NRNP 6665
Mid Term exam Seraphin- with 100% verified
CORRECT answers and EXPERT RATIONALES | NEW
2026
THIS EXAM CONTAINS:
➢NRNP 6665 Mid Term exam Seraphin
➢EXPERT RATIONALES INCLUDED
➢NEWLY UPDATED 2026
➢ASSURED PASS
, NRNP 6665 - Mid Term exam Seraphin-
Question 1: Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies that are typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Correct Answer: A
Expert Rationale: Relaxation therapy encompasses a variety of techniques designed to reduce
physiological arousal and manage stress. Biofeedback provides real-time data on bodily
processes (e.g., heart rate, muscle tension) to teach self-regulation. Deep breathing,
mindfulness, and progressive muscle relaxation are core components of relaxation therapy that
activate the parasympathetic nervous system, counteracting the fight-or-flight response. These
are distinct from social skills training (which focuses on interpersonal behaviors), motivational
interviewing (a counseling style for behavior change), and applied behavioral analysis (which
systematically applies behavioral principles to modify specific behaviors).
Question 2: According to the APA, which of the following are required to support a child's DSM-
5 diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic criteria
B. The child's symptoms are not caused by other diagnoses or stressors
C. The child's symptoms are impairing the child's functioning in at least two settings
D. A and B
Correct Answer: D
Expert Rationale: The APA requires two key elements for a valid DSM-5 diagnosis in children:
(1) the clinical presentation must meet the specific symptom-based diagnostic criteria for the
,disorder, and (2) symptoms must not be better explained by another diagnosis or direct
physiological effects of a substance or general medical condition. While impairment in multiple
settings is often seen clinically (especially in ADHD), it is not a universal APA requirement for all
childhood diagnoses. Differentiation from other causes is essential to avoid misdiagnosis and
ensure appropriate treatment planning.
Question 3: Which of the following is NOT consistent with good sleep hygiene?
A. Allow child to keep a cell phone at bedside
B. Establish bedtime routines and maintain consistently
C. Limit use of electronics in the evening (television, computer, etc.)
D. Set and maintain a bedtime that will allow for adequate sleep
Correct Answer: A
Expert Rationale: Good sleep hygiene includes removing electronic devices from the bedroom,
as blue light from screens suppresses melatonin production and disrupts circadian rhythms.
Allowing a child to keep a cell phone at bedside is detrimental to sleep quality because
notifications, light exposure, and temptation to use the device interfere with sleep onset and
maintenance. Consistent routines, limiting evening electronics, and maintaining appropriate
bedtimes are all evidence-based sleep hygiene practices.
Question 4: Which of the following antipsychotic medications have the greatest tendency to
increase appetite and body weight?
A. Aripiprazole (Abilify)
B. Ziprasidone (Geodon)
C. Haloperidol (Haldol)
D. Risperidone (Risperdal)
Correct Answer: D
, Expert Rationale: Among antipsychotics, Risperidone has a high propensity for weight gain and
metabolic side effects, particularly in pediatric populations. The order of metabolic risk from
highest to lowest is: Olanzapine > Clozapine > Risperidone > Quetiapine > Aripiprazole >
Ziprasidone > Haloperidol. Risperidone commonly increases appetite via histamine H1 and
serotonin 5-HT2C receptor antagonism, leading to significant weight gain. Monitoring BMI and
metabolic parameters is essential when prescribing Risperidone to children and adolescents.
Question 5: When assessing a child with disruptive or aggressive behavior, the clinician asks
"Have you been thinking about or planning to hurt anyone?" to screen for which of the
following diagnostic categories?
A. Safety
B. Bullying
C. Conduct disorder
D. Oppositional defiant disorder
Correct Answer: A
Expert Rationale: Screening for homicidal ideation or plans to harm others is
a safety assessment, not a diagnostic question for a specific disorder. Before any diagnostic
formulation, the clinician must first evaluate risk of harm to self or others. This question directly
assesses safety concerns—if positive, immediate safety planning and possible hospitalization
may be required. While conduct disorder involves aggression toward others, asking about
planning to hurt anyone is a safety screening tool, not a diagnostic criterion for conduct
disorder.
Question 6: The clinician assessing substance abuse in an adolescent asks, "Did you develop
more mood or anxiety problems after you started using?" to screen for which of the following
diagnostic possibilities?
Mid Term exam Seraphin- with 100% verified
CORRECT answers and EXPERT RATIONALES | NEW
2026
THIS EXAM CONTAINS:
➢NRNP 6665 Mid Term exam Seraphin
➢EXPERT RATIONALES INCLUDED
➢NEWLY UPDATED 2026
➢ASSURED PASS
, NRNP 6665 - Mid Term exam Seraphin-
Question 1: Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are
strategies that are typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis
Correct Answer: A
Expert Rationale: Relaxation therapy encompasses a variety of techniques designed to reduce
physiological arousal and manage stress. Biofeedback provides real-time data on bodily
processes (e.g., heart rate, muscle tension) to teach self-regulation. Deep breathing,
mindfulness, and progressive muscle relaxation are core components of relaxation therapy that
activate the parasympathetic nervous system, counteracting the fight-or-flight response. These
are distinct from social skills training (which focuses on interpersonal behaviors), motivational
interviewing (a counseling style for behavior change), and applied behavioral analysis (which
systematically applies behavioral principles to modify specific behaviors).
Question 2: According to the APA, which of the following are required to support a child's DSM-
5 diagnosis?
A. The child's clinical presentation fulfills the specific symptom-based diagnostic criteria
B. The child's symptoms are not caused by other diagnoses or stressors
C. The child's symptoms are impairing the child's functioning in at least two settings
D. A and B
Correct Answer: D
Expert Rationale: The APA requires two key elements for a valid DSM-5 diagnosis in children:
(1) the clinical presentation must meet the specific symptom-based diagnostic criteria for the
,disorder, and (2) symptoms must not be better explained by another diagnosis or direct
physiological effects of a substance or general medical condition. While impairment in multiple
settings is often seen clinically (especially in ADHD), it is not a universal APA requirement for all
childhood diagnoses. Differentiation from other causes is essential to avoid misdiagnosis and
ensure appropriate treatment planning.
Question 3: Which of the following is NOT consistent with good sleep hygiene?
A. Allow child to keep a cell phone at bedside
B. Establish bedtime routines and maintain consistently
C. Limit use of electronics in the evening (television, computer, etc.)
D. Set and maintain a bedtime that will allow for adequate sleep
Correct Answer: A
Expert Rationale: Good sleep hygiene includes removing electronic devices from the bedroom,
as blue light from screens suppresses melatonin production and disrupts circadian rhythms.
Allowing a child to keep a cell phone at bedside is detrimental to sleep quality because
notifications, light exposure, and temptation to use the device interfere with sleep onset and
maintenance. Consistent routines, limiting evening electronics, and maintaining appropriate
bedtimes are all evidence-based sleep hygiene practices.
Question 4: Which of the following antipsychotic medications have the greatest tendency to
increase appetite and body weight?
A. Aripiprazole (Abilify)
B. Ziprasidone (Geodon)
C. Haloperidol (Haldol)
D. Risperidone (Risperdal)
Correct Answer: D
, Expert Rationale: Among antipsychotics, Risperidone has a high propensity for weight gain and
metabolic side effects, particularly in pediatric populations. The order of metabolic risk from
highest to lowest is: Olanzapine > Clozapine > Risperidone > Quetiapine > Aripiprazole >
Ziprasidone > Haloperidol. Risperidone commonly increases appetite via histamine H1 and
serotonin 5-HT2C receptor antagonism, leading to significant weight gain. Monitoring BMI and
metabolic parameters is essential when prescribing Risperidone to children and adolescents.
Question 5: When assessing a child with disruptive or aggressive behavior, the clinician asks
"Have you been thinking about or planning to hurt anyone?" to screen for which of the
following diagnostic categories?
A. Safety
B. Bullying
C. Conduct disorder
D. Oppositional defiant disorder
Correct Answer: A
Expert Rationale: Screening for homicidal ideation or plans to harm others is
a safety assessment, not a diagnostic question for a specific disorder. Before any diagnostic
formulation, the clinician must first evaluate risk of harm to self or others. This question directly
assesses safety concerns—if positive, immediate safety planning and possible hospitalization
may be required. While conduct disorder involves aggression toward others, asking about
planning to hurt anyone is a safety screening tool, not a diagnostic criterion for conduct
disorder.
Question 6: The clinician assessing substance abuse in an adolescent asks, "Did you develop
more mood or anxiety problems after you started using?" to screen for which of the following
diagnostic possibilities?
