WEEK 8 Burns' Pediatric Primary Care (7th)
Chapter 30: Neurodevelopmental, Behavioral,
and Mental Health Disorders- Ultimate Final
Exam Prep Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Latest Premium Version | Exam Success Guaranteed
Get fully prepared with this Ultimate Final Exam Prep Guide 2026/2027, a powerful study
resource designed to help students master key concepts, practice effectively, and improve
exam performance.
This guide contains accurate exam-style questions with correct detailed solutions, carefully
organized to reflect current exam standards and frequently tested topics. Each solution includes
clear step-by-step explanations to help strengthen understanding, improve critical thinking, and
boost confidence before the exam.
Designed for both early preparation and last-minute revision, this resource provides a clear,
structured, and exam-focused approach to studying smarter and achieving better results.
🔥 Key Features
✔ Accurate questions based on commonly tested concepts
✔ Correct detailed solutions with easy-to-understand explanations
✔ Focused exam preparation and revision support
✔ Latest updated version (2026/2027)
✔ Organized format for quick and efficient studying
🚀 Why Students Choose This Guide
• Helps simplify difficult concepts
• Strengthens exam readiness and confidence
• Supports faster and more effective revision
• Provides realistic exam-style practice
• Improves overall academic performance
,🎯 Perfect For
• Final exam preparation
• Midterm reviews and revision
• Last-minute study sessions
• Practicing exam-style questions
• Students aiming for stronger exam results
📚 A comprehensive and reliable exam preparation resource designed to help students
study smarter, feel confident, and succeed in their exams.
During a well child examination on a 4 month old infant, the primary care
pediatric nurse practitioner evaluates mental health issues. Which statement by
the parent indicates a potential problem with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
B"I let my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
a. A difficult temperament is its own risk factor for maladjustment disorders
b. Children with difficult temperaments need strict adherence to rules
c. Having a difficult temperament limits intelligence and emotional maturity
d. It is important for the parent to learn to manage criticism and power struggles
D. It is important for the parent to learn to manage criticism and power struggles
During a well child assessment of a preschool age child, the parent voices
concerns that, because the child has behavior problems at school, the child may
have a mental health disorder. Which initial approach will provide the best
information?
a. Ask the parent whether other caregivers have voiced similar concerns
b. Interview the child separately from the parent to encourage sharing of feelings
c. Take time to actively listen to the parent's and child's perceptions of the
problem
d. Use a validated screening tool to ensure that all aspects of behaviors are
evaluated
C. Take time to actively listen to the parent's and child's perceptions of the problem
The primary care pediatric nurse practitioner attempts to learn more about
the emotional health of an 18 month old child through which assessment
strategy?
,a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or her self and other family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and unstructured
situations
D. Observation of the child with caretakers in structured and unstructured situations
A middle school age child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military. How will
the primary care pediatric nurse practitioner manage this situation?
a. Prescribe short term antidepressants for this situational depression
b. Refer the child to a mental health specialist for evaluation and treatment
c. Schedule extended appointments for counseling and mental health
intervention
d. Suggest the child have close followup by a school counselor
B. Refer the child to a mental health specialist for evaluation and treatment
The parent of a 4 year old child reports that the child seems to be having trouble
adjusting to a new day care and reportedly is always engaging in solitary
play when the parent arrives to pick up the child. What will the primary care
pediatric nurse practitioner do?
a. Ask the parent if the child is slow to warm up to other new situations
b. Reassure the parent that parallel play is common among preschool age
children
c. Recommend that the parent spend time encouraging the child to play with
others
d. Suggest that the day care center may be neglecting the child
A. Ask the parent if the child is slow to warm up to other new situations
The parent of a school age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the
child was a toddler. What will the primary care pediatric nurse practitioner tell the
parent?
a. Anger is an abnormal reaction to bereavement and loss in this age child
b. Counseling is needed since the child has had sufficient time to resolve this
issue
c. Grief and bereavement lasting longer than a year may require medication
d. The significance of this loss must be reworked at each developmental level
D. The significance of this loss must be reworked at each developmental level
The parent of a school age child reports that the child doesn't like bing alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent?
a. "Fear of imaginary creatures does not usually occur at this age."
b. "I may need to refer your child to a pediatric mental health specialist."
c. "Your child is expressing normal fears for a school age child."
d. "Your child may be watching too much violence on television."
A. "Fear of imaginary creatures does not usually occur at this age."
The parent of a preschool age child reports that the child often appears anxious
and nervous and that this is associated occasionally with a rapid heart rate and
, tremors. What is the best type of referral that the primary care pediatric nurse
practitioner could recommend?
a. Cognitive behavioral therapy
b. Family therapy
c. Medication therapy
d. Play therapy
D. Play therapy
A 9 year old child exhibits school refusal and a reluctance to attend
sleepovers with classmates. The parent is concerned because the child has
recently begun sleeping in the parents' bed. Which initial action by the primary
care pediatric nurse practitioner is appropriate?
a. Assess for environmental stress, parental dysfunction, and maternal
depression
b. Ask about recent traumatic events that may have precipitated this behavior
c. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
d. Recommend firm insistence on school and activity attendance
A. Assess for environmental stress, parental dysfunction, and maternal depression
The parent of a school age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty sleep.
Which disorder may be considered in this child?
a. Generalized anxiety disorder (GAD)
b. Obsessive compulsive disorder (OCD)
c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal
infection (PANDAS)
d. Separation anxiety disorder (SAD)
A. Generalized anxiety disorder (GAD)
The parent of a school age girl reports that the child has difficulty getting ready
for school and is often late because of a need to check and recheck whether her
teeth are clean and her room light has been turned off. What will the primary care
pediatric nurse practitioner recommend to this parent?
a. Cognitive behavioral therapy
b. Deferral of treatment until symptoms worsen
c. Medication management with an SSRI
d. Referral to a child psychiatrist
A. Cognitive behavioral therapy
The parents of a 4 year old are concerned because he has begun twisting and
pulling out his hair, especially when he is tired or stressed. What will the primary
care pediatric nurse practitioner recommend as part of an initial approach to treat
this behavior?
a. Consultation with a pediatric behavioral specialist
b. Cutting his hair so that it is too short to pull
c. Long term anti streptococcal prophylaxis
d. Medication with risperidol or clonidine
B. Cutting his hair so that it is too short to pull
A newly divorced mother of a toddler report that the child began having difficulty
sleeping and nightmares along with exhibiting angry outbursts and tantrums 2
Chapter 30: Neurodevelopmental, Behavioral,
and Mental Health Disorders- Ultimate Final
Exam Prep Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
Latest Premium Version | Exam Success Guaranteed
Get fully prepared with this Ultimate Final Exam Prep Guide 2026/2027, a powerful study
resource designed to help students master key concepts, practice effectively, and improve
exam performance.
This guide contains accurate exam-style questions with correct detailed solutions, carefully
organized to reflect current exam standards and frequently tested topics. Each solution includes
clear step-by-step explanations to help strengthen understanding, improve critical thinking, and
boost confidence before the exam.
Designed for both early preparation and last-minute revision, this resource provides a clear,
structured, and exam-focused approach to studying smarter and achieving better results.
🔥 Key Features
✔ Accurate questions based on commonly tested concepts
✔ Correct detailed solutions with easy-to-understand explanations
✔ Focused exam preparation and revision support
✔ Latest updated version (2026/2027)
✔ Organized format for quick and efficient studying
🚀 Why Students Choose This Guide
• Helps simplify difficult concepts
• Strengthens exam readiness and confidence
• Supports faster and more effective revision
• Provides realistic exam-style practice
• Improves overall academic performance
,🎯 Perfect For
• Final exam preparation
• Midterm reviews and revision
• Last-minute study sessions
• Practicing exam-style questions
• Students aiming for stronger exam results
📚 A comprehensive and reliable exam preparation resource designed to help students
study smarter, feel confident, and succeed in their exams.
During a well child examination on a 4 month old infant, the primary care
pediatric nurse practitioner evaluates mental health issues. Which statement by
the parent indicates a potential problem with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
B"I let my baby cry a while to learn to be patient."
A child has a difficult temperament. What will the primary care pediatric nurse
practitioner tell the parent about managing this child's behavior?
a. A difficult temperament is its own risk factor for maladjustment disorders
b. Children with difficult temperaments need strict adherence to rules
c. Having a difficult temperament limits intelligence and emotional maturity
d. It is important for the parent to learn to manage criticism and power struggles
D. It is important for the parent to learn to manage criticism and power struggles
During a well child assessment of a preschool age child, the parent voices
concerns that, because the child has behavior problems at school, the child may
have a mental health disorder. Which initial approach will provide the best
information?
a. Ask the parent whether other caregivers have voiced similar concerns
b. Interview the child separately from the parent to encourage sharing of feelings
c. Take time to actively listen to the parent's and child's perceptions of the
problem
d. Use a validated screening tool to ensure that all aspects of behaviors are
evaluated
C. Take time to actively listen to the parent's and child's perceptions of the problem
The primary care pediatric nurse practitioner attempts to learn more about
the emotional health of an 18 month old child through which assessment
strategy?
,a. Asking the child to tell a story using dolls and other props
b. Asking the child to draw a picture of him or her self and other family members
c. Interviewing the child separately from caretakers and parents
d. Observation of the child with caretakers in structured and unstructured
situations
D. Observation of the child with caretakers in structured and unstructured situations
A middle school age child is skipping school frequently and getting poor
grades since the child's father was killed while deployed in the military. How will
the primary care pediatric nurse practitioner manage this situation?
a. Prescribe short term antidepressants for this situational depression
b. Refer the child to a mental health specialist for evaluation and treatment
c. Schedule extended appointments for counseling and mental health
intervention
d. Suggest the child have close followup by a school counselor
B. Refer the child to a mental health specialist for evaluation and treatment
The parent of a 4 year old child reports that the child seems to be having trouble
adjusting to a new day care and reportedly is always engaging in solitary
play when the parent arrives to pick up the child. What will the primary care
pediatric nurse practitioner do?
a. Ask the parent if the child is slow to warm up to other new situations
b. Reassure the parent that parallel play is common among preschool age
children
c. Recommend that the parent spend time encouraging the child to play with
others
d. Suggest that the day care center may be neglecting the child
A. Ask the parent if the child is slow to warm up to other new situations
The parent of a school age child is concerned because the child has started to
express anger about a grandparent's death even though this occurred when the
child was a toddler. What will the primary care pediatric nurse practitioner tell the
parent?
a. Anger is an abnormal reaction to bereavement and loss in this age child
b. Counseling is needed since the child has had sufficient time to resolve this
issue
c. Grief and bereavement lasting longer than a year may require medication
d. The significance of this loss must be reworked at each developmental level
D. The significance of this loss must be reworked at each developmental level
The parent of a school age child reports that the child doesn't like bing alone in
rooms because of a fear of aliens hiding in closets. What will the primary care
pediatric nurse practitioner tell the parent?
a. "Fear of imaginary creatures does not usually occur at this age."
b. "I may need to refer your child to a pediatric mental health specialist."
c. "Your child is expressing normal fears for a school age child."
d. "Your child may be watching too much violence on television."
A. "Fear of imaginary creatures does not usually occur at this age."
The parent of a preschool age child reports that the child often appears anxious
and nervous and that this is associated occasionally with a rapid heart rate and
, tremors. What is the best type of referral that the primary care pediatric nurse
practitioner could recommend?
a. Cognitive behavioral therapy
b. Family therapy
c. Medication therapy
d. Play therapy
D. Play therapy
A 9 year old child exhibits school refusal and a reluctance to attend
sleepovers with classmates. The parent is concerned because the child has
recently begun sleeping in the parents' bed. Which initial action by the primary
care pediatric nurse practitioner is appropriate?
a. Assess for environmental stress, parental dysfunction, and maternal
depression
b. Ask about recent traumatic events that may have precipitated this behavior
c. Consider a possible pediatric autoimmune neuropsychiatric disorder cause
d. Recommend firm insistence on school and activity attendance
A. Assess for environmental stress, parental dysfunction, and maternal depression
The parent of a school age child reports that the child becomes frustrated when
unable to perform tasks well and often has temper tantrums and difficulty sleep.
Which disorder may be considered in this child?
a. Generalized anxiety disorder (GAD)
b. Obsessive compulsive disorder (OCD)
c. Pediatric autoimmune neuropsychiatric disorder associated with streptococcal
infection (PANDAS)
d. Separation anxiety disorder (SAD)
A. Generalized anxiety disorder (GAD)
The parent of a school age girl reports that the child has difficulty getting ready
for school and is often late because of a need to check and recheck whether her
teeth are clean and her room light has been turned off. What will the primary care
pediatric nurse practitioner recommend to this parent?
a. Cognitive behavioral therapy
b. Deferral of treatment until symptoms worsen
c. Medication management with an SSRI
d. Referral to a child psychiatrist
A. Cognitive behavioral therapy
The parents of a 4 year old are concerned because he has begun twisting and
pulling out his hair, especially when he is tired or stressed. What will the primary
care pediatric nurse practitioner recommend as part of an initial approach to treat
this behavior?
a. Consultation with a pediatric behavioral specialist
b. Cutting his hair so that it is too short to pull
c. Long term anti streptococcal prophylaxis
d. Medication with risperidol or clonidine
B. Cutting his hair so that it is too short to pull
A newly divorced mother of a toddler report that the child began having difficulty
sleeping and nightmares along with exhibiting angry outbursts and tantrums 2
