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NURS 6660NURS 6660 mid term exam questions
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and answers 100% correct latest update
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2021/2022 rated A+ Walden University
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Sp
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Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
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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
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findings indicate an abnormality in:
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A Social relatedness
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.
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B Thought process and
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. content
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C Motor behavior
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.
D Judgment and insight
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.
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C
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During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
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appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
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best approach to this finding is to consider that:
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A This is most consistent with early-onset
. schizophrenia
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B An organic brain disorder should be ruled out
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.
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C These are normal findings in very young
. children
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D Comprehensive psychiatric assessment is
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Sp
. indicated
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B
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Jason is a 17-month-old male who is referred for evaluation of an unusually high level of
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irritability. His mother says he cries “all the time,” and sometimes he just cannot be
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comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child
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psychiatry. Comprehensive assessment of Jason’s irritability should include all the following
except:
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A A comprehensive medical
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. assessment
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B Standardized developmental
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. measures
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Sp
C Assessment without the parents
. present
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D Observation of Jason during play
.
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, ne
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D
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Which of the following is the most common anxiety disorder of childhood?
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A Generalized anxiety
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Sp
. disorder
B Separation anxiety ne
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. disorder
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C Social anxiety disorder
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D Obsessive-compulsive
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. disorder
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Sp
A
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When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive
disorder (OCD), the PMHNP considers that evidence-based data from the Pediatric OCD
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Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
Sp
therapy (CBT) and:
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A Clomipramine
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. (Anafranil)
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sh
Sp
B Sertraline (Zoloft)
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.
C Aripiprazole (Abilify)
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.
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D Lithium (Eskalith)
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.
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B
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Which of the following behaviors is least suspicious for an adolescent who is being bullied at
school?
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A
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A A significant change in study habits in which the patient is demonstrating higher
. academic achievement to the exclusion of a social life
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Sp
B A persistent, sustained increase in the number and variety of physical complaints that
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. have no obvious organic cause
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C Evidence that the patient has started smoking cigarettes and seems to spend more time
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. alone than usual
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D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
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sh
Sp
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Sp
, ne
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Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which
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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
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physical recovery but is unable to get into a car. Just the thought of riding in a car produces
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profound physiologic symptoms. He has been diagnosed with post-traumatic stress disorder
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(PTSD). His avoidance of riding in a car is conceptualized as:
Sp
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A Panic attacks
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.
B Operant
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. conditioning
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C Hyper arousal
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.
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D Flashbacks
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Sp
.
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C
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Which of the following is a true statement with respect to developmental testing in infants?
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Sp
A None of the available validated developmental tools are reliable in infants under 6
. months of age.
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B An infant’s score on developmental assessment is a reliable predictor of future
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. intelligence quotient.
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Sp
C Infant assessments are helpful in detecting mental retardation and developmental
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. disorders.
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D Assessment in older infants focuses on sensorimotor and social responses.
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.
Sp
C
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Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt. The
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police were called when a neighbor saw Wendy jump out of the open window of her first-
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floor apartment. She was unhurt, but when the neighbor asked why she jumped out she said
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Sp
she wanted to kill herself. Which coincident finding would warrant an inpatient psychiatric
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admission for Wendy?
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A This was not the first episode.
.
sh
Sp
B The caretaker is incapable of arranging follow-up.
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.
C One or both of the biological parents has a history of
a
. suicide attempts.
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sh
Sp
D Wendy was left with a babysitter when the incident
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. occurred.
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B
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Sp
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Sp
sh
NURS 6660NURS 6660 mid term exam questions
ne
and answers 100% correct latest update
la
tz
2021/2022 rated A+ Walden University
sh
Sp
ne
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
la
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
sh
findings indicate an abnormality in:
Sp
ne
A Social relatedness
la
.
tz
B Thought process and
sh
. content
Sp
ne
C Motor behavior
la
.
D Judgment and insight
sh
.
Sp
ne
C
la
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
tz
appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
sh
best approach to this finding is to consider that:
Sp
ne
A This is most consistent with early-onset
. schizophrenia
la
sh
B An organic brain disorder should be ruled out
Sp
.
ne
C These are normal findings in very young
. children
la
tz
D Comprehensive psychiatric assessment is
sh
Sp
. indicated
ne
B
la
Jason is a 17-month-old male who is referred for evaluation of an unusually high level of
sh
irritability. His mother says he cries “all the time,” and sometimes he just cannot be
Sp
comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child
ne
psychiatry. Comprehensive assessment of Jason’s irritability should include all the following
except:
a
tz
l
sh
A A comprehensive medical
Sp
. assessment
ne
B Standardized developmental
la
. measures
sh
Sp
C Assessment without the parents
. present
la
D Observation of Jason during play
.
Sp
, ne
sh
D
ne
Which of the following is the most common anxiety disorder of childhood?
la
tz
A Generalized anxiety
sh
Sp
. disorder
B Separation anxiety ne
la
. disorder
sh
C Social anxiety disorder
Sp
.
ne
D Obsessive-compulsive
la
. disorder
tz
sh
Sp
A
ne
la
When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive
disorder (OCD), the PMHNP considers that evidence-based data from the Pediatric OCD
sh
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
Sp
therapy (CBT) and:
ne
A Clomipramine
la
. (Anafranil)
tz
sh
Sp
B Sertraline (Zoloft)
ne
.
C Aripiprazole (Abilify)
la
.
sh
D Lithium (Eskalith)
Sp
.
ne
B
la
tz
Which of the following behaviors is least suspicious for an adolescent who is being bullied at
school?
sh
Sp
ne
A
la
A A significant change in study habits in which the patient is demonstrating higher
. academic achievement to the exclusion of a social life
sh
Sp
B A persistent, sustained increase in the number and variety of physical complaints that
ne
. have no obvious organic cause
a
C Evidence that the patient has started smoking cigarettes and seems to spend more time
tz
. alone than usual
l
sh
Sp
ne
D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
la
sh
Sp
la
Sp
, ne
sh
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which
ne
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
la
physical recovery but is unable to get into a car. Just the thought of riding in a car produces
tz
profound physiologic symptoms. He has been diagnosed with post-traumatic stress disorder
sh
(PTSD). His avoidance of riding in a car is conceptualized as:
Sp
ne
A Panic attacks
la
.
B Operant
sh
. conditioning
Sp
ne
C Hyper arousal
la
.
tz
D Flashbacks
sh
Sp
.
ne
C
la
Which of the following is a true statement with respect to developmental testing in infants?
sh
Sp
A None of the available validated developmental tools are reliable in infants under 6
. months of age.
ne
la
B An infant’s score on developmental assessment is a reliable predictor of future
tz
. intelligence quotient.
sh
Sp
C Infant assessments are helpful in detecting mental retardation and developmental
ne
. disorders.
la
D Assessment in older infants focuses on sensorimotor and social responses.
sh
.
Sp
C
ne
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt. The
la
police were called when a neighbor saw Wendy jump out of the open window of her first-
tz
floor apartment. She was unhurt, but when the neighbor asked why she jumped out she said
sh
Sp
she wanted to kill herself. Which coincident finding would warrant an inpatient psychiatric
ne
admission for Wendy?
la
A This was not the first episode.
.
sh
Sp
B The caretaker is incapable of arranging follow-up.
ne
.
C One or both of the biological parents has a history of
a
. suicide attempts.
tz
l
sh
Sp
D Wendy was left with a babysitter when the incident
ne
. occurred.
la
B
sh
Sp
la
Sp
