NR606 Week 3 Exam V2 | NR606 Diagnosis
& Management in Psychiatric-Mental
Health II Practicum | Q&A with Rationale
(NR606 Week 3 Exam) | Chamberlain
University
1. Which of the following is considered the ‘gold standard’ screening tool for Autism
Spectrum Disorder (ASD) in toddlers aged 16 to 30 months?
A. PHQ-9 modified for Adolescents
B. Conners 3rd Edition
C. Vanderbilt Assessment Scale
D. Modified Checklist for Autism in Toddlers (M-CHAT-R/F)
Answer: D
Rationale: The M-CHAT-R/F is a validated developmental screening tool for toddlers that
identifies the risk of autism spectrum disorder. It consists of a series of questions for
parents to identify behaviors that may indicate developmental delays. Regular screening
with this tool is recommended by the American Academy of Pediatrics to ensure early
intervention.
,2. A 10-year-old child presents with chronic, severe irritability and frequent temper outbursts
that are out of proportion to the situation. These symptoms have been present for over a
year. What is the most likely diagnosis?
A. Bipolar I Disorder
B. Major Depressive Disorder
C. Oppositional Defiant Disorder (ODD)
D. Disruptive Mood Dysregulation Disorder (DMDD)
Answer: D
Rationale: DMDD is characterized by severe temper outbursts and a persistently irritable
or angry mood between outbursts. This diagnosis was created to address the potential
over-diagnosis of Bipolar Disorder in children. The symptoms must be present for at least
12 months and manifest in multiple settings.
3. When prescribing stimulants for ADHD, which physical parameter must be monitored most
closely in pediatric patients?
A. Serum glucose levels
B. Visual acuity
C. Height, weight, and blood pressure
D. Liver function tests
Answer: C
, Rationale: Stimulants such as methylphenidate can cause appetite suppression and
potential growth retardation in children. Monitoring height and weight ensures that the
child is maintaining an appropriate growth trajectory during treatment. Additionally,
stimulants can increase heart rate and blood pressure, necessitating cardiovascular
monitoring.
4. Which class of medication is considered the first-line treatment for pediatric patients with
Obsessive-Compulsive Disorder (OCD)?
A. Selective Serotonin Reuptake Inhibitors (SSRIs)
B. Benzodiazepines
C. Tricyclic Antidepressants
D. First-generation Antipsychotics
Answer: A
Rationale: SSRIs are the primary pharmacological intervention for children and
adolescents with OCD. They are often used in conjunction with Cognitive Behavioral
Therapy (CBT), specifically Exposure and Response Prevention (ERP). The FDA has
approved specific SSRIs like sertraline and fluoxetine for use in pediatric OCD populations.
5. A 7-year-old child is being evaluated for ADHD. The parents report the child is ‘on the go’
and often interrupts others, but the teacher reports the child is well-behaved and follows
instructions in class. Does this child meet the DSM-5 criteria for ADHD?
A. Yes, if the symptoms at home are severe enough
& Management in Psychiatric-Mental
Health II Practicum | Q&A with Rationale
(NR606 Week 3 Exam) | Chamberlain
University
1. Which of the following is considered the ‘gold standard’ screening tool for Autism
Spectrum Disorder (ASD) in toddlers aged 16 to 30 months?
A. PHQ-9 modified for Adolescents
B. Conners 3rd Edition
C. Vanderbilt Assessment Scale
D. Modified Checklist for Autism in Toddlers (M-CHAT-R/F)
Answer: D
Rationale: The M-CHAT-R/F is a validated developmental screening tool for toddlers that
identifies the risk of autism spectrum disorder. It consists of a series of questions for
parents to identify behaviors that may indicate developmental delays. Regular screening
with this tool is recommended by the American Academy of Pediatrics to ensure early
intervention.
,2. A 10-year-old child presents with chronic, severe irritability and frequent temper outbursts
that are out of proportion to the situation. These symptoms have been present for over a
year. What is the most likely diagnosis?
A. Bipolar I Disorder
B. Major Depressive Disorder
C. Oppositional Defiant Disorder (ODD)
D. Disruptive Mood Dysregulation Disorder (DMDD)
Answer: D
Rationale: DMDD is characterized by severe temper outbursts and a persistently irritable
or angry mood between outbursts. This diagnosis was created to address the potential
over-diagnosis of Bipolar Disorder in children. The symptoms must be present for at least
12 months and manifest in multiple settings.
3. When prescribing stimulants for ADHD, which physical parameter must be monitored most
closely in pediatric patients?
A. Serum glucose levels
B. Visual acuity
C. Height, weight, and blood pressure
D. Liver function tests
Answer: C
, Rationale: Stimulants such as methylphenidate can cause appetite suppression and
potential growth retardation in children. Monitoring height and weight ensures that the
child is maintaining an appropriate growth trajectory during treatment. Additionally,
stimulants can increase heart rate and blood pressure, necessitating cardiovascular
monitoring.
4. Which class of medication is considered the first-line treatment for pediatric patients with
Obsessive-Compulsive Disorder (OCD)?
A. Selective Serotonin Reuptake Inhibitors (SSRIs)
B. Benzodiazepines
C. Tricyclic Antidepressants
D. First-generation Antipsychotics
Answer: A
Rationale: SSRIs are the primary pharmacological intervention for children and
adolescents with OCD. They are often used in conjunction with Cognitive Behavioral
Therapy (CBT), specifically Exposure and Response Prevention (ERP). The FDA has
approved specific SSRIs like sertraline and fluoxetine for use in pediatric OCD populations.
5. A 7-year-old child is being evaluated for ADHD. The parents report the child is ‘on the go’
and often interrupts others, but the teacher reports the child is well-behaved and follows
instructions in class. Does this child meet the DSM-5 criteria for ADHD?
A. Yes, if the symptoms at home are severe enough
