NURS 6660N MIDTERM EXAM 1 – QUESTION AND
ANSWERS
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
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
findings indicate an abnormality in:
A Social relatedness
.
B Thought process and
. content
C Motor behavior
.
D Judgment and insight
.
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
best approach to this finding is to consider that:
A This is most consistent with early-onset
. schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young
. children
D Comprehensive psychiatric assessment is
. indicated
B
Jason is a 17-month-old male who is referred for evaluation of an unusually high level of
irritability. His mother says he cries “all the time,” and sometimes he just cannot be
comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child
psychiatry. Comprehensive assessment of Jason’s irritability should include all the following
except:
A A comprehensive medical
. assessment
B Standardized developmental
. measures
,C Assessment without the parents
. present
D Observation of Jason during play
.
D
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety
. disorder
B Separation anxiety
. disorder
C Social anxiety disorder
.
D Obsessive-compulsive
. disorder
A
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
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
A Clomipramine
. (Anafranil)
B Sertraline (Zoloft)
.
C Aripiprazole (Abilify)
.
D Lithium (Eskalith)
.
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at
school?
A A significant change in study habits in which the patient is demonstrating higher
. academic achievement to the exclusion of a social life
B A persistent, sustained increase in the number and variety of physical complaints that
. have no obvious organic cause
C Evidence that the patient has started smoking cigarettes and seems to spend more time
. alone than usual
, D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
A
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which
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
physical recovery but is unable to get into a car. Just the thought of riding in a car produces
profound physiologic symptoms. He has been diagnosed with post-traumatic stress disorder
(PTSD). His avoidance of riding in a car is conceptualized as:
A Panic attacks
.
B Operant
. conditioning
C Hyper arousal
.
D Flashbacks
.
C
Which of the following is a true statement with respect to developmental testing in infants?
A None of the available validated developmental tools are reliable in infants under 6
. months of age.
B An infant’s score on developmental assessment is a reliable predictor of future
. intelligence quotient.
C Infant assessments are helpful in detecting mental retardation and developmental
. disorders.
D Assessment in older infants focuses on sensorimotor and social responses.
.
C
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt.
The police were called when a neighbor saw Wendy jump out of the open window of her
first-floor apartment. She was unhurt, but when the neighbor asked why she jumped out she
said she wanted to kill herself. Which coincident finding would warrant an inpatient
psychiatric admission for Wendy?
A This was not the first episode.
.
B The caretaker is incapable of arranging follow-up.
.
C One or both of the biological parents has a history of
ANSWERS
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
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
findings indicate an abnormality in:
A Social relatedness
.
B Thought process and
. content
C Motor behavior
.
D Judgment and insight
.
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
best approach to this finding is to consider that:
A This is most consistent with early-onset
. schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young
. children
D Comprehensive psychiatric assessment is
. indicated
B
Jason is a 17-month-old male who is referred for evaluation of an unusually high level of
irritability. His mother says he cries “all the time,” and sometimes he just cannot be
comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child
psychiatry. Comprehensive assessment of Jason’s irritability should include all the following
except:
A A comprehensive medical
. assessment
B Standardized developmental
. measures
,C Assessment without the parents
. present
D Observation of Jason during play
.
D
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety
. disorder
B Separation anxiety
. disorder
C Social anxiety disorder
.
D Obsessive-compulsive
. disorder
A
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
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
A Clomipramine
. (Anafranil)
B Sertraline (Zoloft)
.
C Aripiprazole (Abilify)
.
D Lithium (Eskalith)
.
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at
school?
A A significant change in study habits in which the patient is demonstrating higher
. academic achievement to the exclusion of a social life
B A persistent, sustained increase in the number and variety of physical complaints that
. have no obvious organic cause
C Evidence that the patient has started smoking cigarettes and seems to spend more time
. alone than usual
, D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
A
Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which
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
physical recovery but is unable to get into a car. Just the thought of riding in a car produces
profound physiologic symptoms. He has been diagnosed with post-traumatic stress disorder
(PTSD). His avoidance of riding in a car is conceptualized as:
A Panic attacks
.
B Operant
. conditioning
C Hyper arousal
.
D Flashbacks
.
C
Which of the following is a true statement with respect to developmental testing in infants?
A None of the available validated developmental tools are reliable in infants under 6
. months of age.
B An infant’s score on developmental assessment is a reliable predictor of future
. intelligence quotient.
C Infant assessments are helpful in detecting mental retardation and developmental
. disorders.
D Assessment in older infants focuses on sensorimotor and social responses.
.
C
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt.
The police were called when a neighbor saw Wendy jump out of the open window of her
first-floor apartment. She was unhurt, but when the neighbor asked why she jumped out she
said she wanted to kill herself. Which coincident finding would warrant an inpatient
psychiatric admission for Wendy?
A This was not the first episode.
.
B The caretaker is incapable of arranging follow-up.
.
C One or both of the biological parents has a history of
