NURS 6660 Final Exam
Smartprep Examinations
Question:1
Which of the following is a true statement with respect to crisis
intervention and psychological debriefing as a preventive strategy for
post-traumatic stress disorder (PTSD)?
A. Crisis intervention and psychologic debriefing is most effective if
it occurs within 24 hours of the event
B. The focus of crisis intervention and psychologic debriefing is
management of emotional reactions
C. Psychoeducation is not typically a component of crisis intervention
and psychologic debriefing
D. No controlled studies support that crisis intervention and
psychologic debriefing improves outcomes
Answer:D
Question:2
Jenny is a 5-year-old female who has been referred for consultation
because the emergency room physician suspects that she might be
subject to physical abuse in the home. On evaluation, the PMHNP finds
Jenny to be fearful, docile, and guarded. Although clearly in pain, Jenny
seems surprised when the PMHNP attempts to provide some comfort.
The PMHNP notes that:
, A. If Jenny demonstrates abnormal attachment with her mother, this
will complete textbook criteria for symptoms of physical abuse
B. There must be a consistent pattern of atypical physical injury to
support the diagnosis of physical abuse
C. Jenny’s behaviors are more consistent with sexual abuse than
physical abuse
D. These same symptoms may occur in the absence of any abuse and
are neither specific or pathognomic for abuse
D
Question:3
The PMHNP is evaluating 12-year-old Dale after the police were called
to the home. Dale is assessed as having a psychotic episode; he tells the
NP that voices are telling him that he is bad and that he should hurt
himself. According to the mother, he has no history of psychiatric
disease, medications, or really any concerns at all. Mom says he goes to
school, has friends, and has always seemed ―normal.‖ An interview
with his 13-year-old sister reveals that while there is no long-term
history of abnormal behavior, for the last couple of weeks things have
been very strange at home. His father has been arrested for ―something
to do with a teenage girl,‖ and their parents have been fighting. His
father lost his job, and there is a lot of talk about money and lawyers and
jail. Dale has been very emotional as he has always been close to his
Dad; he seems to go from crying to laughing in a blink, and is getting in
fights at school. Even now, after he has calmed a bit, Dale’s reality
testing is altered. The PMHNP considers that Dale is demonstrating:
A. Symptoms of childhood schizophrenia
B. A manic episode
C. Brief psychotic disorder
Smartprep Examinations
Question:1
Which of the following is a true statement with respect to crisis
intervention and psychological debriefing as a preventive strategy for
post-traumatic stress disorder (PTSD)?
A. Crisis intervention and psychologic debriefing is most effective if
it occurs within 24 hours of the event
B. The focus of crisis intervention and psychologic debriefing is
management of emotional reactions
C. Psychoeducation is not typically a component of crisis intervention
and psychologic debriefing
D. No controlled studies support that crisis intervention and
psychologic debriefing improves outcomes
Answer:D
Question:2
Jenny is a 5-year-old female who has been referred for consultation
because the emergency room physician suspects that she might be
subject to physical abuse in the home. On evaluation, the PMHNP finds
Jenny to be fearful, docile, and guarded. Although clearly in pain, Jenny
seems surprised when the PMHNP attempts to provide some comfort.
The PMHNP notes that:
, A. If Jenny demonstrates abnormal attachment with her mother, this
will complete textbook criteria for symptoms of physical abuse
B. There must be a consistent pattern of atypical physical injury to
support the diagnosis of physical abuse
C. Jenny’s behaviors are more consistent with sexual abuse than
physical abuse
D. These same symptoms may occur in the absence of any abuse and
are neither specific or pathognomic for abuse
D
Question:3
The PMHNP is evaluating 12-year-old Dale after the police were called
to the home. Dale is assessed as having a psychotic episode; he tells the
NP that voices are telling him that he is bad and that he should hurt
himself. According to the mother, he has no history of psychiatric
disease, medications, or really any concerns at all. Mom says he goes to
school, has friends, and has always seemed ―normal.‖ An interview
with his 13-year-old sister reveals that while there is no long-term
history of abnormal behavior, for the last couple of weeks things have
been very strange at home. His father has been arrested for ―something
to do with a teenage girl,‖ and their parents have been fighting. His
father lost his job, and there is a lot of talk about money and lawyers and
jail. Dale has been very emotional as he has always been close to his
Dad; he seems to go from crying to laughing in a blink, and is getting in
fights at school. Even now, after he has calmed a bit, Dale’s reality
testing is altered. The PMHNP considers that Dale is demonstrating:
A. Symptoms of childhood schizophrenia
B. A manic episode
C. Brief psychotic disorder
