NR 668 CEA COMPREHENSIVE TEST BANK FINAL EXAM 2026 -
2027 \ACTUAL TEST BANK EXAM , COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS\ VERIFIED 100% \LATEST
UPDATE BESR FOR EXAM PREP 2026 -2027
A 6-year-old boy is referred by the child study team for speech difficulty.
On examination the boy is friendly and cooperative, his speech is clear, and
he uses simple sentences with a limited vocabulary. Most notably he
confuses verb tenses consistently. The parents report he met most of his
developmental milestones except speech, which was delayed. His clinical
presentation is most consistent with which of the following?
ANSWERS: Expressive language disorder
An 8-year-old boy diagnosed with leukemia is referred to child
psychiatry because he is consistently displaying a flat affect, irritability,
angry acting out, and occasional physical aggression toward his 6-year-
old brother. What approach should the PMHNP take when interviewing
this child?
ANSWERS: Provide toys and allow the child to play
,In regards to Insecure Attachment: Ambivalent type children are more likely to
________________.
ANSWERS: Be bullied (Insecure attachment: Ambivalent children are
uncertain of a caregiver's response regardless of a situation. These children
are more likely to be bullied and do worse with separations. The caregiver
sometimes uses threats of abandonment as a form of punishment.)
An 8-year-old boy is referred to you for evaluation for disruptive behavior
in school. The teachers report that without warning the boy will make
disruptive sounds or shout out in class. Other than these instances the boy
is described as polite and well kempt, but restless. This clinical
presentation is most consistent with which of the following disorders?
ANSWERS: Tourette's syndrome
Ella is trying to help her 3-year-old son sleep through the night but reports
recently he has had three episodes of waking up within 3 hours of falling
asleep with inconsolable screaming and crying. He then falls back asleep
on his own and has no memory of what happened. What would be the
best intervention?
ANSWERS: Create and maintain bedtime routine and reduce stimuli
,A father brings his 6-year-old son to you because he is worried about him. He
states that the son sits up in bed shortly after falling asleep and screams. He
says he is inconsolable and unable to be awakened during these episodes
but eventually he falls back asleep. The father states he is not able to fall
back asleep after those episodes and is exhausted and falling asleep at work
during the day. The child is energetic and playful during the day and has no
memory of the episodes. What is the most appropriate response?
ANSWERS: "I can see this is upsetting for you."
The certified nurse midwife is evaluating a 29-year-old woman 2 weeks
postpartum and finds her neglecting her self-care and minimally attentive
to the baby and will not allow anyone else to care for the baby. During
the visit a PMHNP is able to provide webcam consultation and liaison
services. Based on the information provided, what is the priority in the
management of this patient?
ANSWERS: Admit the patient to the hospital
Which of the following is a potential risk factor for Anorexia Nervosa?
ANSWERS: All of the statements listed are potential risk factors. (A gay male
orientation, Ballet school, & a male on a high school wrestling team
, A mother 4 months postpartum is referred to infant psychiatry as the baby
has failed to gain weight over the last 2 months. He has dropped from the
75th percentile to the 50th percentile. The mother states that up until 8
weeks of age he was gaining weight and growing just fine. The baby is
generally happy and continues to meet his developmental milestones. Of
note, the mother has returned to work after her postpartum leave 2
months ago and the baby is in daycare 5 days a week. The mother notes
that he has been increasingly spitting up for the last month soon after
receiving breast milk via the bottle. She has also started to supplement with
formula out of concern for his poor weight gain. This clinical description is
most consistent with which type of disorder?
ANSWERS: Rumination disorder
Which of the following statements regarding intellectual developmental
disorder is false?
ANSWERS: Mild - moderate intellectual disability may not be apparent
until adulthood (Moderate intellectual disability may not be apparent until
adulthood is false. Academic learning difficulty would be apparent in school
age children with a mild level of disability and markedly apparent in those
with moderate disability.)
In terms of the management of Bipolar disorder in pregnancy, one should
avoid Lithium, Valproic acid and Carbamazepine, especially in which
trimester?
ANSWERS: First (Lithium, Valproic acid and Carbamazepine have been
associated with fetal harm, with the greatest risk occurring in the first
trimester)
2027 \ACTUAL TEST BANK EXAM , COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS\ VERIFIED 100% \LATEST
UPDATE BESR FOR EXAM PREP 2026 -2027
A 6-year-old boy is referred by the child study team for speech difficulty.
On examination the boy is friendly and cooperative, his speech is clear, and
he uses simple sentences with a limited vocabulary. Most notably he
confuses verb tenses consistently. The parents report he met most of his
developmental milestones except speech, which was delayed. His clinical
presentation is most consistent with which of the following?
ANSWERS: Expressive language disorder
An 8-year-old boy diagnosed with leukemia is referred to child
psychiatry because he is consistently displaying a flat affect, irritability,
angry acting out, and occasional physical aggression toward his 6-year-
old brother. What approach should the PMHNP take when interviewing
this child?
ANSWERS: Provide toys and allow the child to play
,In regards to Insecure Attachment: Ambivalent type children are more likely to
________________.
ANSWERS: Be bullied (Insecure attachment: Ambivalent children are
uncertain of a caregiver's response regardless of a situation. These children
are more likely to be bullied and do worse with separations. The caregiver
sometimes uses threats of abandonment as a form of punishment.)
An 8-year-old boy is referred to you for evaluation for disruptive behavior
in school. The teachers report that without warning the boy will make
disruptive sounds or shout out in class. Other than these instances the boy
is described as polite and well kempt, but restless. This clinical
presentation is most consistent with which of the following disorders?
ANSWERS: Tourette's syndrome
Ella is trying to help her 3-year-old son sleep through the night but reports
recently he has had three episodes of waking up within 3 hours of falling
asleep with inconsolable screaming and crying. He then falls back asleep
on his own and has no memory of what happened. What would be the
best intervention?
ANSWERS: Create and maintain bedtime routine and reduce stimuli
,A father brings his 6-year-old son to you because he is worried about him. He
states that the son sits up in bed shortly after falling asleep and screams. He
says he is inconsolable and unable to be awakened during these episodes
but eventually he falls back asleep. The father states he is not able to fall
back asleep after those episodes and is exhausted and falling asleep at work
during the day. The child is energetic and playful during the day and has no
memory of the episodes. What is the most appropriate response?
ANSWERS: "I can see this is upsetting for you."
The certified nurse midwife is evaluating a 29-year-old woman 2 weeks
postpartum and finds her neglecting her self-care and minimally attentive
to the baby and will not allow anyone else to care for the baby. During
the visit a PMHNP is able to provide webcam consultation and liaison
services. Based on the information provided, what is the priority in the
management of this patient?
ANSWERS: Admit the patient to the hospital
Which of the following is a potential risk factor for Anorexia Nervosa?
ANSWERS: All of the statements listed are potential risk factors. (A gay male
orientation, Ballet school, & a male on a high school wrestling team
, A mother 4 months postpartum is referred to infant psychiatry as the baby
has failed to gain weight over the last 2 months. He has dropped from the
75th percentile to the 50th percentile. The mother states that up until 8
weeks of age he was gaining weight and growing just fine. The baby is
generally happy and continues to meet his developmental milestones. Of
note, the mother has returned to work after her postpartum leave 2
months ago and the baby is in daycare 5 days a week. The mother notes
that he has been increasingly spitting up for the last month soon after
receiving breast milk via the bottle. She has also started to supplement with
formula out of concern for his poor weight gain. This clinical description is
most consistent with which type of disorder?
ANSWERS: Rumination disorder
Which of the following statements regarding intellectual developmental
disorder is false?
ANSWERS: Mild - moderate intellectual disability may not be apparent
until adulthood (Moderate intellectual disability may not be apparent until
adulthood is false. Academic learning difficulty would be apparent in school
age children with a mild level of disability and markedly apparent in those
with moderate disability.)
In terms of the management of Bipolar disorder in pregnancy, one should
avoid Lithium, Valproic acid and Carbamazepine, especially in which
trimester?
ANSWERS: First (Lithium, Valproic acid and Carbamazepine have been
associated with fetal harm, with the greatest risk occurring in the first
trimester)
