NURS 6660 FINAL EXAM
Question 1
In which demographic is depression twice as prevalent in girls as compared to boys?
A. Preschoolers
B. School aged
C. Adolescents
D. All children
Question 2
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He
was started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L
according to his most recent blood work. Andrew says he does not feel any
different, but both his parents and teachers report improvement in his mood. He
has been more stable, is getting along better with friends and siblings, and is
even more interested in his schoolwork. The PMHNP plans to maintain Andrew
on this medication and knows that he will need which of the following ongoing
laboratory assessments?
A. Complete blood count, thyroid function tests, and serum calcium
B. Liver function tests, complete blood count, and 12-lead electrocardiogram
C. White blood cell differential, fasting glucose, and fasting lipid profile
D. Comprehensive metabolic panel, complete blood count, and thyroid function
tests
Question 3
Confidentiality is a complex topic in the world of child and adolescent psychiatry.
The last 40 to 50 years have been characterized by increased attention to this issue
and the publication of various ethical codes and practice position statements by
professional organizations. Which of the following is not a true statement with
respect to confidentiality of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when
child abuse or maltreatment has occurred.
,
, WALDEN UNIVERSITY NURS 6660 FINAL EXAM
B. In 1979, the American Psychiatric Association (APA) stated that children
12 years of age or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of
Ethics
2
, states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best
approach is when the child and PMHNP agree on disclosure.
Question 4
Debi is a 15-year-old girl who is currently being treated for depression. Her
parents have been very proactive and involved in her care, and Debi has
achieved remission 2 months after beginning treatment with a combination of
pharmacotherapy and cognitive behavioral therapy. While counseling Debi’s
parents about important issues in management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will
develop depressive symptoms
B. The mean length of major depressive episode in adolescents is 4 months
C. 20 to 40% of adolescents who have major depressive disorder will
develop bipolar I within 5 years
D. Adolescent-onset depression typically needs long-term pharmacologic
management to prevent relapse
Question 5
The therapeutic outcomes for children with disorders of written expression are
most favorable when they are characterized by:
Concomitant pharmacotherapy with a psychostimulant to promote attention and
focus
Multimodal therapy to include group interaction with peer-to-peer
feedback on writing samples
A variety of tutors who will offer a variety of writing techniques,
composition strategies, and critiques
Intensive, continuous administration of individually tailored, one-on-one
expressive and creative writing therapy
Question 1
In which demographic is depression twice as prevalent in girls as compared to boys?
A. Preschoolers
B. School aged
C. Adolescents
D. All children
Question 2
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He
was started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L
according to his most recent blood work. Andrew says he does not feel any
different, but both his parents and teachers report improvement in his mood. He
has been more stable, is getting along better with friends and siblings, and is
even more interested in his schoolwork. The PMHNP plans to maintain Andrew
on this medication and knows that he will need which of the following ongoing
laboratory assessments?
A. Complete blood count, thyroid function tests, and serum calcium
B. Liver function tests, complete blood count, and 12-lead electrocardiogram
C. White blood cell differential, fasting glucose, and fasting lipid profile
D. Comprehensive metabolic panel, complete blood count, and thyroid function
tests
Question 3
Confidentiality is a complex topic in the world of child and adolescent psychiatry.
The last 40 to 50 years have been characterized by increased attention to this issue
and the publication of various ethical codes and practice position statements by
professional organizations. Which of the following is not a true statement with
respect to confidentiality of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when
child abuse or maltreatment has occurred.
,
, WALDEN UNIVERSITY NURS 6660 FINAL EXAM
B. In 1979, the American Psychiatric Association (APA) stated that children
12 years of age or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of
Ethics
2
, states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best
approach is when the child and PMHNP agree on disclosure.
Question 4
Debi is a 15-year-old girl who is currently being treated for depression. Her
parents have been very proactive and involved in her care, and Debi has
achieved remission 2 months after beginning treatment with a combination of
pharmacotherapy and cognitive behavioral therapy. While counseling Debi’s
parents about important issues in management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will
develop depressive symptoms
B. The mean length of major depressive episode in adolescents is 4 months
C. 20 to 40% of adolescents who have major depressive disorder will
develop bipolar I within 5 years
D. Adolescent-onset depression typically needs long-term pharmacologic
management to prevent relapse
Question 5
The therapeutic outcomes for children with disorders of written expression are
most favorable when they are characterized by:
Concomitant pharmacotherapy with a psychostimulant to promote attention and
focus
Multimodal therapy to include group interaction with peer-to-peer
feedback on writing samples
A variety of tutors who will offer a variety of writing techniques,
composition strategies, and critiques
Intensive, continuous administration of individually tailored, one-on-one
expressive and creative writing therapy
