NURS 6660 Final
Course NURS-6660N-8,PMH NP Role I: Child.2019 Fall Quarter 08/26-11/17-PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 75 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Displayed Submitted Answers
Question1
Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to 50
years have been characterized by increased attention to this issue and the publication of various ethical
codes and practice position statements by professional organizations. Which of the following is not a
true statement with respect to confidentiality of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when child abuse or
maltreatment has occurred.
B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age
or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics
states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best approach is when
the child and PMHNP agree on disclosure.
Question 2
, Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very
proactive and involved in her care, and Debi has achieved remission 2 months after beginning
treatment with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling
Debi’s parents about important issues in management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive
symptoms
B. The mean length of major depressive episode in adolescents is 4 months
C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I
within 5 years
D. Adolescent-onset depression typically needs long-term pharmacologic management to
prevent relapse
Question 3
In which demographic is depression twice as prevalent in girls as compared to boys?
A. Preschoolers
B. School aged
C. Adolescents
D. All children
,Question 4
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6
weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work.
Andrew says he doesn’t feel any different, but both his parents and teachers report improvement in his
mood. He has been more stable, is getting along better with friends and siblings, and is even more
interested in his schoolwork. The PMHNP plans to maintain Andrew on this medication and knows
that he will need which of the following ongoing laboratory assessments?
A. Complete blood count, thyroid function tests, and serum calcium
B. Liver function tests, complete blood count, and 12-lead electrocardiogram
C. White blood cell differential, fasting glucose, and fasting lipid profile
D. Comprehensive metabolic panel, complete blood count, and thyroid function tests
Question 5
The therapeutic outcomes for children with disorders of written expression are most favorable when
they are characterized by:
Concomitant pharmacotherapy with a psychostimulant to promote attention and focus
, Multimodal therapy to include group interaction with peer-to-peer feedback on writing
samples
A variety of tutors who will offer a variety of writing techniques, composition strategies,
and critiques
Intensive, continuous administration of individually tailored, one-on-one expressive and
creative writing therapy
Question 6
When considering a diagnosis of developmental coordination disorder, the PMHNP knows that
the diagnosis may be associated with:
A. Above-average scores on performance subtests of standardized intelligence testing
B. Below-average scores on verbal subtests of standardized intelligence testing
C. Soft neurologic signs on physical examination such as slight reflex abnormalities
D. Physical findings consistent with neuromuscular disease such as muscular dystrophy
Question 7
Caylee is a 5-year-old girl who is referred for evaluation by child protective services. She was
recently removed from her biological family and placed in foster care, as her home
environment was reportedly unsafe due to conditions of extreme neglect. Her foster mother
reports that Caylee is very quiet and withdrawn and always appears sad and disinterested in her
surroundings; however, she becomes very irritable when anything unexpected or unplanned
occurs. The foster mother became very concerned when it appeared that Caylee was
hallucinating. The PMHNP considers that:
A. Caylee is at high risk for suicide and precautions should be taken
B. The hallucinations are consistent with brief psychotic disorder or schizophrenia
C. The history and reported symptoms are typical of depressive disorder in young children
D. This is a common situation when prepubertal children are removed from the
biological parents regardless of how dysfunctional they are
Course NURS-6660N-8,PMH NP Role I: Child.2019 Fall Quarter 08/26-11/17-PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 75 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Displayed Submitted Answers
Question1
Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to 50
years have been characterized by increased attention to this issue and the publication of various ethical
codes and practice position statements by professional organizations. Which of the following is not a
true statement with respect to confidentiality of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when child abuse or
maltreatment has occurred.
B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age
or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics
states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best approach is when
the child and PMHNP agree on disclosure.
Question 2
, Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very
proactive and involved in her care, and Debi has achieved remission 2 months after beginning
treatment with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling
Debi’s parents about important issues in management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive
symptoms
B. The mean length of major depressive episode in adolescents is 4 months
C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I
within 5 years
D. Adolescent-onset depression typically needs long-term pharmacologic management to
prevent relapse
Question 3
In which demographic is depression twice as prevalent in girls as compared to boys?
A. Preschoolers
B. School aged
C. Adolescents
D. All children
,Question 4
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6
weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work.
Andrew says he doesn’t feel any different, but both his parents and teachers report improvement in his
mood. He has been more stable, is getting along better with friends and siblings, and is even more
interested in his schoolwork. The PMHNP plans to maintain Andrew on this medication and knows
that he will need which of the following ongoing laboratory assessments?
A. Complete blood count, thyroid function tests, and serum calcium
B. Liver function tests, complete blood count, and 12-lead electrocardiogram
C. White blood cell differential, fasting glucose, and fasting lipid profile
D. Comprehensive metabolic panel, complete blood count, and thyroid function tests
Question 5
The therapeutic outcomes for children with disorders of written expression are most favorable when
they are characterized by:
Concomitant pharmacotherapy with a psychostimulant to promote attention and focus
, Multimodal therapy to include group interaction with peer-to-peer feedback on writing
samples
A variety of tutors who will offer a variety of writing techniques, composition strategies,
and critiques
Intensive, continuous administration of individually tailored, one-on-one expressive and
creative writing therapy
Question 6
When considering a diagnosis of developmental coordination disorder, the PMHNP knows that
the diagnosis may be associated with:
A. Above-average scores on performance subtests of standardized intelligence testing
B. Below-average scores on verbal subtests of standardized intelligence testing
C. Soft neurologic signs on physical examination such as slight reflex abnormalities
D. Physical findings consistent with neuromuscular disease such as muscular dystrophy
Question 7
Caylee is a 5-year-old girl who is referred for evaluation by child protective services. She was
recently removed from her biological family and placed in foster care, as her home
environment was reportedly unsafe due to conditions of extreme neglect. Her foster mother
reports that Caylee is very quiet and withdrawn and always appears sad and disinterested in her
surroundings; however, she becomes very irritable when anything unexpected or unplanned
occurs. The foster mother became very concerned when it appeared that Caylee was
hallucinating. The PMHNP considers that:
A. Caylee is at high risk for suicide and precautions should be taken
B. The hallucinations are consistent with brief psychotic disorder or schizophrenia
C. The history and reported symptoms are typical of depressive disorder in young children
D. This is a common situation when prepubertal children are removed from the
biological parents regardless of how dysfunctional they are
