Conventionalantipsychoticsarenotfirst-lineinterventionsinearly-onsetschizophreniadue to the risk of dystonic reactions. However, when children are not
... [Show More] responsive to first-line therapy with atypical antipsychotics, which of the following is the most appropriateconventionalchoice?
SelectedAnswer:
D.
Chlorpromazine
Thetherapeuticoutcomesforchildrenwithdisordersofwritten expression aremostfavorablewhentheyarecharacterizedby:
SelectedAnswer:
Intensive,continuousadministrationofindividuallytailored,one-on-oneexpressiveand creativewritingtherapy
Lindaisa5-year-oldgirl whohas persistentpica;shewas finally referredfor carewhenherkindergartenteacherbecamealarmedbyher eatingofpotentiallytoxicnonfoodsubstances.Linda’smotheradmitsduringthehistorythatLindahasbeendoingthisforyears,butthoughtitwasnotabigdealsinceLindadidn’teatanythingdangerous.
Linda’smothermustworktwojobsandessentiallydidnotbothertopursueLinda’sunusualsymptombecauseitdidn’tseemunsafe.WhilediscussingmanagementstrategieswithLinda’smother,thePMHNPcounselsthatthemostrapidlysuccessfultreatmentstrategyappears tobe:
SelectedAnswer:
A.
Aversion
therapy
Ruminationisafeedingdisordermostcommonlyseenininfants,butitcanoccuratanypointinthelifespan.Characteristicfindingsininfantsinclude:
SelectedAnswer:
C.
Failure tothrive
Katelyn is a16-year-old girl who presents for therapy with her mother and father. Katelynwas born with male genitalia but has felt like a female “all of her life.” She says she knewsomething was different as far back as she can remember. She always wanted to wearhermother’sclothesandmakeupandplaywithothergirls.Katelynstarteddressingandopenlyidentifyingasagirlwhenshewas13yearsold,andherparentsaretryingtobesupportive but they are struggling. Most recently Katelyn has developed an intimatepartner relationship with Jennifer, a 15-year-old girl who was gender-assigned female atbirthandidentifiesasafemale.Katelyn’sfather doesnot understand therelationship.
ThePMHNPexplainsthatKatelyn:
SelectedAnswer:
C.
Isatransgenderfemalewhoidentifiesaslesbian
Allthefollowingaretruewithrespecttomakingadiagnosisofmajordepressivedisorderinchildrenexcept:
SelectedAnswer:
C.
Theremustbesomaticorpsychomotorcomplaints.
Donnaisa16-year-oldtransgenderfemalewhohasbeenthroughextensiveindividualandfamily counselingandisreadytostarthormonetherapywithestrogen,progesterone,andtestosterone-blockingagents.Whencounselingherspecificallyabouttherisks,benefits,andrequiredmonitoringofhormonaltherapy,thePMHNPadvisesDonnathat:
SelectedAnswer:
C.
Sterilityisaprobableconsequenceofhormonetherapy [Show Less]