Latest Academic Year – Advanced Practice Nurse Final Exam
Questions with Verified Detailed Answers
Introduction
This document contains a comprehensive collection of practice
questions with verified detailed answers for the NURS 6660
Advanced Practice Nurse final examination at Chamberlain
University. It covers child and adolescent psychiatric mental
health topics including depressive disorders, bipolar disorder,
schizophrenia, ADHD, learning disorders, feeding and eating
disorders, gender dysphoria, developmental disorders,
psychopharmacology, ethics, confidentiality, and evidence-based
treatment approaches. The material is presented in a multiple-
choice question-and-answer format, making it ideal for final
exam preparation, self-assessment, and board review. It serves
as a comprehensive study resource aligned with advanced
psychiatric nursing coursework.
Exam Questions and Answers
Question 34
The leading cause of death in youths living in juvenile residential
facilities is:
A. Suicide
,B. Accident
C. Homicide
D. Illness
Question 35
Debbie is a 10-year-old female who has been referred to
remediation therapy for her reading disorder. While designing
her treatment program, the PMHNP knows that the most current
strategies are characterized by:
A. An Individual Education Program (IEP) provided by the public
school system
B. Continuous practice with flash cards, workbooks, and
computer games
C. Focusing the child’s attention to the connections between
speech sounds and spelling
D. Direct practice in spelling and sentence writing and review of
grammatical rules
Question 36
Justin is a 12-year-old male who was recently diagnosed with
schizophrenia. He was quickly placed into a highly regarded
assessment and treatment program and began pharmacotherapy
and cognitive behavioral therapy. His parents have had a
difficult time with the diagnosis as Justin has always been very
healthy, a good school performer, and has never had any
,developmental concerns or delays. However, they are very
supportive and committed to his recovery. Justin has been on an
atypical antipsychotic for 1 month with no intolerable adverse
effects. When counseling Justin’s parents about the prognosis,
the PMHNP advises the parents that which of the following is
more correlated with good outcomes in patients like Justin?
A. His age at the time of diagnosis
B. The absence of family history
C. Justin’s level of function before diagnosis
D. Tolerance of antipsychotic medication
Question 37
Mrs. Henderson is a 24-year-old mother of 4 children under the
age off 5. She has developed a trust relationship with the PMNHP
after successful evaluation and management of ADHD in her
oldest child. She now brings in her 3-year-old for an evaluation
because she keeps eating things she finds within reach – paper,
dirt, and one day, the mother found this child eating from the cat
litter box. The mother says the child is up to date on her vaccines
but she has not mentioned this problem to the pediatrician. The
PMHNP knows that immediate assessment must include:
A. A comprehensive family assessment to include all children
B. Laboratory assessment of hemogram, iron, zinc, and lead
levels
, C. Wechsler Preschool and Primary Scale of Intelligence – Revised
D. Assessment of developmental milestones
Question 38
Kelly is a 13-year-old female who is being evaluated at the
recommendation of her seventh grade teacher. This is her first
year in junior high and her teacher is concerned over what
appears to be marked social isolation. She does not appear to
have any close friends or social contacts. She eats lunch with the
girl who lives next door to her, but even that is initiated more by
the other child.
Her teacher also reported that Kelly seems to have certain
unusual preoccupations, such a preoccupation with religions
despite the fact that her family has never been religious. During
the examination, Kelly clearly demonstrates some odd behavior.
When talking about her family, she does not express any emotion.
She does not laugh at anything and appears withdrawn, yet she
will answer questions asked of her. The PMHNP, after
completing his evaluation, considers a diagnosis of schizotypal
disorder because review of Kelly’s assessment reveals:
A. The absence of any overt psychotic symptoms in the history
B. A family history of schizotypal disorder
C. An inability to be swayed from distorted perceptions
D. Neglect of personal hygiene