
.
B Bullying
.
C Conduct disorder
.
D Oppositional defiant
. disorder
Question 6
A Substance use disorder
.
B Substance withdrawal
.
C Substance tolerance
.
D Substance induced mental
. disorder
Question 7
A Become a surrogate decision maker for the patient.
.
B Consult a formally-designated surrogate for patient choices.
.
C Make safe choices for the patient based on the nurse’s beliefs
. and values.
D Continue to support all the patient’s choices until a surrogate
. can be found.
Question 8
A Obsessive -compulsive
. disorder
B Posttraumatic stress
. disorder
C Panic disorder
.
D Separation anxiety
. disorder
Question 9
A Ziprasidone
. (Geodon)
B Aripiprazole
. (Abilify)
C Olanzapine
. (Zyprexa)
D Quetiapine
. (Seroquel)
Question 10
A Bipolar II Disorder
.
B Cyclothymic Disorder
.
C Bipolar I Disorder, mixed
. episode
D Bipolar I Disorder, cyclothymic
. type
Question 11
Which of the following is NOT true about symptomatology of anorexia nervosa?
A Most aberrant behaviors directed toward losing weight occurs in secret.
.
B All patients have an intense fear of gaining weight and becoming obese.
.
C Most patients with anorexia nervosa will have no difficulty eating with their family in
. public places.
D Fear of gaining weight and becoming obese frequently contributes to the individual’s
. lack of interest in and resistance to therapy/treatment.
Question 12
Sleep-related hallucinations occurring at sleep onset are known as which of the following?
A Hypnagogic
.
B Hypnopompic
.
C Complex
. hallucinations
D Paranormal
. hallucinations
Question 13
A Cognitive theory
.
B Psychosocial theory
.
C Psychodynamic theory
.
D Learned helplessness
. theory
Question 14
A Stigma associated with mental health
.
B Poor problem recognition
.
C Limited availability of mental health
. specialists
D All of the above
.
Question 15
A Asking about a child and caregiver’s cultural understanding is an efficient way to
. build a therapeutic alliance.
B While cultural understanding is important, it is important not to personalize the
. diagnosis.
C While obtaining cultural information is important, it may increase bias and thus
. decrease accuracy of the assessment.
D Engaging in a discussion about culture, while interesting and engaging, is a
. distraction from the problem that brought the child and caregiver to the provider.
Question 16
A Integrity
B Justice
C Beneficence
D Nonmalefice
nce
Question 17
A Fluoxetine
. (Prozac)
B Trazodone
. (Desyrel)
C Amitriptyline
. (Elavil)
D Venlafaxine
. (Effexor)
Question 18
Which of the following is the most common eating disorder?
A Bulimia nervosa
.
B Anorexia nervosa
.
C Binge eating
. disorder
D Night eating
. syndrome
Question 19
A Ages 0–5
.
B Ages 6–
. 12
C Ages 13–
. 18
D Ages 18+
.
Question 20
A Suicidality
.
B Bipolar disorder
.
C Major depressive disorder
.
D Disruptive mood dysregulation
. disorder
Question 21
A Bulimia nervosa
.
B Anorexia nervosa
.
C Binge eating
. disorder
D Night eating
. syndrome
Question 22
A Mood-congruent manic delusion
.
B Mood-incongruent manic
. delusion
C Mood-congruent manic
. hallucination
D Mood-incongruent manic
. hallucination
Question 23
A Group CBT
.
B Trauma-Focused CBT
.
C Motivational Interviewing
.
D Dialectical-behavioral
. therapy
Question 24
A If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial
. Interventions.
B If a child/adolescent has mild symptoms, initiate psychotropic medication at the
. same time as appropriate psychosocial interventions are started.
If a child/adolescent has moderate to severe range of symptoms initiate psychotropic
C medication at the same time as the appropriate psychosocial interventions are
. started.
D If a child/adolescent has a moderate to severe range of symptoms initiate
. psychotropic medication prior to initiating psychosocial interventions.
Question 25
A Cognitive behavioral therapy
. (CBT)
B Trauma-focused CBT
.
C Motivational interviewing
.
D Dialectical-behavioral therapy
.
Question 26
A 4–6
. weeks
B 3–6
. months
C 1–2 years
.
D 8–10
. years
Question 27
A Motivational interviewing
.
B Dialectical-behavioral therapy
.
C Cognitive behavioral therapy
. (CBT)
D Behavioral management
. training
Question 28
A Stage
. 1
B Stage
. 2
C Stage
. 3
D Stage
. 4
Question 29
A Fidelity
.
B Autonomy
.
C Beneficence
.
D Nonmalefice
. nce
Question 30
A Address any acute safety concerns
.
B Obtain any necessary professional
. assistance
C Develop a prevention plan for future
. crises
D A and B
.
Question 31
A Conduct disorder
.
B Autism spectrum disorder
.
C Generalized anxiety disorder
.
D Attention-deficit/hyperactivity
. disorder
Question 32
A Dysthymia
.
B Cyclothymia
.
C Major Depression, subacute,
. recurrent
D Bipolar II disorder
.
Question 33
A Overeating and
. oversleeping
B Loss of appetite
.
C Insomnia
.
D Sleep walking
.
Question 34
Somnambulism is characterized by which of the following?
A Waking from sleep/naps with vivid recall of intensely frightening dreams
.
B A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
.
C Excessive daytime sleepiness or sleep attacks
.
D Repeated episodes of rising from bed and walking about for between several minutes
. to a half hour during nocturnal sleep
Question 35
A Bulimia nervosa
.
B Anorexia nervosa
.
C Encopresis
.
D Autism spectrum
. disorder
Question 36
A Sertraline
.
B Fluoxetine
.
C Duloxetine
.
D Fluvoxami
. ne
Question 37
A Safety
.
B Self medication
.
C Substance
. tolerance
D Substance use
. disorder
Question 38
A Bipolar I Disorder is more prevalent in men
.
B Bipolar I Disorder is more prevalent in women
.
C Manic episodes are more prevalent in women.
.
D Bipolar I Disorder has equal prevalence among men
. and women.
Question 39
Which of the following is NOT consistent with the code of ethics for the nursing profession?
A A code of ethics for the nursing profession informs every aspect of
. the nurse’s life.
B A code of ethics makes explicit the primary obligations of the nursing
. profession.
C A code of ethics addresses the values and ideals of the nursing
. profession.
D B and C only
.
Question 40
Which of the following is NOT consistent with what is known about anorexia nervosa?
A Anorexia nervosa is more prevalent in males.
.
B Anorexia nervosa is most frequent in developed countries
.
C Anorexia nervosa is equally prevalent in males and females
.
D Roughly half of patients with anorexia nervosa will not only diet but will also regularly
. engage in binge and purge behaviors
Question 41
A Rating scare are inherently imperfect.
.
B Rating scales should never be the sole basis for making a diagnosis.
.
C Behavioral health rating scales are an efficient tool to quickly
. diagnosis a patient.
D A and B
.
Question 42
A There is no evidence that genetics plays a role in mood disorders.
.
B If one parent has a mood disorder the child has a 50% risk of developing a mood
. disorder.
C Bipolar I Disorder is typically the most common form of mood disorder in families of
. bipolar probands.
D Evidence from twin studies provides the most compelling data for the role of genetic
. factors in mood disorders.
Question 43
A Sertraline
.
B Fluoxetine
.
C Fluvoxamine
.
D Clomipramine
.
Question 44
A Getting adequate exercise
.
B Avoid heavy meals before bedtime
.
C Consistent bedtime and arousal time
.
D Only go to bed when you are actually
. feeling sleepy
Question 45
A Sudden onset
.
B Diurnal variation
.
C Confabulation
.
D Can be coached and encouraged into
. remembering
Question 46
A Abuse
.
B Conduct disorder
.
C Communication disorder
.
D Attention deficit/hyperactivity
. disorder
Question 47
A School phobia
.
B Excessive clinging to parents
.
C Preferring to spend time with friends from
. school
D A and B
.
Question 48
A The nurse must respect patient’s
. decisions.
B The nurse must support all patient
. choices.
C The nurse must agree with all patient
. choices.
D A and B only
.
Question 49
A Metaethics
.
B Normative
. ethics
C Applied ethics
.
D Moral ethics
.
Question 50
A Sleep state
. misperception
B Psychophysiological
.
insomnia
C Persistent insomnia
.
D Non-organic insomnia
.
Question 51
A Fidelity
.
B Autonomy
.
C Beneficence
.
D Nonmalefice
. nce
Question 52
A Metaethics
.
B Applied ethics
.
C Normative ethics
.
D None of the above as this is not an ethical
. question
Question 53
The most powerful predictors of the onset of a depressive episode is which of the following?
A Resent stressful events
.
B Persons with antisocial personality
. disorder
C Persons with paranoid personality
. disorder
D Person with borderline personality
. disorder
Question 54
A Fidelity
.
B Autonomy
.
C Beneficence
.
D Nonmalefice
. nce
Question 55
Which of the following SSRIs is a first line treatment for depression in children?
A Paroxetine
. (Paxil)
B Fluoxetine
. (Prozac)
C Citalopram
. (Celexa)
D Sertraline
. (Zoloft)
Question 56
A Adjustment disorder with depressed
. mood
B Substance abus
.
C Disruptive mood dysregulatio
.
D Posttraumatic stress disorder
.
Question 57
A Substance use disorder
.
B Major depressive disorder
.
C Generalized anxiety disorder
.
D Posttraumatic stress
. disorder
Question 58
Which of the following are medical complications NOT associated with anorexia nervosa?
A Tachycardi
. a
B Bradycardi
. a
C Hypotensio
. n
D Hypotherm
. ia
Question 59
A Choose a rating scale with fair diagnostic reliability.
.
B A longer rating scale will provide better diagnostic specificity.
.
C Use a broad-based rating scale to investigate a particular problem.
.
D Select scales that are research validated for age, condition, and (ideally) culture.
.
Question 60
Hypersomnolence disorder (excessive sleeping) can be caused by which of the following?
A Insufficient sleep
.
B Disrupted sleep
.
C Basic neurologic dysfunction in the brain systems
. regulating sleep
D All the above
.
Question 61
A What is the patient or caregiver preference?
.
B How rapid of a treatment response is needed?
.
C How does the child’s age effect your risk-benefit
. analysis?
D All of the above
.
Question 62
A Engage the child/adolescent in a manner to encourage them feeling noticed, heard,
. and appreciated.
B Make sure that the parent/caregiver is always in the room.
.
C Start off with targeted diagnostic questions to save time.
.
D Always take the child/adolescent’s side if there is disagreement with caregiver.
.
Question 63
A There is an inherent desire to better understand problems.
.
B It is important to focus on understanding the stigma of mental
. health.
C It is important to connect the specific diagnosis with the
. recommended treatment.
D A and C
.
Question 64
A BMI >17 kg/m2
.
B BMI 16–
. 16.99kg/m2
C BMI 15–15.99
. kg/m2
D BMI <15kg/m2
.
Question 65
A Ages 0–5
.
B Ages 6–
. 12
C Ages 13–
. 18
D Ages 18+
.
Question 66
Applied behavioral analysis is typically indicated for which of the following disorders?
A Anxiety disorder
.
B Depressive disorder
.
C Autism spectrum
. disorder
D Oppositional defiant
. disorder
Question 67
A A manic episode
.
B A hypomanic
. episode
C Cyclothymia
.
D Bipolar II Disorder
.
Question 68
A Dysthymia
.
B Cyclothymia
.
C Bipolar II
. Disorder
D Bipolar I
. Disorder
Question 69
A Depression
.
B Social phobia
.
C Schizophrenia
.
D Obsessive-compulsive
. disorder
Question 70
A Sensory impairment
.
B Intellectual disability
.
C Substance use
. disorder
D Mood or anxiety
. disorder
Question 71
A The AACP Code of Ethics contains laws to direct the professional activities of child
. and adolescent providers.
B The AACP Code of Ethics contain guidelines that could be used consistently and
. impartially.
C The principles and guidelines in the AACP Code of Ethics are to be applied at all
. times.
D If there is question about how to apply a principle the provider is directed to seek
. consultation from appropriate professional resources.
Question 72
The APRN would recommend which of the following be included in a post-crisis plan?
A Keep up regular routines
.
B Maintain a “low-key” atmosphere
.
C Follow typical house rules but pick your
. battles
D All the above
.
Question 73
Which of the following medications is approved by the FDA for treatment of enuresis?
A Tofranil
.
B Zolpidem
.
C Solriamfetol
.
D Rotigotine
. patch
Question 74
A Anxiety disorder
.
B Adjustment
. disorder
C Conversion
. disorder
D Abuse or
. maltreatment
Question 75
A No correlation has been found between socioeconomic status and major depressive
. disorder.
B A higher-than-average incidence of Bipolar I disorder is found among the upper
. socioeconomic groups.
C Bipolar I disorder is more common among persons who graduated from college.
.
D The prevalence of mood disorder does not differ among races.
.
Question 76
A Morality
.
B Metaethics
.
C Applied ethics
.
D Normative
. ethics
Question 77
A Gaba and Dopamine
.
B Serotonin and
. Norepinephrine
C Insulin and testosterone
.
D Estrogen and Prolactin
.
Question 78
.
B A history of suicide attempts
.
C Current substance use disorder
.
D A family history of suicidal behaviors
.
Question 79
Which of the following would be an initial screening question for a child with sleep problems?
A Do worries keep you awake?
.
B What is your routine before going to bed?
.
C Do you startle easily or get frequent
. nightmares?
D Do you feel tense, restless or worried most of
. the time?
Question 80
Which of the following hormone levels is increased in anorexia nervosa?
A Corticotrophin-releasing hormone
. (CRH)
B Luteinizing hormone (LH)
.
C Follicle-stimulating hormone (FSH)
.
D Thyroid-stimulating hormone
. (TSH)
Question 81
A Lithium
.
B Olanzapine
.
C Duloxetine
.
D Sertraline
.
Question 82
The most common age of onset of anorexia nervosa is which of the following?
A Early 20s
.
B 10–13 years of
. age
C 14–18 years of
. age
D 19–29 years of
. age
Question 83
A Sertraline (Zoloft)
.
B Citalopram
. (Celexa)
C Fluvoxamine
. (Luvox)
D Paroxetine (Paxil)
.
Question 84
Which of the following medications is FDA approved for the treatment of bulimia?
A Tofranil
.
B Flurazepa
. m
C Fluoxetin
. e
D Armodafi
. nil
Question 85
A Bipolar disorder
.
B Major depressive disorder
.
C Generalized anxiety disorder
.
D Obsessive-compulsive
. disorder
Question 86
Which of the following is true about social skills training with teens?
A Social skills training is used to teach social problem solving.
.
B Social skills training is more potent in a one-to-one setting.
.
C Social skills training is more potent in a group setting due to the
. peer influences.
D A and C
.
Question 87
A Psychosis
.
B Weight loss
.
C Severe
. anhedonia
D B and C
.
Question 88
The ANA’s Code of Ethics for Nurses applies to which of the following EXCEPT:
A Nurse educators
.
B Nurse researchers
.
C Physician assistants
.
D Advance practice registered
. nurses
Question 89
A Sertraline
.
B Quetiapine
.
C Duloxetine
.
D Clomipramine
.
Question 90
A Abuse of laxatives and diuretics
.
B Purging does not occur as a result of a binge episode
.
C Purging behavior occurs after eating small quantities of
. food or drink
D B and C
.
Question 91
Which of the following is important to realize when treating a child with an anxiety disorder?
A Anxiety disorders are commonly diagnosed in families.
.
B Repeated exposures to feared situations will always help the child to unlearn the
. fear response.
C Parents should encourage avoidance of feared situations as this will help the
. fear dissipate.
D SSRI’s are the MOST effective treatment in relieving symptoms of anxiety.
.
Question 92
A Social skills training
.
B Motivational interviewing
.
C Applied behavioral analysis
.
D Behavioral management
. training
Question 93
It is crucial that potential risks and benefits of research are clearly described to the
A guardian(s) and in a developmentally appropriate manner to the involved
. children/adolescents.
B Assent of the child/adolescent should be sought if developmentally feasible in
. situations involving minimal risk.
C Regardless of the degree or risk, the refusal of a child or adolescent to assent to
. participation in research should be considered binding.
D Children and adolescents should only be forced to participate in medical research if
. the overall benefit strongly outweighs the risk.
Question 94
A Ages 0–5
.
B Ages 6–
. 12
C Ages 13–
.
18
D Ages 18+
.
Question 95
A Panic disorder
.
B Specific phobia
.
C Generalized anxiety
. disorder
D Separation anxiety
. disorder
Question 96
A Poor sleep habits
.
B Insomnia disorder
.
C Major depressive
. disorder
D Generalized anxiety
. disorder
Question 97
A Bipolar disorder
.
B Substance use disorder
.
C Major depressive disorder
.
D Persistent depressive disorder
.
Question 98
Which of the following medications are FDA approved for the treatment of insomnia?
A Temazepam
.
B Pramipexole
.
C Desmopressi
. n
D Sodium
. oxybate
Question 99
A Sertraline
.
B Fluoxetine
.
C Fluvoxamine
.
D Clomipramine
.
Question 100
A Fluoxetine
.
B Quetiapine
.
C Sertraline
.
D Bupropion HCL extended-
. release [Show Less]