NURS 660; FINAL EXAM Q & A
• Question 1
1 out of 1 points
Conventional antipsychotics are not first-line interventions in early-onset
schizophrenia due to the risk of dystonic reactions. However, when
children are not responsive to first- line therapy with atypical
antipsychotics, which of the following is the most appropriate conventional
choice?
Selected D.
Answer: Chlorprom
azi ne
• Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written
expression are most favorable when they are characterized by:
Selected Intensive, continuous administration of individually tailored,
Answer: one-on-one expressive and creative writing therapy
• Question 3
1 out of 1 points
Linda is a 5-year-old girl who has persistent pica; she was finally referred
for care when her kindergarten teacher became alarmed by her eating of
,potentially toxic nonfood substances. Linda’s mother admits during the
history that Linda has been doing this for years, but thought it was not a
big deal since Linda didn’t eat anything dangerous.
Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s
, unusual symptom because it didn’t seem unsafe. While discussing
management strategies with Linda’s mother, the PMHNP counsels that
the most rapidly successful treatment strategy appears to be:
Selected A.
Answer: Aversi
on
therap
y
• Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can
occur at any point in the lifespan. Characteristic findings in infants include:
Selected C.
Answer: Failure
to
thrive
• Question 5
1 out of 1 points
Katelyn is a16-year-old girl who presents for therapy with her mother and
father. Katelyn was born with male genitalia but has felt like a female “all
of her life.” She says she knew something was different as far back as she
can remember. She always wanted to wear her mother’s clothes and
makeup and play with other girls. Katelyn started dressing and openly
identifying as a girl when she was 13 years old, and her parents are trying
to be supportive but they are struggling. Most recently Katelyn has
developed an intimate partner relationship with Jennifer, a 15-year-old
girl who was gender-assigned female at birth and identifies as a female.
Katelyn’s father does not understand the relationship.
The PMHNP explains that Katelyn:
, Selected C.
Answer: Is a transgender female who
identifies as lesbian
• Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major
depressive disorder in children except:
Selected C.
Answer: There must be somatic or
psychomotor complaints.
• Question 7
1 out of 1 points
Donna is a 16-year-old transgender female who has been through
extensive individual and family counseling and is ready to start hormone
therapy with estrogen, progesterone, and testosterone-blocking agents.
When counseling her specifically about the risks, benefits, and required
monitoring of hormonal therapy, the PMHNP advises Donna that:
• Question 1
1 out of 1 points
Conventional antipsychotics are not first-line interventions in early-onset
schizophrenia due to the risk of dystonic reactions. However, when
children are not responsive to first- line therapy with atypical
antipsychotics, which of the following is the most appropriate conventional
choice?
Selected D.
Answer: Chlorprom
azi ne
• Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written
expression are most favorable when they are characterized by:
Selected Intensive, continuous administration of individually tailored,
Answer: one-on-one expressive and creative writing therapy
• Question 3
1 out of 1 points
Linda is a 5-year-old girl who has persistent pica; she was finally referred
for care when her kindergarten teacher became alarmed by her eating of
,potentially toxic nonfood substances. Linda’s mother admits during the
history that Linda has been doing this for years, but thought it was not a
big deal since Linda didn’t eat anything dangerous.
Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s
, unusual symptom because it didn’t seem unsafe. While discussing
management strategies with Linda’s mother, the PMHNP counsels that
the most rapidly successful treatment strategy appears to be:
Selected A.
Answer: Aversi
on
therap
y
• Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can
occur at any point in the lifespan. Characteristic findings in infants include:
Selected C.
Answer: Failure
to
thrive
• Question 5
1 out of 1 points
Katelyn is a16-year-old girl who presents for therapy with her mother and
father. Katelyn was born with male genitalia but has felt like a female “all
of her life.” She says she knew something was different as far back as she
can remember. She always wanted to wear her mother’s clothes and
makeup and play with other girls. Katelyn started dressing and openly
identifying as a girl when she was 13 years old, and her parents are trying
to be supportive but they are struggling. Most recently Katelyn has
developed an intimate partner relationship with Jennifer, a 15-year-old
girl who was gender-assigned female at birth and identifies as a female.
Katelyn’s father does not understand the relationship.
The PMHNP explains that Katelyn:
, Selected C.
Answer: Is a transgender female who
identifies as lesbian
• Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major
depressive disorder in children except:
Selected C.
Answer: There must be somatic or
psychomotor complaints.
• Question 7
1 out of 1 points
Donna is a 16-year-old transgender female who has been through
extensive individual and family counseling and is ready to start hormone
therapy with estrogen, progesterone, and testosterone-blocking agents.
When counseling her specifically about the risks, benefits, and required
monitoring of hormonal therapy, the PMHNP advises Donna that:
