Review Test Submission:
Midterm Exam - Week 6
•
latest
Question 1updated
1 out of 1 points
Kevin is a 15-year-old male who presents for court-ordered psychiatric assessment. Kevin
comes to his first appointment with both of his parents. He is sitting in the chair with his
arms crossed and responds with “yes” and “no” answers to direct questions; otherwise,
he volunteers no information. The parents are clearly upset and indicate they just “don’t
know what to do with him anymore.” The most appropriate action for the PMHNP would
be to:
Selected
A.
Answer: Ask the parents to step out and interview Kevin
privately
• Question 2
0 out of 1 points
Comprehensive psychiatric assessment ultimately requires the integration of biological
predisposition, psychodynamic factors, environmental factors, and life events. These
factors, along with a mental status exam, developmental assessment, and any
appropriate standardized testing is collectively referred to as:
Selected
B.
Answer: Biopsychosocial
formulation
• Question 3
1 out of 1 points
Having child and adolescent patients rate their feelings and moods on a scale of 1–10 is
, most effective in which age group?
Selected
C.
Answer: 5 to
11
years
• Question 4
0 out of 1 points
Kelly is an 8-year-old girl who is being evaluated by the PMHNP because she is markedly
behind her peers in school performance. During her mental status examination, she is
unable to repeat three objects after five minutes, and is unable to repeat five digits
forward or three digits backward. Further evaluation reveals an inability to add single
digits. The PMHNP interprets this finding as:
Selected
C.
Answer: Reflective of brain damage or learning
disabilities
• Question 5
1 out of 1 points
Which of the following manifestations of childhood anxiety disorders is considered a
psychiatric emergency?
Selected
A.
Answer: School
refusal
• Question 6
1 out of 1 points
The PMHNP observes separation from and reunion with the parent as part the mental
status exam of a 25-month-old toddler. Extremes of emotion during separation or reunion
are most consistent with:
Selected
D.
Answer: Problems with the parent-
child relationship
• Question 7
0 out of 1 points
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in
which his mother, the driver, was killed. After suffering multiple injuries and weeks in
the hospital, Michael was discharged 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 profound physiologic symptoms. He has been diagnosed with post-
traumatic stress disorder (PTSD). His avoidance of riding in a car is conceptualized as:
Selected
C.
Answer: Hyper
arousal
, • Question 8
1 out of 1 points
Which of the following behaviors is least suspicious for an adolescent who is being bullied
at school?
Selected
A.
Answer: A significant change in study habits in which the patient is
demonstrating higher academic achievement to the exclusion of a social
life
• Question 9
0 out of 1 points
Melanie is a 13-month-old female who has been referred by her primary care
pediatrician. She has not had consistent well-child checks, and at her first visit with this
pediatrician at age 1 year, there was a notable absence of verbal babbling, interactive
play, or smiling. Comprehensive assessment of Melanie must include all the following
except:
Selected
C.
Answer: A mental
status
examination
• Question 10
1 out of 1 points
Sarah is a 10-year-old patient who has been diagnosed with oppositional defiant disorder.
While discussing the diagnosis, course and prognosis, and treatment strategies with
Sarah’s mother, the PMHNP emphasizes that successful management of oppositional
defiant disorder (ODD) must include:
Selected
A.
Answer: Parent
training
• Question 11
0 out of 1 points
Comprehensive psychiatric/mental health assessment of children includes an interview
with the parents or caregivers. Which of the following is not a true statement with respect
to the parental interview?
Selected
D.
Answer: The parents’ upbringings are relevant to the child’s
diagnosis.
• Question 12
1 out of 1 points
The clinical interview is an important part of psychiatric assessment and should be
conducted early in the diagnostic process. However, a comprehensive assessment should
include other information-gathering modalities because the clinical interview:
Midterm Exam - Week 6
•
latest
Question 1updated
1 out of 1 points
Kevin is a 15-year-old male who presents for court-ordered psychiatric assessment. Kevin
comes to his first appointment with both of his parents. He is sitting in the chair with his
arms crossed and responds with “yes” and “no” answers to direct questions; otherwise,
he volunteers no information. The parents are clearly upset and indicate they just “don’t
know what to do with him anymore.” The most appropriate action for the PMHNP would
be to:
Selected
A.
Answer: Ask the parents to step out and interview Kevin
privately
• Question 2
0 out of 1 points
Comprehensive psychiatric assessment ultimately requires the integration of biological
predisposition, psychodynamic factors, environmental factors, and life events. These
factors, along with a mental status exam, developmental assessment, and any
appropriate standardized testing is collectively referred to as:
Selected
B.
Answer: Biopsychosocial
formulation
• Question 3
1 out of 1 points
Having child and adolescent patients rate their feelings and moods on a scale of 1–10 is
, most effective in which age group?
Selected
C.
Answer: 5 to
11
years
• Question 4
0 out of 1 points
Kelly is an 8-year-old girl who is being evaluated by the PMHNP because she is markedly
behind her peers in school performance. During her mental status examination, she is
unable to repeat three objects after five minutes, and is unable to repeat five digits
forward or three digits backward. Further evaluation reveals an inability to add single
digits. The PMHNP interprets this finding as:
Selected
C.
Answer: Reflective of brain damage or learning
disabilities
• Question 5
1 out of 1 points
Which of the following manifestations of childhood anxiety disorders is considered a
psychiatric emergency?
Selected
A.
Answer: School
refusal
• Question 6
1 out of 1 points
The PMHNP observes separation from and reunion with the parent as part the mental
status exam of a 25-month-old toddler. Extremes of emotion during separation or reunion
are most consistent with:
Selected
D.
Answer: Problems with the parent-
child relationship
• Question 7
0 out of 1 points
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in
which his mother, the driver, was killed. After suffering multiple injuries and weeks in
the hospital, Michael was discharged 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 profound physiologic symptoms. He has been diagnosed with post-
traumatic stress disorder (PTSD). His avoidance of riding in a car is conceptualized as:
Selected
C.
Answer: Hyper
arousal
, • Question 8
1 out of 1 points
Which of the following behaviors is least suspicious for an adolescent who is being bullied
at school?
Selected
A.
Answer: A significant change in study habits in which the patient is
demonstrating higher academic achievement to the exclusion of a social
life
• Question 9
0 out of 1 points
Melanie is a 13-month-old female who has been referred by her primary care
pediatrician. She has not had consistent well-child checks, and at her first visit with this
pediatrician at age 1 year, there was a notable absence of verbal babbling, interactive
play, or smiling. Comprehensive assessment of Melanie must include all the following
except:
Selected
C.
Answer: A mental
status
examination
• Question 10
1 out of 1 points
Sarah is a 10-year-old patient who has been diagnosed with oppositional defiant disorder.
While discussing the diagnosis, course and prognosis, and treatment strategies with
Sarah’s mother, the PMHNP emphasizes that successful management of oppositional
defiant disorder (ODD) must include:
Selected
A.
Answer: Parent
training
• Question 11
0 out of 1 points
Comprehensive psychiatric/mental health assessment of children includes an interview
with the parents or caregivers. Which of the following is not a true statement with respect
to the parental interview?
Selected
D.
Answer: The parents’ upbringings are relevant to the child’s
diagnosis.
• Question 12
1 out of 1 points
The clinical interview is an important part of psychiatric assessment and should be
conducted early in the diagnostic process. However, a comprehensive assessment should
include other information-gathering modalities because the clinical interview:
