NURS 6660 Week 6 Midterm Exam
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1. Question: Jack is a 3-year-old boy who is being ... 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:
2. Question: During the mental status exam of Oliver, a 4-year-old child, the PMHNP
appreciates that he appears to ... having transient visual and auditory hallucinations. The PMHNP
knows that the best approach to this finding is to consider that: NURS 6660
3. Question: 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 ... ...; 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:
4. Question: ... of the following is the most common anxiety disorder of childhood?
5. Question: ... evaluating treatment strategies for a 14-year-old patient with obsessive-
compulsive disorder (OCD), the PMHNP considers that evidence ... data from the Pediatric OCD
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
6. Question: ... behaviors is least suspicious for an adolescent who is being ... at school?
7. Question: Michael is a 13-year-old boy who was ... in a traumatic automobile accident in
which his mother, the driver, was .... After suffering multiple injuries and weeks in the hospital,
Michael was ... to home with physical therapy. He ultimately made a complete physical recovery
but is unable to get into a car. Just the thought of riding in a car produces ... physiologic
symptoms. He has been ... with post-traumatic stress disorder (PTSD). His avoidance of riding in
a car is ... as:
8. Question: Which of the following is a true statement with respect to developmental
testing in infants?
9. Question: Wendy is a 6-year-old female being ... 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 ... why she ... out she ... she ... to
kill herself. Which coincident finding would warrant an inpatient psychiatric admission for
Wendy? NURS 6660
10. Question: 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:
11. Question: Treatment of ... children is multimodal and long term. The single most
important aspect of treatment is: NURS 6660
12. Question: Psychiatric assessment of the adolescent patient is different in several ways
from assessment of younger children. While trying to establish a therapeutic environment with
an adolescent who is openly hostile, one of the most important things the PMHNP can do is to:
NURS 6660
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, 13. Question: A variety of questionnaires, scales, ... interview tools, and other ... instruments
are available to aid with various aspects of assessment. The majority are ... only to be ... as an aid
to information gathering and not to make a diagnosis. Which of the following tools requires
training to administer and can ... used to determine diagnoses? NURS 6660
14. Question: The PMHNP is drafting a proposal for research funding for a project to offer
primary prevention strategies ... to reduce the incidence of bullying. In support of this project, the
PMHNP provides data supporting the fact that both perpetrators and victims of bullying suffer all
of the following except:
15. Question: Which of the following manifestations of childhood anxiety disorders is
considered a psychiatric emergency? NURS 6660
16. Question: The PMHNP is performing an assessment on Julie, a 4-year-old girl who has
been ... to care by her mother. The mother was referred by the pediatrician because Julie has ...
demonstrating an appreciable change in her behavior. She is developmentally on target and has
always ... a happy and curious child, but for the last few months she seems to ... much more
fearful and anxious. Which of the following recently acquired behaviors ... by the mother is most
suspicious for sexual abuse?
17. Question: What is the primary diagnostic difference between obsessive-compulsive
disorders in children as compared to adults? NURS 6660
18. Question: With respect to treatment of conduct disorder, the PMHNP knows that:
19. Question: Kelly is a 13-year-old girl who is being ... because her parents are very
concerned about her sudden disinterest in school. She does not want to go to any social activities
and her grades have dropped markedly in the last several months. When considering bullying as
a cause of her behavior change, the PMHP considers that which type of bullying is more
common among girls?
20. Question: Karen is a 7-year-old girl who has been ... on atomoxetine 18 mg once daily
for ADHD, which is just under the ... starting dose of 0.5 mg/kg/day. After just 1 week, her
parents report that she is not eating, complains of stomach pain almost every day, is having
trouble sleeping, and is “really cranky.” Her teacher says she never seen anything like it; that
Karen is actually worse on her ADHD medication. A careful review reveals that Karen is taking
her medication just as .... She is not on any other ..., over-the-counter, or herbal medications. The
PMHNP considers that: NURS 6660
21. Question: Carolyn is a 14-year-old female who is in care because she has ... increasingly
difficult behavior at home and school. She is inappropriately ... for the interview, wearing heavy
makeup and conducting herself in a suggestive manner. Her medical history is significant only
for childhood asthma and four urinary tract infections in the last year. Carolyn’s mother reveals
that Carolyn’s stepfather has a history of sexually abusing his biological daughter, and the
mother is beginning to wonder if something isn’t “going on” in her own home. Carolyn
vigorously denies this, and indicates that her stepfather is very good to her, takes care of her, and
is her “best friend.” The PMHNP recognizes that Carolyn may ... in which phase of intrafamilial
sexual abuse?
22. Question: Phillip is a 5-year-old boy who is in care after being ... for failure to speak at
school. He has ... in kindergarten for 5 months, and initially his teacher thought he was just shy,
so she did not focus on him. However, it has become increasingly apparent that he flat out will
not speak at school. Phillip’s parents are adamant that there is not any problem at home and that
Phillip talks with them and his older sister routinely. Further assessment reveals that he has
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:17:19 GMT -05:00
https://www.coursehero.com/file/69522068/NURS-6660-Week-6-Midterm-Examdocx/
Download 100% Correct Answer Here
1. Question: Jack is a 3-year-old boy who is being ... 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:
2. Question: During the mental status exam of Oliver, a 4-year-old child, the PMHNP
appreciates that he appears to ... having transient visual and auditory hallucinations. The PMHNP
knows that the best approach to this finding is to consider that: NURS 6660
3. Question: 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 ... ...; 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:
4. Question: ... of the following is the most common anxiety disorder of childhood?
5. Question: ... evaluating treatment strategies for a 14-year-old patient with obsessive-
compulsive disorder (OCD), the PMHNP considers that evidence ... data from the Pediatric OCD
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
6. Question: ... behaviors is least suspicious for an adolescent who is being ... at school?
7. Question: Michael is a 13-year-old boy who was ... in a traumatic automobile accident in
which his mother, the driver, was .... After suffering multiple injuries and weeks in the hospital,
Michael was ... to home with physical therapy. He ultimately made a complete physical recovery
but is unable to get into a car. Just the thought of riding in a car produces ... physiologic
symptoms. He has been ... with post-traumatic stress disorder (PTSD). His avoidance of riding in
a car is ... as:
8. Question: Which of the following is a true statement with respect to developmental
testing in infants?
9. Question: Wendy is a 6-year-old female being ... 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 ... why she ... out she ... she ... to
kill herself. Which coincident finding would warrant an inpatient psychiatric admission for
Wendy? NURS 6660
10. Question: 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:
11. Question: Treatment of ... children is multimodal and long term. The single most
important aspect of treatment is: NURS 6660
12. Question: Psychiatric assessment of the adolescent patient is different in several ways
from assessment of younger children. While trying to establish a therapeutic environment with
an adolescent who is openly hostile, one of the most important things the PMHNP can do is to:
NURS 6660
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:17:19 GMT -05:00
https://www.coursehero.com/file/69522068/NURS-6660-Week-6-Midterm-Examdocx/
, 13. Question: A variety of questionnaires, scales, ... interview tools, and other ... instruments
are available to aid with various aspects of assessment. The majority are ... only to be ... as an aid
to information gathering and not to make a diagnosis. Which of the following tools requires
training to administer and can ... used to determine diagnoses? NURS 6660
14. Question: The PMHNP is drafting a proposal for research funding for a project to offer
primary prevention strategies ... to reduce the incidence of bullying. In support of this project, the
PMHNP provides data supporting the fact that both perpetrators and victims of bullying suffer all
of the following except:
15. Question: Which of the following manifestations of childhood anxiety disorders is
considered a psychiatric emergency? NURS 6660
16. Question: The PMHNP is performing an assessment on Julie, a 4-year-old girl who has
been ... to care by her mother. The mother was referred by the pediatrician because Julie has ...
demonstrating an appreciable change in her behavior. She is developmentally on target and has
always ... a happy and curious child, but for the last few months she seems to ... much more
fearful and anxious. Which of the following recently acquired behaviors ... by the mother is most
suspicious for sexual abuse?
17. Question: What is the primary diagnostic difference between obsessive-compulsive
disorders in children as compared to adults? NURS 6660
18. Question: With respect to treatment of conduct disorder, the PMHNP knows that:
19. Question: Kelly is a 13-year-old girl who is being ... because her parents are very
concerned about her sudden disinterest in school. She does not want to go to any social activities
and her grades have dropped markedly in the last several months. When considering bullying as
a cause of her behavior change, the PMHP considers that which type of bullying is more
common among girls?
20. Question: Karen is a 7-year-old girl who has been ... on atomoxetine 18 mg once daily
for ADHD, which is just under the ... starting dose of 0.5 mg/kg/day. After just 1 week, her
parents report that she is not eating, complains of stomach pain almost every day, is having
trouble sleeping, and is “really cranky.” Her teacher says she never seen anything like it; that
Karen is actually worse on her ADHD medication. A careful review reveals that Karen is taking
her medication just as .... She is not on any other ..., over-the-counter, or herbal medications. The
PMHNP considers that: NURS 6660
21. Question: Carolyn is a 14-year-old female who is in care because she has ... increasingly
difficult behavior at home and school. She is inappropriately ... for the interview, wearing heavy
makeup and conducting herself in a suggestive manner. Her medical history is significant only
for childhood asthma and four urinary tract infections in the last year. Carolyn’s mother reveals
that Carolyn’s stepfather has a history of sexually abusing his biological daughter, and the
mother is beginning to wonder if something isn’t “going on” in her own home. Carolyn
vigorously denies this, and indicates that her stepfather is very good to her, takes care of her, and
is her “best friend.” The PMHNP recognizes that Carolyn may ... in which phase of intrafamilial
sexual abuse?
22. Question: Phillip is a 5-year-old boy who is in care after being ... for failure to speak at
school. He has ... in kindergarten for 5 months, and initially his teacher thought he was just shy,
so she did not focus on him. However, it has become increasingly apparent that he flat out will
not speak at school. Phillip’s parents are adamant that there is not any problem at home and that
Phillip talks with them and his older sister routinely. Further assessment reveals that he has
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:17:19 GMT -05:00
https://www.coursehero.com/file/69522068/NURS-6660-Week-6-Midterm-Examdocx/
