NR607 Exam 1 Actual Exam Style V1 | NR
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. Which age-appropriate manifestation is most characteristic of depression in a young child
compared to an adult?
A. Hypersomnia and weight gain
B. Irritability and somatic complaints
C. Psychomotor retardation
D. Feelings of worthlessness
Correct Answer: B
Expert Explanation: Children often manifest depression through irritability rather than a
pervasive sad mood. They frequently report somatic symptoms such as stomachaches or
headaches without a medical cause. This presentation differs from the typical vegetative
symptoms more commonly seen in adult depression.
2. According to the DSM-5, what is the minimum duration of symptoms required for a
diagnosis of ADHD?
A. 3 months
B. 6 months
C. 12 months
,D. 1 month
Correct Answer: B
Expert Explanation: Symptoms of inattention or hyperactivity-impulsivity must persist
for at least 6 months to meet diagnostic criteria. These symptoms must be inconsistent
with the developmental level of the child. Additionally, several symptoms must be present
before the age of 12 years across multiple settings.
3. Which medication is the only SSRI FDA-approved for the treatment of depression in
children aged 8 and older?
A. Sertraline
B. Fluoxetine
C. Paroxetine
D. Escitalopram
Correct Answer: B
Expert Explanation: Fluoxetine is currently the only SSRI with FDA approval for treating
Major Depressive Disorder in children as young as 8. Escitalopram is approved for
adolescents aged 12 to 17. Use of other SSRIs in this population is generally considered off-
label.
4. In family therapy, a genogram is used primarily to:
A. Map family structure and multigenerational patterns
, B. Assign blame for family dysfunction
C. Test the intelligence of family members
D. Prescribe specific medications for the group
Correct Answer: A
Expert Explanation: A genogram provides a visual representation of a family’s
composition and medical/psychiatric history across at least three generations. It helps the
clinician identify recurring behavioral patterns and hereditary risks within the system. This
tool is essential for understanding the context of the individual patient’s symptoms.
5. A 10-year-old child presents with repetitive, involuntary motor tics and at least one vocal
tic for over a year. What is the most likely diagnosis?
A. Provisional Tic Disorder
B. Tourette’s Disorder
C. Persistent Motor Tic Disorder
D. Stereotypic Movement Disorder
Correct Answer: B
Expert Explanation: Tourette’s Disorder requires both multiple motor tics and one or
more vocal tics to be present at some time during the illness. The tics must persist for more
than one year since the first tic onset. Symptoms must also appear before the individual
turns 18 years old.
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. Which age-appropriate manifestation is most characteristic of depression in a young child
compared to an adult?
A. Hypersomnia and weight gain
B. Irritability and somatic complaints
C. Psychomotor retardation
D. Feelings of worthlessness
Correct Answer: B
Expert Explanation: Children often manifest depression through irritability rather than a
pervasive sad mood. They frequently report somatic symptoms such as stomachaches or
headaches without a medical cause. This presentation differs from the typical vegetative
symptoms more commonly seen in adult depression.
2. According to the DSM-5, what is the minimum duration of symptoms required for a
diagnosis of ADHD?
A. 3 months
B. 6 months
C. 12 months
,D. 1 month
Correct Answer: B
Expert Explanation: Symptoms of inattention or hyperactivity-impulsivity must persist
for at least 6 months to meet diagnostic criteria. These symptoms must be inconsistent
with the developmental level of the child. Additionally, several symptoms must be present
before the age of 12 years across multiple settings.
3. Which medication is the only SSRI FDA-approved for the treatment of depression in
children aged 8 and older?
A. Sertraline
B. Fluoxetine
C. Paroxetine
D. Escitalopram
Correct Answer: B
Expert Explanation: Fluoxetine is currently the only SSRI with FDA approval for treating
Major Depressive Disorder in children as young as 8. Escitalopram is approved for
adolescents aged 12 to 17. Use of other SSRIs in this population is generally considered off-
label.
4. In family therapy, a genogram is used primarily to:
A. Map family structure and multigenerational patterns
, B. Assign blame for family dysfunction
C. Test the intelligence of family members
D. Prescribe specific medications for the group
Correct Answer: A
Expert Explanation: A genogram provides a visual representation of a family’s
composition and medical/psychiatric history across at least three generations. It helps the
clinician identify recurring behavioral patterns and hereditary risks within the system. This
tool is essential for understanding the context of the individual patient’s symptoms.
5. A 10-year-old child presents with repetitive, involuntary motor tics and at least one vocal
tic for over a year. What is the most likely diagnosis?
A. Provisional Tic Disorder
B. Tourette’s Disorder
C. Persistent Motor Tic Disorder
D. Stereotypic Movement Disorder
Correct Answer: B
Expert Explanation: Tourette’s Disorder requires both multiple motor tics and one or
more vocal tics to be present at some time during the illness. The tics must persist for more
than one year since the first tic onset. Symptoms must also appear before the individual
turns 18 years old.
