, NURS 6660 FINAL EXAM
Question: 1
The PMHNP is evaluating a 15-year-old male patient who has been referred by his
courtappointed guardian. He has been in foster care for the last 6 years and
maintained a steady pattern of low-level behavior problems such as skipping
school and ignoring curfew. He is not openly defiant and has always been
described as a ―loner.‖ He just does not follow most rules. During the mental
status examination, the PMHNP notes that his expressions are sometimes
inconsistent with the topic of conversation, and he does not seem to be able to
transition effectively among levels of emotion. This represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight
Question: 2
A variety of diagnostic instruments are available to assist the PMHNP with
comprehensive data collection. Which of the following tools is considered an
―interviewer-based‖ tool designed as a guide to clinicians designed to help clarify
answers to questions?
A. The Children's Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)
3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric
assessment. Kevin comes to his first appointment with both of his parents. He is
sitting in the chair with his arms crossed and responds with ―yes‖ and ―no‖
answers to direct questions; otherwise, he volunteers no information. The parents
are clearly upset and indicate they just ―don't know what to do with him
anymore.‖ The most appropriate action for the PMHNP would be to: