NURS 6660N FINAL EXAM WITH ANSWERS

NURS 6660N FINAL EXAM WITH ANSWERS 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. Chlorpromazine • Question 2 1 out of 1 points The therapeutic outcomes for children with disorders of written expression are most favorable when they are characterized by: Selected Answer: Intensive, continuous administration of individually tailored, one-on-one expressive and creative writing therapy • Question 3 1 out of 1 points 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 for years, 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 successful treatment strategy appears to be: Selected Answer: A. Aversion therapy • Question 4 0 out of 1 points Rumination is a feeding disorder most commonly seen in infants, but it can occur at any point in the lifespan. Characteristic findings in infants include: Selected Answer: C. Failure to thrive • Question 5 1 out of 1 points 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 knew something was different as far back as she can remember. She always wanted to wear her 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 as lesbian • Question 6 1 out of 1 points All the following are true with respect to making a diagnosis of major depressive disorder in children except: Selected Answer: C. There must be somatic or psychomotor complaints. • Question 7 1 out of 1 points 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 about the risks, benefits, and required monitoring of hormonal therapy, the PMHNP advises Donna that: Selected Answer: C. Sterility is a probable consequence of hormone therapy • Question 8 1 out of 1 points The leading cause of death in youths living in juvenile residential facilities is: Selected Answer: A. Suicide • Question 9 1 out of 1 points 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 upon a review of the longitudinal research on this disorder, the literature review of this article should include all the following except: