NURS 6660 MIDTERM EXAM 2020
, NURS 6660 MIDTERM EXAM 2020
Jack is a 3-year-old boy who is being evaluated for developmental delay. The
mental status examination is significant for an inability to stack two blocks or draw
a circle. The PMHNP also appreciates the inability to attend to any task for more
than a few seconds. These findings indicate an abnormality in:
A. Social relatedness
B. Thought process and
content
C. Motor behavior
D. Judgment and insight
During the mental status exam of Oliver, a 4-year-old child, the PMHNP
appreciates that he appears to be having transient visual and auditory
hallucinations. The PMHNP knows that the best approach to this finding is to
consider that:
A. This is most consistent with early-onset
, schizophrenia
B. An organic brain disorder should be ruled out
C. These are normal findings in very young children
D. Comprehensive psychiatric assessment is indicated
Jason is a 17-month-old male who is referred for evaluation of an unusually high
level of irritability. His mother says he cries “all the time,” and sometimes he just
cannot be comforted; Jason’s pediatrician felt that the complaint warranted an
evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability
should include all the following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety disorder
.
B. Separation anxiety disorder
C. Social anxiety disorder
D Obsessive-compulsive disorder
.
When evaluating treatment strategies for a 14-year-old patient with obsessive-
compulsive disorder (OCD), the PMHNP considers that evidence-based data from
the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are
achieved with cognitive behavioral therapy (CBT) and:
, A Clomipramine (Anafranil)
.
B. Sertraline (Zoloft)
C. Aripiprazole (Abilify)
D Lithium (Eskalith)
.
Which of the following behaviors is least suspicious for an adolescent who is being
bullied at school?
A. A significant change in study habits in which the patient is demonstrating
higher academic achievement to the exclusion of a social life
B. A persistent, sustained increase in the number and variety of physical
complaints that have no obvious organic cause
C. Evidence that the patient has started smoking cigarettes and seems to spend
more time alone than usual
D. Migration to a completely different peer group and a change in appearance and
behavior to aggressively mimic the new group
Michael is a 13-year-old boy who was involved in a traumatic automobile accident
in which his mother, the driver, was killed. After suffering multiple injuries and
weeks in the hospital, Michael was discharged to home with physical therapy. He
ultimately made a complete physical recovery but is unable to get into a car. Just
the thought of riding in a car produces profound physiologic symptoms. He has
been diagnosed with post-traumatic stress disorder (PTSD). His avoidance of
riding in a car is conceptualized as:
A. Panic attacks
B. Operant conditioning
C. Hyper arousal
, NURS 6660 MIDTERM EXAM 2020
Jack is a 3-year-old boy who is being evaluated for developmental delay. The
mental status examination is significant for an inability to stack two blocks or draw
a circle. The PMHNP also appreciates the inability to attend to any task for more
than a few seconds. These findings indicate an abnormality in:
A. Social relatedness
B. Thought process and
content
C. Motor behavior
D. Judgment and insight
During the mental status exam of Oliver, a 4-year-old child, the PMHNP
appreciates that he appears to be having transient visual and auditory
hallucinations. The PMHNP knows that the best approach to this finding is to
consider that:
A. This is most consistent with early-onset
, schizophrenia
B. An organic brain disorder should be ruled out
C. These are normal findings in very young children
D. Comprehensive psychiatric assessment is indicated
Jason is a 17-month-old male who is referred for evaluation of an unusually high
level of irritability. His mother says he cries “all the time,” and sometimes he just
cannot be comforted; Jason’s pediatrician felt that the complaint warranted an
evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability
should include all the following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety disorder
.
B. Separation anxiety disorder
C. Social anxiety disorder
D Obsessive-compulsive disorder
.
When evaluating treatment strategies for a 14-year-old patient with obsessive-
compulsive disorder (OCD), the PMHNP considers that evidence-based data from
the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are
achieved with cognitive behavioral therapy (CBT) and:
, A Clomipramine (Anafranil)
.
B. Sertraline (Zoloft)
C. Aripiprazole (Abilify)
D Lithium (Eskalith)
.
Which of the following behaviors is least suspicious for an adolescent who is being
bullied at school?
A. A significant change in study habits in which the patient is demonstrating
higher academic achievement to the exclusion of a social life
B. A persistent, sustained increase in the number and variety of physical
complaints that have no obvious organic cause
C. Evidence that the patient has started smoking cigarettes and seems to spend
more time alone than usual
D. Migration to a completely different peer group and a change in appearance and
behavior to aggressively mimic the new group
Michael is a 13-year-old boy who was involved in a traumatic automobile accident
in which his mother, the driver, was killed. After suffering multiple injuries and
weeks in the hospital, Michael was discharged to home with physical therapy. He
ultimately made a complete physical recovery but is unable to get into a car. Just
the thought of riding in a car produces profound physiologic symptoms. He has
been diagnosed with post-traumatic stress disorder (PTSD). His avoidance of
riding in a car is conceptualized as:
A. Panic attacks
B. Operant conditioning
C. Hyper arousal
