Reviewed test:Questions and
Answers(2022_2023)
1
The PMHNP is evaluating a 15-year-old male patient who has been referred
by his courtappointed guardian. He has been in foster care for the last 6
years and maintained a steady pattern of low-level behavior problems such
as skipping school and ignoring curfew. He is not openly defiant and has
always been described as a ―loner.‖ He just does not follow most rules.
During the mental status examination, the PMHNP notes that his expressions
are sometimes inconsistent with the topic of conversation, and he does not
seem to be able to transition effectively among levels of emotion. This
represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight
Question: 2
A variety of diagnostic instruments are available to assist the PMHNP with
comprehensive data collection. Which of the following tools is considered an
―interviewer-based‖ tool designed as a guide to clinicians designed to help
clarify answers to questions?
A. The Children's Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)
3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric
assessment. Kevin comes to his first appointment with both of his parents.
He is sitting in the chair with his arms crossed and responds with ―yes‖
and ―no‖ answers to direct questions; otherwise, he volunteers no
information. The parents are clearly upset and indicate they just ―don't
know what to do with him anymore.‖ The most appropriate action for the
PMHNP would be to:
A. Ask the parents to step out and interview Kevin privately
B. Have Kevin complete the standardized-testing assessment
C. Schedule session two after reviewing court documentation
D. Arrange for three sessions with a family therapist then reevaluate Kevin
4 the PMHNP observes separation from and reunion with the parent as part
the mental status exam of a 25-month-old toddler. Extremes of emotion
during separation or reunion are most consistent with:
A. Normal developmental progression at that age
B. Cognitive dysfunction
C. Neurologic dysfunction
D. Problems with the parent-child relationship
, 5 the PMHNP is performing an emergency assessment on Renee, a 9-year-
old girl who was initially brought to the attention of social services by her
maternal grandmother. Renee is reluctant to talk about herself or her
home life. The physical examination that accompanied this emergency
assessment revealed a variety of ecchymoses in various stages of healing,
and the examiner was suspicious that there was a history of sexual abuse.
Renee is quiet and passive during the interview, but is rather aggressive
when
Answers(2022_2023)
1
The PMHNP is evaluating a 15-year-old male patient who has been referred
by his courtappointed guardian. He has been in foster care for the last 6
years and maintained a steady pattern of low-level behavior problems such
as skipping school and ignoring curfew. He is not openly defiant and has
always been described as a ―loner.‖ He just does not follow most rules.
During the mental status examination, the PMHNP notes that his expressions
are sometimes inconsistent with the topic of conversation, and he does not
seem to be able to transition effectively among levels of emotion. This
represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight
Question: 2
A variety of diagnostic instruments are available to assist the PMHNP with
comprehensive data collection. Which of the following tools is considered an
―interviewer-based‖ tool designed as a guide to clinicians designed to help
clarify answers to questions?
A. The Children's Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)
3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric
assessment. Kevin comes to his first appointment with both of his parents.
He is sitting in the chair with his arms crossed and responds with ―yes‖
and ―no‖ answers to direct questions; otherwise, he volunteers no
information. The parents are clearly upset and indicate they just ―don't
know what to do with him anymore.‖ The most appropriate action for the
PMHNP would be to:
A. Ask the parents to step out and interview Kevin privately
B. Have Kevin complete the standardized-testing assessment
C. Schedule session two after reviewing court documentation
D. Arrange for three sessions with a family therapist then reevaluate Kevin
4 the PMHNP observes separation from and reunion with the parent as part
the mental status exam of a 25-month-old toddler. Extremes of emotion
during separation or reunion are most consistent with:
A. Normal developmental progression at that age
B. Cognitive dysfunction
C. Neurologic dysfunction
D. Problems with the parent-child relationship
, 5 the PMHNP is performing an emergency assessment on Renee, a 9-year-
old girl who was initially brought to the attention of social services by her
maternal grandmother. Renee is reluctant to talk about herself or her
home life. The physical examination that accompanied this emergency
assessment revealed a variety of ecchymoses in various stages of healing,
and the examiner was suspicious that there was a history of sexual abuse.
Renee is quiet and passive during the interview, but is rather aggressive
when
