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Exam (elaborations)

NR602/ NR 602 FINAL EXAM | FREQUENTLY TESTED QUESTIONS WITH CORRECT ANSWERS | BRAND NEW!

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NR602/ NR 602 FINAL EXAM | FREQUENTLY TESTED QUESTIONS WITH CORRECT ANSWERS | BRAND NEW!

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NR602/ NR 602 FINAL EXAM | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!




A 13-year-old child has exhibited sx of mild depression for
several weeks. The parent reports feeling relieved that the sx
have passed but concerned that the child now seems to have
boundless energy and an inability to sit still. What will the NP do?
A. Administer an ADHD dx scale and consider an ADHD med
B. Consult w/a child psychiatrist to prescribe an antidepressant
med
C. Reassure the parent that this behavior is common after mild
depression sx
D. Refer the child to a child psychiatrist for evaluation of bipolar
disorder - ✔✔✔ Correct Answer > D. Refer the child to a child
psychiatrist for evaluation of bipolar disorder


A newly divorced mother of a toddler reports that the child began
having difficulty sleeping and nightmares along with exhibiting
angry outbursts and tantrums 2 months prior. The NP learns that
the child refuses to play with usual playmates and often spends
time sitting quietly. What will the NP do initially?

,Page 2 of 45


A. Ask the mother about the relationship with the father.
B. Consult with a child psychiatrist to prescribe medications
C. Recommend cognitive behavioral or psychodynamic therapy
D. Refer the family to a child behavioral specialist for counseling
- ✔✔✔ Correct Answer > A. Ask the mother about the relationship with
the father.


Which breast tissue sampling procedure is best to use when
density
or calcification is seen on a mammogram in a location that
cannot be effectively
assessed with a core biopsy?
A. Fine-needle aspiration
B. MRI-guided needle biopsy
C. Needle-localized breast biopsy
D. Excisional breast biopsy - ✔✔✔ Correct Answer > C. Needle-
localized breast biopsy


An adolescent has recently begun doing poorly in school and has
stopped participating in sports and other extracurricular
activities. During the history interview, the adolescent reports
feeling tired, having difficulty concentrating, and experiencing a
loss of appetite for the past few weeks but cannot attribute these

,Page 3 of 45


changes to any major life event. Which is an important next step
in managing this patient?
A. Admin a dx rating scale for depression
B. Considering a short-term trial of an antidepressant
medication
C. Determining suicidal ideation and risk of suicide
D. Referring the adolescent to a mental health specialist - ✔✔✔
Correct Answer > C. Determining suicidal ideation and risk of suicide




An adolescent is dx with major depression, and the mental
health specialist has prescribed fluoxetine. What other tx is
important to protect against suicidal risk?
A. Addition of risperidone therapy
B. Cognitive-behavioral therapy
C. Family therapy
D. Hospitalization - ✔✔✔ Correct Answer > B. Cognitive-behavioral
therapy


A toddler has begun hitting and biting other children at a day
care center and is exhibiting temper tantrums and bad language
at home. The parent reports that these behaviors began shortly
after a sibling was born. What will the NP do?
A. Advise the parent that the child is exhibiting early signs of
ADHD

, Page 4 of 45


B. Engage the parent in positive parenting strategies to facilitate
appropriate child coping
C. Recommend evaluating the child for conduct or oppositional
defiant disorder
D. Suggest putting the child in another day care center to
ameliorate the problems - ✔✔✔ Correct Answer > B. Engage the parent
in positive parenting strategies to facilitate appropriate child
coping


A 14-year old female comes to the clinic with amenorrhea for 3
months. A pregnancy test is negative. The adolescent's body
weight is at 82% of expected for height and age. The mother
reports that her daughter often throws up and refuses to eat
most foods. Which condition does the NP suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse - ✔✔✔ Correct Answer > A. Anorexia nervosa


A major contributor to pelvic stability is
A. the coccyx.
B the pubis.
C the ilium and its ligaments.
D the sacrum. - ✔✔✔ Correct Answer > C the ilium and ligaments

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