NURS-6660N-8 WEEK 11 FINAL EXAM|| ACTUAL
EXAM ALL QUESTIONS AND 100% CORRECT
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Conventional antipsychotics are not first-line interventions in early-onset schizophrenia due to
the risk of dystonic reactions. However, when children are not responsive to first- line therapy
with atypical antipsychotics, which of the following is the most appropriate conventional choice?
ANSWER-
D.
Chlorpromazine
The therapeutic outcomes for children with disorders of written expression are most favorable
when they are characterized by:
ANSWER-
Intensive, continuous administration of individually tailored, one-on-one expressive and creative
writing therapy
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Linda is a 5-year-old girl who has persistent pica; she was finally referred for care when her
kindergarten teacher became alarmed by her eating of potentially toxic nonfood substances.
Linda’s mother admits during the history that Linda has been doing this for years, but thought it
was not a big deal since Linda didn’t eat anything dangerous.
Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s unusual
symptom because it didn’t seem unsafe. While discussing management strategies with Linda’s
mother, the PMHNP counsels that the most rapidly successful treatment strategy appears to be:
ANSWER-
A.
Aversion
therapy
Rumination is a feeding disorder most commonly seen in infants, but it can occur at any point in
the lifespan. Characteristic findings in infants include:
ANSWER-
C.
Failure to thrive
Katelyn is a16-year-old girl who presents for therapy with her mother and father. Katelyn was
born with male genitalia but has felt like a female “all of her life.” She says she knew something
was different as far back as she can remember. She always wanted to wear her mother’s clothes
and makeup and play with other girls. Katelyn started dressing and openly identifying as a girl
when she was 13 years old, and her parents are trying to be supportive but they are struggling.
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Most recently Katelyn has developed an intimate partner relationship with Jennifer, a 15-year-
old girl who was gender-assigned female at birth and identifies as a female. Katelyn’s father does
not understand the relationship.
The PMHNP explains that Katelyn:
ANSWER-
C.
Is a transgender female who identifies as lesbian
All the following are true with respect to making a diagnosis of major depressive disorder in
children except:
ANSWER-
C.
There must be somatic or psychomotor complaints.
Donna is a 16-year-old transgender female who has been through extensive individual and
family counseling and is ready to start hormone therapy with estrogen, progesterone, and
testosterone-blocking agents. When counseling her specifically about the risks, benefits, and
required monitoring of hormonal therapy, the PMHNP advises Donna that:
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ANSWER-
C.
Sterility is a probable consequence of hormone therapy
The leading cause of death in youths living in juvenile residential facilities is:
ANSWER-
A.
Suicid e
The PMHNP is working with a pediatrician colleague on a journal article to increase awareness
and improve diagnostic strategies for early-onset bipolar disorder. Based upon a review of the
longitudinal research on this disorder, the literature review of this article should include all the
following except:
ANSWER-
C.
Higher socioeconomic status and lifetime psychosis are predictors of more rapid cycling in early-
onset bipolar disorder