Course NURS-6660N-8,PMH NP Role I: Child.2019 Fall Quarter
08/26-11/17-PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 71 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Submitted Answers
Displayed
Conventional antipsychotics are not first-line interventions in early-onset schizophrenia
due to the risk of dystonic reactions. However, when children are not responsive to first-
line therapy with atypical antipsychotics, which of the following is the most appropriate
conventional choice?
Selected D.
Answer: Chlorpromazi
ne
The therapeutic outcomes for children with disorders of written expression are most
favorable when they are characterized by:
Selected Intensive, continuous administration of individually tailored, one-on-one
Answer: expressive and creative writing therapy
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 A.
Answer: Aversion
, therapy
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 C.
Answer: Failure to
thrive
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 inti mate
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 C.
Answer: Is a transgender female who identifies as
lesbian
All the following are true with respect to making a diagnosis of major depressive disorder
in children except:
Selected C.
Answer: There must be somatic or psychomotor
complaints.
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 C.
Answer: Sterility is a probable consequence
of hormone therapy
,The leading cause of death in youths living in juvenile residential facilities is:
Selected A.
Answer: Suicid
e
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 C.
Answer: Higher socioeconomic status and lifetime psychosis are predictors of
more rapid cycling in early-onset bipolar disorder
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 A.
Answer: Inability to copy correctly from a
printed text
Which of the following statements best characterized the treatment course and
progression of bulimia nervosa?
Selected A.
Answer: Cognitive behavioral therapy is considered the benchmark, first-
line treatment.
Kelly is a 14-year-old female who has finally been referred for management of anorexia
nervosa. She was diagnosed almost 1 year ago with the food-restricting subtype, but
attempts to get her into psychiatric care were unsuccessful. She continues to be resistant
but her caloric intake is now < 400 daily and she finally appears to be unable to sustain
the supraphysiologic levels of exercise that she has maintained to try and “keep her
weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately 75% of
ideal body weight for her height. Her vital signs are stable and surprisingly there are no
profound laboratory or ECG abnormalities. When counseling Kelly and her parents about
the recommended course of treatment, the PMHNP advises that Kelly will require:
, Selected B.
Answer: Hospitalization for controlled
weight gain
In which demographic is depression twice as prevalent in girls as compared to boys?
Selected C.
Answer: Adolescen
ts
Debbie is a 10-year-old female who has been referred to remediation therapy for her
reading disorder. While designing her treatment program, the PMHNP knows that the
most current strategies are characterized by:
Selected C.
Answer: Focusing the child’s attention to the connections between speech
sounds and spelling
Which of the following symptom clusters is most likely in a 16-year-old male with major
depressive disorder?
Selected D.
Answer: Pervasive anhedonia, hopelessness, and severe psychomotor
retardation
The etiology of childhood depression is multifactorial and may include biological factors.
Which of the following is a true statement with respect to hormonal studies in depressed
children?
Selected A.
Answer: Prepubertal children having a depressive episode secrete significantly
more growth hormone during sleep than nondepressed children.
Jared is a 6-year-old boy who comes to the PMHNP for an evaluation with his father. The
father reports that he is worried about Jared because he has had problems fitting in at
school ever since he started kindergarten. He does not have any friends at school and
does not seem to know how to play with others. Dad reports that Jared has never been
“very talkative” and sometimes switches from one topic to another without any reason.
When considering early-onset schizophrenia, the PMHNP recognizes that which of the
08/26-11/17-PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 71 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Submitted Answers
Displayed
Conventional antipsychotics are not first-line interventions in early-onset schizophrenia
due to the risk of dystonic reactions. However, when children are not responsive to first-
line therapy with atypical antipsychotics, which of the following is the most appropriate
conventional choice?
Selected D.
Answer: Chlorpromazi
ne
The therapeutic outcomes for children with disorders of written expression are most
favorable when they are characterized by:
Selected Intensive, continuous administration of individually tailored, one-on-one
Answer: expressive and creative writing therapy
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 A.
Answer: Aversion
, therapy
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 C.
Answer: Failure to
thrive
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 inti mate
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 C.
Answer: Is a transgender female who identifies as
lesbian
All the following are true with respect to making a diagnosis of major depressive disorder
in children except:
Selected C.
Answer: There must be somatic or psychomotor
complaints.
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 C.
Answer: Sterility is a probable consequence
of hormone therapy
,The leading cause of death in youths living in juvenile residential facilities is:
Selected A.
Answer: Suicid
e
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 C.
Answer: Higher socioeconomic status and lifetime psychosis are predictors of
more rapid cycling in early-onset bipolar disorder
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 A.
Answer: Inability to copy correctly from a
printed text
Which of the following statements best characterized the treatment course and
progression of bulimia nervosa?
Selected A.
Answer: Cognitive behavioral therapy is considered the benchmark, first-
line treatment.
Kelly is a 14-year-old female who has finally been referred for management of anorexia
nervosa. She was diagnosed almost 1 year ago with the food-restricting subtype, but
attempts to get her into psychiatric care were unsuccessful. She continues to be resistant
but her caloric intake is now < 400 daily and she finally appears to be unable to sustain
the supraphysiologic levels of exercise that she has maintained to try and “keep her
weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately 75% of
ideal body weight for her height. Her vital signs are stable and surprisingly there are no
profound laboratory or ECG abnormalities. When counseling Kelly and her parents about
the recommended course of treatment, the PMHNP advises that Kelly will require:
, Selected B.
Answer: Hospitalization for controlled
weight gain
In which demographic is depression twice as prevalent in girls as compared to boys?
Selected C.
Answer: Adolescen
ts
Debbie is a 10-year-old female who has been referred to remediation therapy for her
reading disorder. While designing her treatment program, the PMHNP knows that the
most current strategies are characterized by:
Selected C.
Answer: Focusing the child’s attention to the connections between speech
sounds and spelling
Which of the following symptom clusters is most likely in a 16-year-old male with major
depressive disorder?
Selected D.
Answer: Pervasive anhedonia, hopelessness, and severe psychomotor
retardation
The etiology of childhood depression is multifactorial and may include biological factors.
Which of the following is a true statement with respect to hormonal studies in depressed
children?
Selected A.
Answer: Prepubertal children having a depressive episode secrete significantly
more growth hormone during sleep than nondepressed children.
Jared is a 6-year-old boy who comes to the PMHNP for an evaluation with his father. The
father reports that he is worried about Jared because he has had problems fitting in at
school ever since he started kindergarten. He does not have any friends at school and
does not seem to know how to play with others. Dad reports that Jared has never been
“very talkative” and sometimes switches from one topic to another without any reason.
When considering early-onset schizophrenia, the PMHNP recognizes that which of the
