NURS 6660N final exam Latest

Conventional antipsychotics are not first-line interventions in early-onset schizophrenia due to the risk of dystonic reactions. However, when children are not responsive to first-line therapy with atypical antipsychotics, which of the following is the most appropriate conventional choice? Selected Answer: D. Chlorproma zine The therapeutic outcomes for children with disorders of written expression are mostfavorable when they are characterized by: Selected Answer: Intensive, continuous administration of individually tailored, one-on-one expressive and creative writing therapy Linda is a 5-year-old girl who has persistent pica; she was finally referred for care when her kindergarten teacher became alarmed by her eating of potentially toxic nonfood substances. Linda’s mother admits during the history that Linda has been doing this foryears, but thought it was not a big deal since Linda didn’t eat anything dangerous. Linda’s mother must work two jobs and essentially did not bother to pursue Linda’s unusual symptom because it didn’t seem unsafe. While discussing management strategies with Linda’s mother, the PMHNP counsels that the most rapidly successfultreatment strategy appears to be: A. Aversion therapy Rumination is a feeding disorder most commonly seen in infants, but it can occur at anypoint in the lifespan. Characteristic findings in infants include: Selected Answer: C. Failure tothrive Katelyn is a16-year-old girl who presents for therapy with her mother and father. Katelyn was born with male genitalia but has felt like a female “all of her life.” She says she knewsomething was different as far back as she can remember. She always wanted to wearher mother’s clothes and makeup and play with other girls. Katelyn started dressing and openly identifying as a girl when she was 13 years old, and her parents are trying to be supportive but they are struggling. Most recently Katelyn has developed an intimate partner relationship with Jennifer, a 15-year-old girl who was gender-assigned female at birth and identifies as a female. Katelyn’s father does not understand the relationship. The PMHNP explains that Katelyn: Selected Answer: C. Is a transgender female who identifies aslesbian All the following are true with respect to making a diagnosis of major depressive disorderin children except: Selected Answer: C. There must be somatic or psychomotorcomplaints. Donna is a 16-year-old transgender female who has been through extensive individual and family counseling and is ready to start hormone therapy with estrogen, progesterone, and testosterone-blocking agents. When counseling her specifically aboutthe risks, benefits, and required monitoring of hormonal therapy, the PMHNP advises Donna that: C. ty is a probable consequenceof S hormone therapy t e r i l i The leading cause of death in youths living in juvenile residential facilities is: Selected Answer: A. Suicid e The PMHNP is working with a pediatrician colleague on a journal article to increase awareness and improve diagnostic strategies for early-onset bipolar disorder. Based upona review of the longitudinal research on this disorder, the literature review of this article should include all the following except: Selected Answer: C. Higher socioeconomic status and lifetime psychosis are predictors ofmore rapid cycling in early-onset bipolar disorder Tiana is a 10-year-old girl who is being referred for evaluation because her school performance is appreciably below what is expected at her age. Historically she has beena very happy child, likes school, and looks forward to going. However, over the last several months her teacher reports that she is much slower than her peers in reading, and she appears to be upset and withdrawn when asked to read in class. The PMHNP would expect additional report from the teacher to include all the following except: Selected Answer: A. Inability to copy correctly from aprinted text Which of the following statements best characterized the treatment course andprogression of bulimia nervosa? Selected Answer: A. Cognitive behavioral therapy is considered the benchmark, first-line treatment. Kelly is a 14-year-old female who has finally been referred for management of anorexia nervosa. She was diagnosed almost 1 year ago with the food-restricting subtype, but attempts to get her into psychiatric care were unsuccessful. She continues to be resistantbut her caloric intake is now 400 daily and she finally appears to be unable to sustainthe supraphysiologic levels of exercise that she has maintained to try and “keep her weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately 75% of ideal body weight for her height. Her vital signs are stable and surprisingly there are no profound laboratory or ECG abnormalities. When counseling Kelly and her parents aboutthe recommended course of treatment, the PMHNP advises that Kelly will require: Selected Answer: B. Hospitalization for controlledweight gain In which demographic is depression twice as prevalent in girls as compared to boys? Selected Answer: C. Adolescen ts Debbie is a 10-year-old female who has been referred to remediation therapy for her reading disorder. While