NURS 6660N MIDTERM EXAM 1 – QUESTION AND ANSWERS

NURS 6660N MIDTERM EXAM 1 – QUESTION AND ANSWERSJack 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 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: 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 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. A comprehensive medical assessment B. Standardized developmental measures C. Assessment without the parents present D. Observation of Jason during play D 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 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: A. Clomipramine (Anafranil) B. Sertraline (Zoloft) C. Aripiprazole (Abilify) D. Lithium (Eskalith) B Which of the following behaviors is least suspicious for an adolescent who is being bullied at school? A. A significant change in study habits in which the patient is demonstrating higher academic achievement to the exclusion of a social life