NU664C | NU664C Family Psychiatric Mental
Health Exam 2 Version 3 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. Which of the following symptoms is a hallmark of Oppositional Defiant Disorder
(ODD) in children?
A. Persistent pattern of irritable mood and defiance
B. Physical aggression toward animals
C. Theft and serious rule violations
D. Lack of remorse after hurting others
Correct Answer: A
Expert Explanation: Oppositional Defiant Disorder is primarily characterized by a
pattern of angry or irritable mood and argumentative behavior. Unlike Conduct
Disorder, ODD does not usually involve severe physical aggression or violation of
the basic rights of others. Diagnosis requires these behaviors to be present for at
least six months and observed with at least one individual who is not a sibling.
2. When prescribing stimulants for ADHD, which side effect is most likely to
necessitate a change in the dosing schedule?
A. Increased appetite in the evening
,B. Weight gain
C. Insomnia or delayed sleep onset
D. Hypotension
Correct Answer: C
Expert Explanation: Insomnia is a common side effect of stimulant medications
like methylphenidate or amphetamines because they increase arousal. To mitigate
this, clinicians often recommend administering the last dose earlier in the day.
Monitoring sleep patterns is essential to ensure the child’s overall development and
functioning are not impaired by sleep deprivation.
3. A 10-year-old child presents with social communication deficits, repetitive
behaviors, and strict adherence to routines. Which diagnosis is most appropriate?
A. Social Anxiety Disorder
B. Attention-Deficit/Hyperactivity Disorder
C. Obsessive-Compulsive Disorder
D. Autism Spectrum Disorder
Correct Answer: D
Expert Explanation: Autism Spectrum Disorder (ASD) involves persistent deficits
in social communication and social interaction across multiple contexts. It also
,includes restricted, repetitive patterns of behavior, interests, or activities. These
symptoms must be present in the early developmental period for a proper diagnosis
according to DSM-5 criteria.
4. What is the FDA-approved age for the use of Fluoxetine (Prozac) in treating Major
Depressive Disorder in children?
A. 4 years and older
B. 8 years and older
C. 6 years and older
D. 12 years and older
Correct Answer: B
Expert Explanation: Fluoxetine is the only SSRI that is currently FDA-approved for
the treatment of depression in children aged 8 and older. While other SSRIs may be
used off-label, evidence for fluoxetine’s efficacy in this population is the strongest.
Clinicians must still monitor closely for the black box warning regarding increased
suicidal ideation in youth.
5. Which neurobiological factor is most closely associated with the pathophysiology of
ADHD?
A. Dysregulation of dopamine and norepinephrine in the prefrontal cortex
B. Excessive serotonin in the synapse
, C. Amygdala atrophy
D. Increased GABAergic activity
Correct Answer: A
Expert Explanation: The prefrontal cortex is responsible for executive functions
like impulse control and focus, which are impaired in ADHD. Research suggests that
inadequate levels of dopamine and norepinephrine in this brain region contribute to
these symptoms. Stimulant medications work by increasing the availability of these
specific neurotransmitters.
6. In Bowenian Family Systems Theory, what does ‘triangulation’ refer to?
A. A healthy three-way communication style
B. Bringing in a third person to stabilize a stressful relationship between two people
C. The process of a child becoming independent from parents
D. Using three different types of therapy simultaneously
Correct Answer: B
Expert Explanation: Triangulation occurs when a two-person system under stress
recruits a third person to decrease anxiety. While it may provide temporary
stability, it often prevents the original two people from resolving their conflict
Health Exam 2 Version 3 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. Which of the following symptoms is a hallmark of Oppositional Defiant Disorder
(ODD) in children?
A. Persistent pattern of irritable mood and defiance
B. Physical aggression toward animals
C. Theft and serious rule violations
D. Lack of remorse after hurting others
Correct Answer: A
Expert Explanation: Oppositional Defiant Disorder is primarily characterized by a
pattern of angry or irritable mood and argumentative behavior. Unlike Conduct
Disorder, ODD does not usually involve severe physical aggression or violation of
the basic rights of others. Diagnosis requires these behaviors to be present for at
least six months and observed with at least one individual who is not a sibling.
2. When prescribing stimulants for ADHD, which side effect is most likely to
necessitate a change in the dosing schedule?
A. Increased appetite in the evening
,B. Weight gain
C. Insomnia or delayed sleep onset
D. Hypotension
Correct Answer: C
Expert Explanation: Insomnia is a common side effect of stimulant medications
like methylphenidate or amphetamines because they increase arousal. To mitigate
this, clinicians often recommend administering the last dose earlier in the day.
Monitoring sleep patterns is essential to ensure the child’s overall development and
functioning are not impaired by sleep deprivation.
3. A 10-year-old child presents with social communication deficits, repetitive
behaviors, and strict adherence to routines. Which diagnosis is most appropriate?
A. Social Anxiety Disorder
B. Attention-Deficit/Hyperactivity Disorder
C. Obsessive-Compulsive Disorder
D. Autism Spectrum Disorder
Correct Answer: D
Expert Explanation: Autism Spectrum Disorder (ASD) involves persistent deficits
in social communication and social interaction across multiple contexts. It also
,includes restricted, repetitive patterns of behavior, interests, or activities. These
symptoms must be present in the early developmental period for a proper diagnosis
according to DSM-5 criteria.
4. What is the FDA-approved age for the use of Fluoxetine (Prozac) in treating Major
Depressive Disorder in children?
A. 4 years and older
B. 8 years and older
C. 6 years and older
D. 12 years and older
Correct Answer: B
Expert Explanation: Fluoxetine is the only SSRI that is currently FDA-approved for
the treatment of depression in children aged 8 and older. While other SSRIs may be
used off-label, evidence for fluoxetine’s efficacy in this population is the strongest.
Clinicians must still monitor closely for the black box warning regarding increased
suicidal ideation in youth.
5. Which neurobiological factor is most closely associated with the pathophysiology of
ADHD?
A. Dysregulation of dopamine and norepinephrine in the prefrontal cortex
B. Excessive serotonin in the synapse
, C. Amygdala atrophy
D. Increased GABAergic activity
Correct Answer: A
Expert Explanation: The prefrontal cortex is responsible for executive functions
like impulse control and focus, which are impaired in ADHD. Research suggests that
inadequate levels of dopamine and norepinephrine in this brain region contribute to
these symptoms. Stimulant medications work by increasing the availability of these
specific neurotransmitters.
6. In Bowenian Family Systems Theory, what does ‘triangulation’ refer to?
A. A healthy three-way communication style
B. Bringing in a third person to stabilize a stressful relationship between two people
C. The process of a child becoming independent from parents
D. Using three different types of therapy simultaneously
Correct Answer: B
Expert Explanation: Triangulation occurs when a two-person system under stress
recruits a third person to decrease anxiety. While it may provide temporary
stability, it often prevents the original two people from resolving their conflict
