NU664C | NU664C Family Psychiatric Mental
Health Exam 4 Version 2 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. A 9-year-old child presents with persistent irritability and frequent temper
outbursts that are out of proportion to the situation. Which diagnosis is most likely
according to the DSM-5?
A. Disruptive Mood Dysregulation Disorder (DMDD)
B. Bipolar I Disorder
C. Oppositional Defiant Disorder
D. Conduct Disorder
Correct Answer: A
Expert Explanation: Disruptive Mood Dysregulation Disorder was specifically
added to the DSM-5 to address the over-diagnosis of bipolar disorder in children. It
is characterized by chronic, severe irritability and frequent temper outbursts. To
meet criteria, these symptoms must be present for at least 12 months in multiple
settings.
2. When prescribing stimulants for a child with ADHD, which of the following is a
common side effect that requires monitoring?
A. Weight gain
,B. Appetite suppression
C. Hypersomnia
D. Bradycardia
Correct Answer: B
Expert Explanation: Appetite suppression is one of the most frequent side effects
of stimulant medications like methylphenidate. This can lead to weight loss or
slowed growth if not managed properly. Providers should monitor height and
weight percentiles at every follow-up visit.
3. Which of the following SSRIs is currently FDA-approved for the treatment of Major
Depressive Disorder in children and adolescents?
A. Fluoxetine
B. Paroxetine
C. Sertraline
D. Citalopram
Correct Answer: A
Expert Explanation: Fluoxetine is the primary SSRI with FDA approval for treating
MDD in children aged 8 and older. While other SSRIs are used off-label, fluoxetine
,has the strongest evidence base for this population. It is also favored due to its long
half-life, which reduces the risk of discontinuation syndrome.
4. In family systems theory, what is the term for when a two-person relationship
under stress draws in a third person to stabilize the system?
A. Enmeshment
B. Differentiation
C. Triangulation
D. Double bind
Correct Answer: C
Expert Explanation: Triangulation occurs when a dyad in conflict pulls in a third
party to decrease tension. While this may provide temporary relief, it prevents the
original two people from resolving their issues. This concept is a core component of
Bowenian family systems theory.
5. A 14-year-old boy is brought to the clinic for repeatedly violating the rights of
others, including shoplifting and physical aggression toward peers. What is the most
appropriate diagnosis?
A. Oppositional Defiant Disorder
B. Antisocial Personality Disorder
, C. Intermittent Explosive Disorder
D. Conduct Disorder
Correct Answer: D
Expert Explanation: Conduct Disorder involves a repetitive and persistent pattern
of behavior in which the basic rights of others or major age-appropriate societal
norms are violated. This diagnosis is distinguished from ODD by the presence of
aggression, property destruction, or theft. Patients under 18 cannot be diagnosed
with Antisocial Personality Disorder.
6. What is the mechanism of action for Atomoxetine (Strattera) in the treatment of
ADHD?
A. Dopamine reuptake inhibition
B. Selective norepinephrine reuptake inhibition
C. Serotonin and Norepinephrine reuptake inhibition
D. Alpha-2 adrenergic agonism
Correct Answer: B
Expert Explanation: Atomoxetine is a non-stimulant medication that works as a
selective norepinephrine reuptake inhibitor (SNRI). It increases the availability of
norepinephrine in the prefrontal cortex to improve attention. It is a preferred option
Health Exam 4 Version 2 | Questions with Correct
Answers and Expert Explanation for Each Question
| Regis
1. A 9-year-old child presents with persistent irritability and frequent temper
outbursts that are out of proportion to the situation. Which diagnosis is most likely
according to the DSM-5?
A. Disruptive Mood Dysregulation Disorder (DMDD)
B. Bipolar I Disorder
C. Oppositional Defiant Disorder
D. Conduct Disorder
Correct Answer: A
Expert Explanation: Disruptive Mood Dysregulation Disorder was specifically
added to the DSM-5 to address the over-diagnosis of bipolar disorder in children. It
is characterized by chronic, severe irritability and frequent temper outbursts. To
meet criteria, these symptoms must be present for at least 12 months in multiple
settings.
2. When prescribing stimulants for a child with ADHD, which of the following is a
common side effect that requires monitoring?
A. Weight gain
,B. Appetite suppression
C. Hypersomnia
D. Bradycardia
Correct Answer: B
Expert Explanation: Appetite suppression is one of the most frequent side effects
of stimulant medications like methylphenidate. This can lead to weight loss or
slowed growth if not managed properly. Providers should monitor height and
weight percentiles at every follow-up visit.
3. Which of the following SSRIs is currently FDA-approved for the treatment of Major
Depressive Disorder in children and adolescents?
A. Fluoxetine
B. Paroxetine
C. Sertraline
D. Citalopram
Correct Answer: A
Expert Explanation: Fluoxetine is the primary SSRI with FDA approval for treating
MDD in children aged 8 and older. While other SSRIs are used off-label, fluoxetine
,has the strongest evidence base for this population. It is also favored due to its long
half-life, which reduces the risk of discontinuation syndrome.
4. In family systems theory, what is the term for when a two-person relationship
under stress draws in a third person to stabilize the system?
A. Enmeshment
B. Differentiation
C. Triangulation
D. Double bind
Correct Answer: C
Expert Explanation: Triangulation occurs when a dyad in conflict pulls in a third
party to decrease tension. While this may provide temporary relief, it prevents the
original two people from resolving their issues. This concept is a core component of
Bowenian family systems theory.
5. A 14-year-old boy is brought to the clinic for repeatedly violating the rights of
others, including shoplifting and physical aggression toward peers. What is the most
appropriate diagnosis?
A. Oppositional Defiant Disorder
B. Antisocial Personality Disorder
, C. Intermittent Explosive Disorder
D. Conduct Disorder
Correct Answer: D
Expert Explanation: Conduct Disorder involves a repetitive and persistent pattern
of behavior in which the basic rights of others or major age-appropriate societal
norms are violated. This diagnosis is distinguished from ODD by the presence of
aggression, property destruction, or theft. Patients under 18 cannot be diagnosed
with Antisocial Personality Disorder.
6. What is the mechanism of action for Atomoxetine (Strattera) in the treatment of
ADHD?
A. Dopamine reuptake inhibition
B. Selective norepinephrine reuptake inhibition
C. Serotonin and Norepinephrine reuptake inhibition
D. Alpha-2 adrenergic agonism
Correct Answer: B
Expert Explanation: Atomoxetine is a non-stimulant medication that works as a
selective norepinephrine reuptake inhibitor (SNRI). It increases the availability of
norepinephrine in the prefrontal cortex to improve attention. It is a preferred option
