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
... [Show More] or draw a circle. The PMHNP also appreciate s 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 ha [Show Less]