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NURS 6660 Final Exam (2 Versions, 150 Q & A, Latest-2021) / NURS 6660N Final Exam / NURS6660 Final Exam / NURS6660N Final Exam |Verified Q & A, Already Graded A|

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NURS 6660 Final Exam (2 Versions, 150 Q & A, Latest-2021) / NURS 6660N Final Exam / NURS6660 Final Exam / NURS6660N Final Exam |Verified Q & A, Already Graded A|

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NURS 6660 Final Exam



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, NURS 6660 Final


Course NURS-6660N-8,PMH NP Role I: Child.2019 Fall Quarter 08/26-11/17-PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 75 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Displayed Submitted Answers




Question1



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.

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



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 2

, 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 3



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 4




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 doesn’t 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 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

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