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
... [Show More] 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 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
Question.7
Which of the following is a true statement with respect to developmental
testing in infants?
A. None of the available validated developmental tools are
reliable in infants under 6 months of age.
B. An infant’s score on developmental assessment is a reliable
predictor of future intelligence quotient.
C. Infant assessments are helpful in detecting mental retardation
and developmental disorders.
D. Assessment in older infants focuses on sensorimotor and
social responses.
Question.8
Wendy is a 6-year-old female being evaluated by the PMHNP following
a suicide attempt. The police were called when a neighbor saw Wendy
jump out of the open window of her first-floor apartment. She was
unhurt, but when the neighbor asked why she jumped out she said she
wanted to kill herself. Which coincident finding would warrant an
inpatient psychiatric admission for Wendy?
A. This was not the first episode.
B. The caretaker is incapable of arranging follow-up.
C. One or both of the biological parents has a history of suicide
attempts.
D. Wendy was left with a babysitter when the incident occurred.
Question.9
Caleb is a 10-year-old boy who is referred for assessment because he is
not following any of the rules of discipline at home. His parents report
that they have had three separate nannies resign in the last 4 months
because Caleb is unmanageable. This is a long-standing problem, going
back to daycare even before kindergarten. The PMHNP knows that when
conducting her initial interview of Caleb she should:
A. Anticipate that he can tolerate up to a 45-minute session
B. Consider that symbolic play with dolls will be informative
C. Interview him alone before involving the parents
D. Be clear that he is there because of problem behavior
Question.10
Treatment of abused children is multimodal and long term. The single
most important aspect of treatment is:
A. Establishing a safe place for the child
B. Exposure related to the feared experience
C. Psychoeducation
D. Cognitive-behavioral interventions
Question.11
Psychiatric assessment of the adolescent patient is different in several
ways from assessment of younger children. While trying to establish a
therapeutic environment with an adolescent who is openly hostile, one of
the most important things the PMHNP can do is to:
A. Be more liberal in terms of limit setting and tolerating
hostility in order to facilitate honest communication
B. Ensure the patient that under no circumstances will anything
said be repeated to the parents
C. Allow silences to last as long as necessary until the patient is
inclined to offer any verbal input
D. Communicate to the patient that his or her perspective is
valued and will not be judged or critiqued
Question.12
A variety of questionnaires, scales, guided-interview tools, and other
standardized instruments are available to aid with various aspects of
assessment. The majority are intended only to be used as an aid to
information gathering and not to make a diagnosis. Which of the
following tools requires training to administer and can be used to
determine diagnoses?
A. Child and Adolescent Psychiatric Assessment (CAPA)
B. Brief Impairment Scale
C. Pictorial Instrument for Children and Adolescents (PICA-IIIR)
D. Achenbach Child Behavior Checklist
Question.13
The PMHNP is drafting a proposal for research funding for a project to
offer primary prevention strategies designed to reduce the incidence of
bullying. In support of this project, the PMHNP provides data supporting
the fact that both perpetrators and victims o [Show Less]