NURS 6660 Final Exam Practice: Psychiatric
Mental Health Nurse Practitioner Role I:
Child and Adolescent
Instructions
This practice exam consists of 75 multiple-choice questions designed to prepare you for the
NURS 6660 Final Exam at Walden University. The questions cover key topics in child and
adolescent psychiatric mental health, including diagnostic criteria, psychopharmacology, ethical
considerations, and therapeutic interventions. Each question includes four answer options, listed
on separate lines, the correct answer, and a rationale explaining why the answer is correct. Use
this to study and reinforce your understanding of the course material
,
, Question 1
A 15-year-old male in foster care for 6 years presents with low-level behavior problems, such as
skipping school and ignoring curfew. During the mental status exam, the PMHNP notes his
expressions are inconsistent with the topic of conversation and he struggles to transition between
emotions. This represents an abnormality in:
a. Mood
b. Affect
c. Thought process and content
d. Judgment and insight
Correct Answer: b
Rationale: Inconsistent facial expressions and difficulty transitioning between emotions indicate
an abnormality in affect, which is the outward expression of emotion.
Question 2
Which tool is considered an interviewer-based instrument to assist the PMHNP with
comprehensive data collection?
a. Mini-Mental State Examination (MMSE)
b. Structured Clinical Interview for DSM-5 (SCID-5)
c. Beck Depression Inventory (BDI)
d. Child Behavior Checklist (CBCL)
Correct Answer: b
Rationale: The SCID-5 is an interviewer-based tool designed to guide clinicians in collecting
diagnostic information systematically, aligning with DSM-5 criteria.
Question 3
In which demographic is depression twice as prevalent in girls compared to boys?
a. Preschoolers
b. School-aged
c. Adolescents
d. All children
Correct Answer: c
Rationale: Depression is twice as prevalent in adolescent girls compared to boys, often linked to
hormonal changes and social pressures during puberty.
Mental Health Nurse Practitioner Role I:
Child and Adolescent
Instructions
This practice exam consists of 75 multiple-choice questions designed to prepare you for the
NURS 6660 Final Exam at Walden University. The questions cover key topics in child and
adolescent psychiatric mental health, including diagnostic criteria, psychopharmacology, ethical
considerations, and therapeutic interventions. Each question includes four answer options, listed
on separate lines, the correct answer, and a rationale explaining why the answer is correct. Use
this to study and reinforce your understanding of the course material
,
, Question 1
A 15-year-old male in foster care for 6 years presents with low-level behavior problems, such as
skipping school and ignoring curfew. During the mental status exam, the PMHNP notes his
expressions are inconsistent with the topic of conversation and he struggles to transition between
emotions. This represents an abnormality in:
a. Mood
b. Affect
c. Thought process and content
d. Judgment and insight
Correct Answer: b
Rationale: Inconsistent facial expressions and difficulty transitioning between emotions indicate
an abnormality in affect, which is the outward expression of emotion.
Question 2
Which tool is considered an interviewer-based instrument to assist the PMHNP with
comprehensive data collection?
a. Mini-Mental State Examination (MMSE)
b. Structured Clinical Interview for DSM-5 (SCID-5)
c. Beck Depression Inventory (BDI)
d. Child Behavior Checklist (CBCL)
Correct Answer: b
Rationale: The SCID-5 is an interviewer-based tool designed to guide clinicians in collecting
diagnostic information systematically, aligning with DSM-5 criteria.
Question 3
In which demographic is depression twice as prevalent in girls compared to boys?
a. Preschoolers
b. School-aged
c. Adolescents
d. All children
Correct Answer: c
Rationale: Depression is twice as prevalent in adolescent girls compared to boys, often linked to
hormonal changes and social pressures during puberty.
