NURS-6660-final-exam,
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
D. Intermittent explosive disorder
, C
Question:4
The PMHNP is reviewing assessment data on Richard, a 14-year- old
boy who was brought in for evaluation by his parents. He has a
longstanding history of being difficult, defiant, and argumentative with
adults. While considering differential diagnosis of oppositional defiant
disorder and conduct disorder, which of the
following findings meet criteria for conduct disorder?
A. Openly defies rules, argues with adults, is truant from school
B. Shoplifts valuable jewelry, is persistently angry and resentful, runs
away from home
C. Often loses temper in the classroom, upturned a desk at school in
anger, is verbally cruel to classmates
D. Has a history of physical cruelty to the family cat, broke into the
neighbors’ house while they were on vacation, starting fist fights at
school
D
Question:5
Which of the following is not a true statement with respect to theorized
etiologies of ADHD?
A. Psychosocial factors do not appear to contribute to the
development of ADHD.
B. Some literature suggests that prenatal exposure to winter infection
during the first trimester of pregnancy leads to ADHD
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
D. Intermittent explosive disorder
, C
Question:4
The PMHNP is reviewing assessment data on Richard, a 14-year- old
boy who was brought in for evaluation by his parents. He has a
longstanding history of being difficult, defiant, and argumentative with
adults. While considering differential diagnosis of oppositional defiant
disorder and conduct disorder, which of the
following findings meet criteria for conduct disorder?
A. Openly defies rules, argues with adults, is truant from school
B. Shoplifts valuable jewelry, is persistently angry and resentful, runs
away from home
C. Often loses temper in the classroom, upturned a desk at school in
anger, is verbally cruel to classmates
D. Has a history of physical cruelty to the family cat, broke into the
neighbors’ house while they were on vacation, starting fist fights at
school
D
Question:5
Which of the following is not a true statement with respect to theorized
etiologies of ADHD?
A. Psychosocial factors do not appear to contribute to the
development of ADHD.
B. Some literature suggests that prenatal exposure to winter infection
during the first trimester of pregnancy leads to ADHD
