NU664C | NU664C Family Psychiatric Mental
Health Exam 3 Version 1 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. Which of the following stimulants is FDA-approved for the treatment of ADHD in
children as young as 3 years of age?
A. Methylphenidate (Ritalin)
B. Atomoxetine (Strattera)
C. Lisdexamfetamine (Vyvanse)
D. Amphetamine (Adderall)
Correct Answer: D
Expert Explanation: Amphetamines are FDA-approved for children starting at age
3. Methylphenidate is generally approved for children ages 6 and older, although it
is often used off-label in younger children. It is important for the PMHNP to
distinguish between age-specific approvals to ensure legal and clinical compliance.
2. The M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised) is a screening
tool designed for which age group?
A. 12 to 18 months
B. Birth to 12 months
,C. 2 to 5 years
D. 16 to 30 months
Correct Answer: D
Expert Explanation: The M-CHAT-R is validated for use in toddlers between 16 and
30 months of age. It consists of a series of questions for parents to identify red flags
for Autism Spectrum Disorder. Early screening is critical for implementing
behavioral interventions that can significantly improve long-term outcomes.
3. In a child diagnosed with Disruptive Mood Dysregulation Disorder (DMDD), what is
the required frequency of temper outbursts per week?
A. Three or more times a week
B. At least once a week
C. Daily for at least two weeks
D. Twice a month
Correct Answer: A
Expert Explanation: According to the DSM-5, DMDD requires severe recurrent
temper outbursts that occur on average three or more times per week. The mood
between outbursts must be persistently irritable or angry nearly every day. This
diagnosis was created to address the over-diagnosis of Bipolar Disorder in children.
, 4. Which SSRI is FDA-approved for the treatment of Major Depressive Disorder (MDD)
in children starting at age 8?
A. Sertraline (Zoloft)
B. Paroxetine (Paxil)
C. Escitalopram (Lexapro)
D. Fluoxetine (Prozac)
Correct Answer: D
Expert Explanation: Fluoxetine is the only SSRI with FDA approval for MDD in
children as young as age 8. Escitalopram is approved for MDD but only for children
aged 12 and older. Understanding these age restrictions is vital for the safe
pharmacological management of pediatric depression.
5. A 10-year-old child exhibits a pattern of arguing with authority figures, losing their
temper, and being spiteful. These symptoms have lasted for 7 months. What is the
most likely diagnosis?
A. Oppositional Defiant Disorder
B. Conduct Disorder
C. Intermittent Explosive Disorder
D. ADHD, Hyperactive Type
Health Exam 3 Version 1 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. Which of the following stimulants is FDA-approved for the treatment of ADHD in
children as young as 3 years of age?
A. Methylphenidate (Ritalin)
B. Atomoxetine (Strattera)
C. Lisdexamfetamine (Vyvanse)
D. Amphetamine (Adderall)
Correct Answer: D
Expert Explanation: Amphetamines are FDA-approved for children starting at age
3. Methylphenidate is generally approved for children ages 6 and older, although it
is often used off-label in younger children. It is important for the PMHNP to
distinguish between age-specific approvals to ensure legal and clinical compliance.
2. The M-CHAT-R (Modified Checklist for Autism in Toddlers, Revised) is a screening
tool designed for which age group?
A. 12 to 18 months
B. Birth to 12 months
,C. 2 to 5 years
D. 16 to 30 months
Correct Answer: D
Expert Explanation: The M-CHAT-R is validated for use in toddlers between 16 and
30 months of age. It consists of a series of questions for parents to identify red flags
for Autism Spectrum Disorder. Early screening is critical for implementing
behavioral interventions that can significantly improve long-term outcomes.
3. In a child diagnosed with Disruptive Mood Dysregulation Disorder (DMDD), what is
the required frequency of temper outbursts per week?
A. Three or more times a week
B. At least once a week
C. Daily for at least two weeks
D. Twice a month
Correct Answer: A
Expert Explanation: According to the DSM-5, DMDD requires severe recurrent
temper outbursts that occur on average three or more times per week. The mood
between outbursts must be persistently irritable or angry nearly every day. This
diagnosis was created to address the over-diagnosis of Bipolar Disorder in children.
, 4. Which SSRI is FDA-approved for the treatment of Major Depressive Disorder (MDD)
in children starting at age 8?
A. Sertraline (Zoloft)
B. Paroxetine (Paxil)
C. Escitalopram (Lexapro)
D. Fluoxetine (Prozac)
Correct Answer: D
Expert Explanation: Fluoxetine is the only SSRI with FDA approval for MDD in
children as young as age 8. Escitalopram is approved for MDD but only for children
aged 12 and older. Understanding these age restrictions is vital for the safe
pharmacological management of pediatric depression.
5. A 10-year-old child exhibits a pattern of arguing with authority figures, losing their
temper, and being spiteful. These symptoms have lasted for 7 months. What is the
most likely diagnosis?
A. Oppositional Defiant Disorder
B. Conduct Disorder
C. Intermittent Explosive Disorder
D. ADHD, Hyperactive Type
