A 10-12 months-old boy is referred through the college nurse because of chronic
stomachache each morning in school. In comparing the boy, the PMHNP discovered that he
does not like to head to school and insists on coming domestic immediately, and that he
sleeps in his figure's bed at night time. His scientific description is most feature of which of
the following situations?
Social phobia
Reactive attachment disease
Separation anxiety
Posttraumatic pressure disorder (PTSD) - ANS-Separation tension
A 10-yr-vintage boy who have been prescribed fluoxetine for foremost depressive sickness
gives to the psychiatric emergency branch for strolling into the street in the front of a car at
the way home from faculty. In the emergency branch, he has been selectively mute, however
the nurse practitioner pupil became capable of elicit his desire to be useless. He has been
medically cleared pending a psychiatric evaluation. What is the most not unusual signal of
major depressive sickness in youngsters?
Hypersomnia
Psychomotor agitation
Weight exchange
Hopelessness - ANS-Psychomotor agitation
A 10-12 months-antique female is referred for evaluation of behavioral problems. Her
teachers report that she is effortlessly distracted and fails to finish any magnificence work,
and often stares off into area or tries to chat together with her neighbor. Her mother reports
that mornings are the maximum difficult due to her general disorganization and
forgetfulness. Otherwise she is socially engaged and enjoys many activities. Which of the
following is the most likely diagnosis?
Attention deficit sickness
Conduct disorder
Oppositional Defiant disorder
Disruptive behavior - ANS-Attention deficit disease
A 19-year-antique lady is being visible at a crisis being pregnant center for an unplanned
being pregnant. She feels forced via her boyfriend to get an abortion, however it goes
against her deeply held non secular ideals. Which of the following reduces her risk of being
the sufferer of domestic violence?
Pregnancy
Financial independence
Poor social help
Fear of isolation - ANS-Fear of isolation
A 24-month-antique lady is noted psychiatry for an expressive language sickness. The mom
reviews that the kid has no longer but spoken a clear phrase, erratically follows instructions,
, and does now not play with her older brother of four years. In addition, the mother reviews
that the child has commenced making repetitive motions together with her hands and
appears to be clumsy with increasing issue taking walks. These scientific findings are
suggestive of a pervasive developmental sickness, most likely:
Rett syndrome
Cerebral palsy
Autism spectrum disease
Intellectual incapacity - ANS-Rett syndrome
A 30-12 months-old G1P0,1 has become increasingly more oddly associated, neglecting
self-care, slumbering tons of the day, eating minimally, crying easily, and no matter
reassurance that her pregnancy is progressing typically, issues that she will be able to lose
the pregnancy. Which of the following medicines is taken into consideration least harmful in
pregnancy?
Sertraline
Divalproex
Lithium
Haloperidol - ANS-Sertraline
A 32-yr-vintage lady who is 6-months postpartum requests a psychiatric residence name at
the same time as her husband is at paintings. Upon entering the house, the PMHNP notices
a well-cared for toddler playing in a crib, and the affected person sitting in her breakfast nook
overlooking the close by park. She is soliciting for a medicine to assist her loosen up
because she feels as if she is walking on eggshells round her husband for fear of him
"getting physical with me" if the baby cries an excessive amount of. Which of the subsequent
nice describes this woman's condition?
Honeymoon phase
Tension building phase
Postpartum despair
Abusive incident segment - ANS-Tension constructing section
A 35-12 months-antique lady 7 days postpartum is added by using the mobile disaster team
to the ED on the request of the husband. The affected person has no beyond psychiatric
records and takes handiest prenatal nutrients. He reports that his wife has not been dozing
and has observed her on foot round their rental in the midnight crying and talking to nobody.
In addition, she has been ignoring the infant, however ultimate night time she instructed him
that it turned into "Lucifer's seed and it should be destroyed." Which of the subsequent is the
maximum in all likelihood diagnosis?
Schizoaffective sickness
Schizophrenia
Delusional disorder
Depression with psychosis - ANS-Depression with psychosis
A 35-12 months-vintage woman is being evaluated 7 months postpartum for recurrent mind
approximately looking to damage her toddler by way of stabbing with a knife. She maintains
to breastfeed and take care of the infant. Since having those thoughts, she has removed all