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

NURS 6660/ NURS6660 Final Exam: Nurse Practitioner Role I: Child and Adolescent | Already Graded A| Question and Answers | Latest 2022 / 2023 1. 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 unable to sustain the supraphysiologic levels of exercise that she has maintained to try and "keep her weight down." She is 5'2" and weighs 82 lbs., which is approximately 75% of her 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 about the recommended course of the treatment, the PMHNP advises that Kelly will require: ~ Answer: hospitalization for controlled weight gain 2. In which demographic is depression twice as prevalent in girls as compared to boys? ~ Answer: adolescents 3. 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: ~ Answer: focusing the child's attention to the connections between speech sounds and spelling 4. Which of the following symptom clusters is most likely in a 16-year-old male with major depressive disorder? ~ Answer: pervasive anhedonia, hopelessness, and severe psychomotor retardation 5. 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? ~ Answer: Prepubertal children having a depressive episode secrete significantly more growth hormone during sleep than nondepressed children 6. Jared is a 6-year-old boy who come to the PMHNP for an evaluation with his father. The father reports that he is worried about Jaren 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? ~ Answer: Deteriorating function over the last several months 7. 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: ~ Answer: reading disorders 8. While the core features of schizophrenia are essentially the same in children as they are in adults, the presentation or characterization is sometimes very different given developmental issues. Unlike adults with schizophrenia, children do not have: ~ Answer: poverty of speech content 9. The PMHNP is working with rural primary care providers to increase awareness of mental health disorders in infancy and early childhood. The program includes a session on screening for feeding disorders in infants. If an infant is either observed by the provider or reported by the parents to frequently suck the tongue rhythmically of appear to strain with his or her back arched and then swallow, the examiner should consider the possibility of: ~ Answer: inadequate emotional attachment 10. Which of the following is a true statement with respect to avoidant/restrictive food intake disorder? ~ Answer: approximately 70% of infants who persistently refuse food continue to have some eating problems during childhood 11. Regarding pediatric suicide, which of the following is a true statement? ~ Answer: Worldwide, suicide very rarely occurs in children who have not reached puberty 12. The PMHNP is treating Pam, a 13-year-old female, for moderate to sever major depressive disorder. In addition to CBT, the PMHNP discusses with the patient and her father the plan to begin sertraline, 50 mg daily, then titrate the dose up when tolerance is established. Pam's father has researched this medication and is concerned because he read about the risk of increased suicidal ideation. The most appropriate response is to tell Pam's father that: ~ Answer: more recent research suggests that this is not accurate and that treatment actually decreases risk of suicide 13. Treatment of early onset schizophrenia can be challenging due to the paucity of evidenced based support for various pharmacotherapeutics and nonpharmacologic interventions. In a recent study comparing olanzapine to clozapine, outcomes were assessed with the Clinical Global Impression of Severity of Symptoms Scale and