NUR 507: EXAM 3 QUESTIONS WITH COMPLETE
SOLUTIONS
1) A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
A) A difficult temperament is its own risk factor for maladjustment
disorders.
B) Children with difficult temperaments need strict adherence to rules.
C) Having a difficult temperament limits intelligence and emotional
maturity
D) It is important for the parent to learn to manage criticism and power
struggles. -- Correct Answer ✔✔ d. It is important for the parent to
learn to manage criticism and power struggles.
2) A middle school age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care pediatric nurse practitioner manage this situation?
A) Prescribe short term antidepressants for this situational depression.
B) Refer the child to a mental health specialist for evaluation and
treatment.
C) Schedule extended appointments for counseling and mental health
intervention.
, D) Suggest that the child have close follow up by a school counselor. --
Correct Answer ✔✔ b. Refer the child to a mental health specialist
for evaluation and treatment.
3) The parent of a school age child reports that the child doesn't like being alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent?
A) "Fear of imaginary creatures does not usually occur at this age."
B) "I may need to refer your child to a pediatric mental health specialist."
C) "Your child is expressing normal fears for a school age child."
D) "Your child may be watching too much violence on television." --
Correct Answer ✔✔ a. "Fear of imaginary creatures does not
usually occur at this age."
4) A 9 year-old child exhibits school refusal and a reluctance to attend sleepovers
with classmates. The parent is concerned because the child has recently begun
sleeping in the parents' bed. Which initial action by the primary care pediatric
nurse practitioner is appropriate?
A) Assess for environmental stress, parental dysfunction, and maternal
depression.
B) Ask about recent traumatic events that may have precipitated this
behavior.
C) Consider a possible pediatric autoimmune neuropsychiatric disorder
cause.
D) Recommend firm insistence on school and activity attendance. --
Correct Answer ✔✔ a. Assess for environmental stress, parental
dysfunction, and maternal depression.
5) An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty concentrating, and
experiencing a loss of appetite for the past few weeks but cannot attribute these
changes to any major life event. Which is an important next step in managing this
patient?
A) Administering a diagnostic rating scale for depression
B) Considering a short term trial of an antidepressant medication
SOLUTIONS
1) A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
A) A difficult temperament is its own risk factor for maladjustment
disorders.
B) Children with difficult temperaments need strict adherence to rules.
C) Having a difficult temperament limits intelligence and emotional
maturity
D) It is important for the parent to learn to manage criticism and power
struggles. -- Correct Answer ✔✔ d. It is important for the parent to
learn to manage criticism and power struggles.
2) A middle school age child is skipping school frequently and getting poor grades
since the child's father was killed while deployed in the military. How will the
primary care pediatric nurse practitioner manage this situation?
A) Prescribe short term antidepressants for this situational depression.
B) Refer the child to a mental health specialist for evaluation and
treatment.
C) Schedule extended appointments for counseling and mental health
intervention.
, D) Suggest that the child have close follow up by a school counselor. --
Correct Answer ✔✔ b. Refer the child to a mental health specialist
for evaluation and treatment.
3) The parent of a school age child reports that the child doesn't like being alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent?
A) "Fear of imaginary creatures does not usually occur at this age."
B) "I may need to refer your child to a pediatric mental health specialist."
C) "Your child is expressing normal fears for a school age child."
D) "Your child may be watching too much violence on television." --
Correct Answer ✔✔ a. "Fear of imaginary creatures does not
usually occur at this age."
4) A 9 year-old child exhibits school refusal and a reluctance to attend sleepovers
with classmates. The parent is concerned because the child has recently begun
sleeping in the parents' bed. Which initial action by the primary care pediatric
nurse practitioner is appropriate?
A) Assess for environmental stress, parental dysfunction, and maternal
depression.
B) Ask about recent traumatic events that may have precipitated this
behavior.
C) Consider a possible pediatric autoimmune neuropsychiatric disorder
cause.
D) Recommend firm insistence on school and activity attendance. --
Correct Answer ✔✔ a. Assess for environmental stress, parental
dysfunction, and maternal depression.
5) An adolescent has recently begun doing poorly in school and has stopped
participating in sports and other extracurricular activities. During the history
interview, the adolescent reports feeling tired, having difficulty concentrating, and
experiencing a loss of appetite for the past few weeks but cannot attribute these
changes to any major life event. Which is an important next step in managing this
patient?
A) Administering a diagnostic rating scale for depression
B) Considering a short term trial of an antidepressant medication
