As) 100% correct LATEST UPDATE
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NURS 6660 final.All Solution (Q &
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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:
Social relatedness
Thought process and content
Motor behavior
Judgment and insight
C
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:
This is most consistent with early-onset schizophrenia
An organic brain disorder should be ruled out
These are normal findings in very young children
Comprehensive psychiatric assessment is indicated
B
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 comprehensive medical assessment
Standardized developmental measures
Assessment without the parents present
Observation of Jason during play
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D
Which of the following is the most common anxiety disorder of childhood?
A. Generalized anxiety disorder
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Separation anxiety disorder
Social anxiety disorder
Obsessive-compulsive disorder
A
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:
Clomipramine (Anafranil)
Sertraline (Zoloft)
Aripiprazole (Abilify)
Lithium (Eskalith)
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at school?
A significant change in study habits in which the patient is demonstrating higher academic achievement to the exclusion of
A persistent, sustained increase in the number and variety of physical complaints that have no obvious organic cause
Evidence that the patient has started smoking cigarettes and seems to spend more time alone than usual
Migration to a completely different peer group and a change in appearance and behavior to aggressively mimic the new gro
A
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
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