NR607 Exam 2 Actual Exam Style V2 | NR
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. According to the DSM-5, what is the age cutoff before which ADHD symptoms must be
present for a diagnosis?
A. 7 years old
B. 12 years old
C. 10 years old
D. 15 years old
Correct Answer: B
Expert Explanation: The DSM-5 criteria require that several inattentive or hyperactive-
impulsive symptoms were present before age 12. This is an increase from the DSM-IV,
which required symptoms to be present before age 7. Clinicians must gather historical data
from parents and school records to verify the timing of symptom onset.
2. Which of the following medications is FDA-approved for the treatment of Major Depressive
Disorder in children 8 years and older?
A. Fluoxetine
B. Sertraline
C. Paroxetine
,D. Venlafaxine
Correct Answer: A
Expert Explanation: Fluoxetine is currently the only SSRI with FDA approval for MDD in
children as young as 8 years old. Escitalopram is approved for MDD in adolescents aged 12
to 17. Monitoring for the Black Box Warning regarding increased suicidal ideation is
mandatory for this age group.
3. A 10-year-old child presents with persistent irritability and frequent, severe temper
outbursts that occur at least three times per week. Which diagnosis is most appropriate?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder
D. Conduct Disorder
Correct Answer: C
Expert Explanation: Disruptive Mood Dysregulation Disorder (DMDD) was created to
address the over-diagnosis of Bipolar Disorder in children. Symptoms must occur in at least
two settings and persist for 12 or more months. The diagnosis should not be made for the
first time before age 6 or after age 18.
4. Which screening tool is specifically designed to assess for anxiety disorders in children and
adolescents?
A. Vanderbilt Scale
, B. SCARED
C. PHQ-9
D. CAGE-AID
Correct Answer: B
Expert Explanation: The Screen for Child Anxiety Related Disorders (SCARED) is a 41-
item tool used to screen for several types of anxiety in youth. It includes versions for both
parents and children to provide a comprehensive view of symptoms. High scores on this
scale warrant further clinical interview and diagnostic assessment.
5. When treating a child with stimulants for ADHD, which side effect requires immediate
monitoring of the child’s growth chart?
A. Insomnia
B. Weight loss and growth suppression
C. Increased heart rate
D. Tics
Correct Answer: B
Expert Explanation: Stimulants like methylphenidate and amphetamines can cause
decreased appetite and potential growth suppression. Providers must monitor height and
weight at every follow-up visit using standardized growth charts. If growth velocity slows
significantly, a ‘drug holiday’ during school breaks may be considered.
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. According to the DSM-5, what is the age cutoff before which ADHD symptoms must be
present for a diagnosis?
A. 7 years old
B. 12 years old
C. 10 years old
D. 15 years old
Correct Answer: B
Expert Explanation: The DSM-5 criteria require that several inattentive or hyperactive-
impulsive symptoms were present before age 12. This is an increase from the DSM-IV,
which required symptoms to be present before age 7. Clinicians must gather historical data
from parents and school records to verify the timing of symptom onset.
2. Which of the following medications is FDA-approved for the treatment of Major Depressive
Disorder in children 8 years and older?
A. Fluoxetine
B. Sertraline
C. Paroxetine
,D. Venlafaxine
Correct Answer: A
Expert Explanation: Fluoxetine is currently the only SSRI with FDA approval for MDD in
children as young as 8 years old. Escitalopram is approved for MDD in adolescents aged 12
to 17. Monitoring for the Black Box Warning regarding increased suicidal ideation is
mandatory for this age group.
3. A 10-year-old child presents with persistent irritability and frequent, severe temper
outbursts that occur at least three times per week. Which diagnosis is most appropriate?
A. Bipolar I Disorder
B. Oppositional Defiant Disorder
C. Disruptive Mood Dysregulation Disorder
D. Conduct Disorder
Correct Answer: C
Expert Explanation: Disruptive Mood Dysregulation Disorder (DMDD) was created to
address the over-diagnosis of Bipolar Disorder in children. Symptoms must occur in at least
two settings and persist for 12 or more months. The diagnosis should not be made for the
first time before age 6 or after age 18.
4. Which screening tool is specifically designed to assess for anxiety disorders in children and
adolescents?
A. Vanderbilt Scale
, B. SCARED
C. PHQ-9
D. CAGE-AID
Correct Answer: B
Expert Explanation: The Screen for Child Anxiety Related Disorders (SCARED) is a 41-
item tool used to screen for several types of anxiety in youth. It includes versions for both
parents and children to provide a comprehensive view of symptoms. High scores on this
scale warrant further clinical interview and diagnostic assessment.
5. When treating a child with stimulants for ADHD, which side effect requires immediate
monitoring of the child’s growth chart?
A. Insomnia
B. Weight loss and growth suppression
C. Increased heart rate
D. Tics
Correct Answer: B
Expert Explanation: Stimulants like methylphenidate and amphetamines can cause
decreased appetite and potential growth suppression. Providers must monitor height and
weight at every follow-up visit using standardized growth charts. If growth velocity slows
significantly, a ‘drug holiday’ during school breaks may be considered.
