NRNP 6665 Midterm Exam
Question 1
Which of the following disorders is characterized by episodic bouts of intake ofexcessive
amounts of food but without purging or similar compensatory behavior?
A . Bulimia nervosa
B . Anorexia nervosa
C . Binge eating disorder
D . Night eating syndrome
Question 2
During the evaluation of a patient with a history of Bipolar I Disorder, who is manic,the patient
states that she is actually the Queen of England and quite wealthy. This is an exampleof which
of the following?
A . Mood-congruent manic delusion
B . Mood-incongruent manic delusion
C . Mood-congruent manic hallucination
D . Mood-incongruent manic hallucination
Question 3
A form of cognitive behavioral therapy (CBT) that requires attending skills groups inaddition to
individual therapy sessions are known as which of the following?
A . Group CBT
B . Trauma-Focused CBT
C .Motivational Interviewing.
D . Dialectical-behavioral therapy
Question 4
which of the following is consistent with recommendations for use of availableevidence based
psychopharmacological interventions?
A . If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial
Interventions.
B . If a child/adolescent has mild symptoms, initiate psychotropic medication atthe same
time as appropriate psychosocial interventions are started.
C . If a child/adolescent has moderate to severe range of symptoms initiate
psychotropicmedication at the same time as the appropriate psychosocial interventions
are started.
D . If a child/adolescent has a moderate to severe range of symptoms initiate psychotropic
medication prior to initiating psychosocial interventions.
Question 5
The type of therapy typically indicated for individuals with chronic and significantsuicidality
and self-harm is known as which of the following?
A . Cognitive behavioral therapy (CBT)
B . Trauma-focused CBT
C . Motivational interviewing
D . Dialectical-behavioral therapy
,Question 6
The average time from the start of child mental health symptoms until a young personenters
mental health treatment is which of the following?
A . 4-6 weeks
B . 3-6 months
C . 1-2 years
D 8-10 . years
Question 7
A general term for programs that teach and encourage skillful parent and caregiverresponses to
challenging child behaviors.
A . Motivational interviewing
B . Dialectical-behavioral therapy
C . Cognitive behavioral therapy (CBT)
D . Behavioral management training
Question 8
Nightmares and night terrors are associated with disorganization and arousal duringwhich stage
of sleep?
A . Stage 1
B .Stage 2
C .Stage 3
D . Stage 4
Question 9
The right to assent of dissent from treatment for a child or adolescent is reflected inwhich of
the following American Academy of Child and Adolescent Psychiatry ethical issues? A .
Fidelity
B . Autonomy
C . Beneficence
D . Nonmaleficence
Question 10
In the event of a crisis in which the child is threatening to hurt himself, the firststeps should
include which of the following?
A . Address any acute safety concerns
B . Obtain any necessary professional assistance
C . Develop a prevention plan for future crises
D . A and B
,Question 11
A 10-year-old child presents with developmentally inappropriate and persistent difficulty with
inattention with symptoms which are interfering with academic goals and in socialsettings. This
is consistent with which of the following diagnoses?
A . Conduct disorder
B . Autism spectrum disorder
C . Generalized anxiety disorder
D . Attention-deficit/hyperactivity disorder
Question 12
A patient presents endorsing persistent low-grade (sub-acute) depression for the lastseveral
years, uncertain of when it started, thinks he has always been depressed but still goes through
the motions. These symptoms are consistent with which of the following diagnoses?
A . Dysthymia
B . Cyclothymia
C . Major Depression, subacute,
recurrent
D . Bipolar II disorder
Question 13
Examples of atypical features in a patient with Major Depressive Episode includewhich of the
following?
A Overeating and oversleeping
B . Loss of appetite
C . Insomnia
D . Sleep walking
Question 14
Somnambulism is characterized by which of the following?
A . Waking from sleep/naps with vivid recall of intensely frightening dreams
B . A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
C . Excessive daytime sleepiness or sleep attacks
D . Repeated episodes of rising from bed and walking about for between several minutes toa
half hour during nocturnal sleep
Question 15
A 15-year-old girl presents with symptoms that include restrictive eating and foodavoidance,
with a desire to avoid obesity, which persists despite negative consequences. This
presentation is consistent with which of the following diagnoses?
A . Bulimia nervosa
B . Anorexia nervosa
C . Encopresis
D . Autism spectrum disorder
, Question 16
Which of the following antidepressants are approved by the FDA for treatingdepression in
children ages 8-17?
A . Sertraline
B . Fluoxetine
C . Duloxetine
D . Fluvoxamine
Question 17
When assessing for substance abuse in an adolescent, the clinician should initiallyassess for
which of the following?
A . Safety
B . Self medication
C . Substance tolerance
D . Substance use disorder
Question 18
Which of the following is consistent with what is known about prevalence ofBipolar I
disorder?
A . Bipolar I Disorder is more prevalent in men
B . Bipolar I Disorder is more prevalent in women
C . Manic episodes are more prevalent in women.
D . Bipolar I Disorder has equal prevalence among men and women.
Question 19
Which of the following is NOT consistent with the code of ethics for the nursingprofession?
A . A code of ethics for the nursing profession informs every aspect of the nurse's life.
B . A code of ethics makes explicit the primary obligations of the nursing profession.
C . A code of ethics addresses the values and ideals of the nursing profession.
D . B and C only
Question 20
Which of the following is NOT consistent with what is known about anorexianervosa?
A . Anorexia nervosa is more prevalent in males.
B . Anorexia nervosa is most frequent in developed
countries
C . Anorexia nervosa is equally prevalent in males and
females
D . Roughly half of patients with anorexia nervosa will not only diet but will also regularly
engage in binge and purge behaviors
Question 1
Which of the following disorders is characterized by episodic bouts of intake ofexcessive
amounts of food but without purging or similar compensatory behavior?
A . Bulimia nervosa
B . Anorexia nervosa
C . Binge eating disorder
D . Night eating syndrome
Question 2
During the evaluation of a patient with a history of Bipolar I Disorder, who is manic,the patient
states that she is actually the Queen of England and quite wealthy. This is an exampleof which
of the following?
A . Mood-congruent manic delusion
B . Mood-incongruent manic delusion
C . Mood-congruent manic hallucination
D . Mood-incongruent manic hallucination
Question 3
A form of cognitive behavioral therapy (CBT) that requires attending skills groups inaddition to
individual therapy sessions are known as which of the following?
A . Group CBT
B . Trauma-Focused CBT
C .Motivational Interviewing.
D . Dialectical-behavioral therapy
Question 4
which of the following is consistent with recommendations for use of availableevidence based
psychopharmacological interventions?
A . If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial
Interventions.
B . If a child/adolescent has mild symptoms, initiate psychotropic medication atthe same
time as appropriate psychosocial interventions are started.
C . If a child/adolescent has moderate to severe range of symptoms initiate
psychotropicmedication at the same time as the appropriate psychosocial interventions
are started.
D . If a child/adolescent has a moderate to severe range of symptoms initiate psychotropic
medication prior to initiating psychosocial interventions.
Question 5
The type of therapy typically indicated for individuals with chronic and significantsuicidality
and self-harm is known as which of the following?
A . Cognitive behavioral therapy (CBT)
B . Trauma-focused CBT
C . Motivational interviewing
D . Dialectical-behavioral therapy
,Question 6
The average time from the start of child mental health symptoms until a young personenters
mental health treatment is which of the following?
A . 4-6 weeks
B . 3-6 months
C . 1-2 years
D 8-10 . years
Question 7
A general term for programs that teach and encourage skillful parent and caregiverresponses to
challenging child behaviors.
A . Motivational interviewing
B . Dialectical-behavioral therapy
C . Cognitive behavioral therapy (CBT)
D . Behavioral management training
Question 8
Nightmares and night terrors are associated with disorganization and arousal duringwhich stage
of sleep?
A . Stage 1
B .Stage 2
C .Stage 3
D . Stage 4
Question 9
The right to assent of dissent from treatment for a child or adolescent is reflected inwhich of
the following American Academy of Child and Adolescent Psychiatry ethical issues? A .
Fidelity
B . Autonomy
C . Beneficence
D . Nonmaleficence
Question 10
In the event of a crisis in which the child is threatening to hurt himself, the firststeps should
include which of the following?
A . Address any acute safety concerns
B . Obtain any necessary professional assistance
C . Develop a prevention plan for future crises
D . A and B
,Question 11
A 10-year-old child presents with developmentally inappropriate and persistent difficulty with
inattention with symptoms which are interfering with academic goals and in socialsettings. This
is consistent with which of the following diagnoses?
A . Conduct disorder
B . Autism spectrum disorder
C . Generalized anxiety disorder
D . Attention-deficit/hyperactivity disorder
Question 12
A patient presents endorsing persistent low-grade (sub-acute) depression for the lastseveral
years, uncertain of when it started, thinks he has always been depressed but still goes through
the motions. These symptoms are consistent with which of the following diagnoses?
A . Dysthymia
B . Cyclothymia
C . Major Depression, subacute,
recurrent
D . Bipolar II disorder
Question 13
Examples of atypical features in a patient with Major Depressive Episode includewhich of the
following?
A Overeating and oversleeping
B . Loss of appetite
C . Insomnia
D . Sleep walking
Question 14
Somnambulism is characterized by which of the following?
A . Waking from sleep/naps with vivid recall of intensely frightening dreams
B . A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
C . Excessive daytime sleepiness or sleep attacks
D . Repeated episodes of rising from bed and walking about for between several minutes toa
half hour during nocturnal sleep
Question 15
A 15-year-old girl presents with symptoms that include restrictive eating and foodavoidance,
with a desire to avoid obesity, which persists despite negative consequences. This
presentation is consistent with which of the following diagnoses?
A . Bulimia nervosa
B . Anorexia nervosa
C . Encopresis
D . Autism spectrum disorder
, Question 16
Which of the following antidepressants are approved by the FDA for treatingdepression in
children ages 8-17?
A . Sertraline
B . Fluoxetine
C . Duloxetine
D . Fluvoxamine
Question 17
When assessing for substance abuse in an adolescent, the clinician should initiallyassess for
which of the following?
A . Safety
B . Self medication
C . Substance tolerance
D . Substance use disorder
Question 18
Which of the following is consistent with what is known about prevalence ofBipolar I
disorder?
A . Bipolar I Disorder is more prevalent in men
B . Bipolar I Disorder is more prevalent in women
C . Manic episodes are more prevalent in women.
D . Bipolar I Disorder has equal prevalence among men and women.
Question 19
Which of the following is NOT consistent with the code of ethics for the nursingprofession?
A . A code of ethics for the nursing profession informs every aspect of the nurse's life.
B . A code of ethics makes explicit the primary obligations of the nursing profession.
C . A code of ethics addresses the values and ideals of the nursing profession.
D . B and C only
Question 20
Which of the following is NOT consistent with what is known about anorexianervosa?
A . Anorexia nervosa is more prevalent in males.
B . Anorexia nervosa is most frequent in developed
countries
C . Anorexia nervosa is equally prevalent in males and
females
D . Roughly half of patients with anorexia nervosa will not only diet but will also regularly
engage in binge and purge behaviors
