NURS 6660 Midterm Exam Questions
with Answers
, NURS 6660 Midterm Exam Questions with Answers
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
Which of the following is a true statement with respect to developmental testing in infants?
A. None of the available validated developmental tools are reliable in infants under 6 months of age.
B. An infant’s score on developmental assessment is a reliable predictor of future intelligence quotient.
C. Infant assessments are helpful in detecting mental retardation and developmental disorders.
D. Assessment in older infants focuses on sensorimotor and social responses.
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt.
The police were called when a neighbor saw Wendy jump out of the open window of her
first-floor apartment. She was unhurt, but when the neighbor asked why she jumped out she
said she wanted to kill herself. Which coincident finding would warrant an inpatient
psychiatric admission for Wendy?
A. This was not the first episode.
B. The caretaker is incapable of arranging follow-up.
C. One or both of the biological parents has a history of suicide attempts.
D. Wendy was left with a babysitter when the incident occurred.
Caleb is a 10-year-old boy who is referred for assessment because he is not following any of
the rules of discipline at home. His parents report that they have had three separate nannies
resign in the last 4 months because Caleb is unmanageable. This is a long-standing problem,
going back to daycare even before kindergarten. The PMHNP knows that when conducting her
initial interview of Caleb she should:
A. Anticipate that he can tolerate up to a 45-minute session
B. Consider that symbolic play with dolls will be informative
C. Interview him alone before involving the parents
D. Be clear that he is there because of problem behavior
with Answers
, NURS 6660 Midterm Exam Questions with Answers
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
Which of the following is a true statement with respect to developmental testing in infants?
A. None of the available validated developmental tools are reliable in infants under 6 months of age.
B. An infant’s score on developmental assessment is a reliable predictor of future intelligence quotient.
C. Infant assessments are helpful in detecting mental retardation and developmental disorders.
D. Assessment in older infants focuses on sensorimotor and social responses.
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt.
The police were called when a neighbor saw Wendy jump out of the open window of her
first-floor apartment. She was unhurt, but when the neighbor asked why she jumped out she
said she wanted to kill herself. Which coincident finding would warrant an inpatient
psychiatric admission for Wendy?
A. This was not the first episode.
B. The caretaker is incapable of arranging follow-up.
C. One or both of the biological parents has a history of suicide attempts.
D. Wendy was left with a babysitter when the incident occurred.
Caleb is a 10-year-old boy who is referred for assessment because he is not following any of
the rules of discipline at home. His parents report that they have had three separate nannies
resign in the last 4 months because Caleb is unmanageable. This is a long-standing problem,
going back to daycare even before kindergarten. The PMHNP knows that when conducting her
initial interview of Caleb she should:
A. Anticipate that he can tolerate up to a 45-minute session
B. Consider that symbolic play with dolls will be informative
C. Interview him alone before involving the parents
D. Be clear that he is there because of problem behavior
