NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update 2022/2
• Question 1
1 out of 1 points
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?
• Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written expression are
mostfavorable when they are characterized by:
• Question 3
1 out of 1 points
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:
• Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can occur at
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, anypoint in the lifespan. Characteristic findings in infants include:
• Question 5
1 out of 1 points
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. 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:
• Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major depressive
disorder in children except:
• Question 7
1 out of 1 points
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:
• Question 8
1 out of 1 points
The leading cause of death in youths living in juvenile residential facilities is:
• Question 9
1 out of 1 points
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
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, this article should include all the following except:
• Question 10
1 out of 1 points
Tiana is a 10-year-old girl who is being referred for evaluation because her school
performance is appreciably below what is expected at her age. Historically she has
been a very happy child, likes school, and looks forward to going. However, over the
last several months her teacher reports that she is much slower than her peers in
reading, and she appears to be upset and withdrawn when asked to read in class.
The PMHNP would expect additional report from the teacher to include all the
following except:
• Question 11
1 out of 1 points
Which of the following statements best characterized the treatment course and
progression of bulimia nervosa?
• Question 12
1 out of 1 points
Kelly is a 14-year-old female who has finally been referred for management of
anorexia nervosa. She was diagnosed almost 1 year ago with the food-restricting
subtype, but attempts to get her into psychiatric care were unsuccessful. She
continues to be resistant
but her caloric intake is now < 400 daily and she finally appears to be unable to
sustainthe supraphysiologic levels of exercise that she has maintained to try and
“keep her weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately
75% of
ideal body weight for her height. Her vital signs are stable and surprisingly there are
no profound laboratory or ECG abnormalities. When counseling Kelly and her parents
aboutthe recommended course of treatment, the PMHNP advises that Kelly will
require:
• Question 13
1 out of 1 points
In which demographic is depression twice as prevalent in girls as compared to boys?
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, • Question 14
1 out of 1 points
Debbie is a 10-year-old female who has been referred to remediation therapy for
her reading disorder. While designing her treatment program, the PMHNP knows
that the most current strategies are characterized by:
• Question 15
1 out of 1 points
Which of the following symptom clusters is most likely in a 16-year-old male with
major depressive disorder?
• Question 16
1 out of 1 points
The etiology of childhood depression is multifactorial and may include biological
factors. Which of the following is a true statement with respect to hormonal studies
in depressed children?
• Question 17
1 out of 1 points
Jared is a 6-year-old boy who comes to the PMHNP for an evaluation with his father.
Thefather reports that he is worried about Jared because he has had problems
fitting in at school ever since he started kindergarten. He does not have any friends
at school and does not seem to know how to play with others. Dad reports that
Jared has never been “very talkative” and sometimes switches from one topic to
another without any reason. When considering early-onset schizophrenia, the
PMHNP recognizes that which of the following must be present?
• Question 18
1 out of 1 points
Learning disorders affect at least 5% of all school-aged children in the United States.
Since 1975, Public Law 94-142 mandates that all states provide free, appropriate
services to all children. Among the various types of learning disorders, the PMHNP
knows that the overwhelming majority are:
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
Questions & Answers Latest Update 2022/2
• Question 1
1 out of 1 points
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?
• Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written expression are
mostfavorable when they are characterized by:
• Question 3
1 out of 1 points
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:
• Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can occur at
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, anypoint in the lifespan. Characteristic findings in infants include:
• Question 5
1 out of 1 points
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. 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:
• Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major depressive
disorder in children except:
• Question 7
1 out of 1 points
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:
• Question 8
1 out of 1 points
The leading cause of death in youths living in juvenile residential facilities is:
• Question 9
1 out of 1 points
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
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, this article should include all the following except:
• Question 10
1 out of 1 points
Tiana is a 10-year-old girl who is being referred for evaluation because her school
performance is appreciably below what is expected at her age. Historically she has
been a very happy child, likes school, and looks forward to going. However, over the
last several months her teacher reports that she is much slower than her peers in
reading, and she appears to be upset and withdrawn when asked to read in class.
The PMHNP would expect additional report from the teacher to include all the
following except:
• Question 11
1 out of 1 points
Which of the following statements best characterized the treatment course and
progression of bulimia nervosa?
• Question 12
1 out of 1 points
Kelly is a 14-year-old female who has finally been referred for management of
anorexia nervosa. She was diagnosed almost 1 year ago with the food-restricting
subtype, but attempts to get her into psychiatric care were unsuccessful. She
continues to be resistant
but her caloric intake is now < 400 daily and she finally appears to be unable to
sustainthe supraphysiologic levels of exercise that she has maintained to try and
“keep her weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately
75% of
ideal body weight for her height. Her vital signs are stable and surprisingly there are
no profound laboratory or ECG abnormalities. When counseling Kelly and her parents
aboutthe recommended course of treatment, the PMHNP advises that Kelly will
require:
• Question 13
1 out of 1 points
In which demographic is depression twice as prevalent in girls as compared to boys?
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
, • Question 14
1 out of 1 points
Debbie is a 10-year-old female who has been referred to remediation therapy for
her reading disorder. While designing her treatment program, the PMHNP knows
that the most current strategies are characterized by:
• Question 15
1 out of 1 points
Which of the following symptom clusters is most likely in a 16-year-old male with
major depressive disorder?
• Question 16
1 out of 1 points
The etiology of childhood depression is multifactorial and may include biological
factors. Which of the following is a true statement with respect to hormonal studies
in depressed children?
• Question 17
1 out of 1 points
Jared is a 6-year-old boy who comes to the PMHNP for an evaluation with his father.
Thefather reports that he is worried about Jared because he has had problems
fitting in at school ever since he started kindergarten. He does not have any friends
at school and does not seem to know how to play with others. Dad reports that
Jared has never been “very talkative” and sometimes switches from one topic to
another without any reason. When considering early-onset schizophrenia, the
PMHNP recognizes that which of the following must be present?
• Question 18
1 out of 1 points
Learning disorders affect at least 5% of all school-aged children in the United States.
Since 1975, Public Law 94-142 mandates that all states provide free, appropriate
services to all children. Among the various types of learning disorders, the PMHNP
knows that the overwhelming majority are:
NURS 6660N Final Exam-2 Versions 150
Questions & Answers Latest Update
2022/2023
