NURS 6660/ NURS6660 Midterm Exam: Nurse Practitioner Role I: Child and Adolescent | Already Graded A| Question and Answers | Latest 2022 / 2023

NURS 6660/ NURS6660 Midterm Exam: Nurse Practitioner Role I: Child and Adolescent | Already Graded A| Question and Answers | Latest 2022 / 2023 1. Which of the following is not a true statement with respect to theorized etiologies of ADHD? A. Psychosocial factors do not appear to contribute to the development of ADHD. B. Some literature suggests that prenatal exposure to winter infection during the first trimester of pregnancy leads to ADHD C. Biological parents of children with ADHD have a higher incidence of the disorder than adoptive parents D. Overall, no clear-cut evidence supports a single neurotransmitter in the development of ADHD ~ Answer: A. Psychosocial factors do not appear to contribute to the development of ADHD. 2. The clinical interview is an important part of psychiatric assessment and should be conducted early in the diagnostic process. However, a comprehensive assessment should include other information-gathering modalities because the clinical interview: A. Does not offer flexibility in understanding the evolution of the problem B. Frequently deemphasizes the influence of environmental factors C. May not systematically cover all psychiatric diagnostic categories D. Creates a dialogue in which patients cannot give subjective responses ~ Answer: C. May not systematically cover all psychiatric diagnostic categories 3. A PMHNP is evaluating a 15-year-old male patient who has been referred by his court-appointed guardian. He has been in foster care for the last 6 years and maintained a steady pattern of low-level behavior problems such as skipping school and ignoring curfew. He is not openly defiant and has always been described as a "loner." He just does not follow most rules. During the mental status examination, the PMHNP notes that his expressions are sometimes inconsistent with the topic of conversation, and he does not seem to be able to transition effectively among levels of emotion. This represents an abnormality in: A. Mood B. Affect C. Thought process and content D. Judgment and insight ~ Answer: B. Affect 4. Kevin is a 15-year-old male who presents for court-ordered psychiatric assessment. Kevin comes to his first appointment with both of his parents. He is sitting in the chair with his arms crossed and responds with "yes" and "no" answers to direct questions; otherwise, he volunteers no information. The parents are clearly upset and indicate they just "don't know what to do with him anymore." The most appropriate action for the PMHNP would be to: A. Ask the parents to step out and interview Kevin privately B. Have Kevin complete a standardized-testing assessment C. Schedule session two after reviewing court documentation D. Arrange for three sessions with a family therapist then reevaluate Kevin ~ Answer: A. Ask the parents to step out and interview Kevin privately 5. Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior? A. Under no circumstances should the PMHNP approach this patient. B. Prepubertal children typically require medication as they are too young to respond to conversation. C. Children who have a history of repeated, self-limited, severe tantrums require at least a 72-hour admission. D. If the child appears to be calming down in the emergency area, the clinician may ask the child for his version of events ~ Answer: D. If the child appears to be calming down in the emergency area, the clinician may ask the child for his version of events 6. Comprehensive psychiatric/mental health assessment of children includes an interview with the parents or caregivers. Which of the following is not a true statement with respect to the parental interview? A. The parents' own emotional adjustments should be determined. B. The parents are usually more aware of symptoms than the child. C. The parents may prefer to speak with the PMHNP separately. D. The parents' upbringings are relevant to the child's diagnosis. ~ Answer: D. The parents' upbringings are relevant to the child's diagnosis. 7. The PMHNP is evaluating his data for the assessment of Eric, a 23-month-old male who was referred because he is having nightmares to the extent that most nights he is waking up family members with his crying and screaming. In addition to the clinical interview with the parents and patient, developmental assessment, and standardized tools, the assessment should include: A. Review of a video recording of a nightmare event and Eric's immediate response B. Age-appropriate interview, e.g., "If you had three wishes, what would they be?" C. Observation of Eric in a playroom where he is unaware that he is being watched D. Partially open-ended questions that provide some focus but allow expression of feeling ~ Answer: A. Review of a video recording of a nightmare event and Eric's immediate response