NRNP 6665 WEEK 11 FINAL EXAM LATEST VERSION
UPDATED AND REVISED IN 2025
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? - ANSWER -
>chlorpromazine
the therapeutic outcomes for children with disorders of
written expression are most favorable when they are
characterized by: - ANSWER ->intensive, continuous
administration of individually tailored. one on one
expressive and creative writing therapy
Linda is 5 year old girl who has persistent pics; she was
finally referred for care when her kindergarten teacher
become 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
though it was not a big deal since Linda didn't eat
anything dangerous. Linda's mother must work 2 jobs
,and essentially did not bother to purse Linda's unusual
symptoms because it didn't seem unsafe. While
discussing management strategies with Linda's mother,
the PMHNP counsel's that the most rapidly successful
treatment strategy appears to be: - ANSWER ->aversion
therapy
Katelyn is a 16-year-old girl who presents 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: - ANSWER ->is a transgender
female that identifies as lesbian
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: - ANSWER -
>failure to thrive
All of the following are true with respect to making a
diagnosis of major depressive disorder in children except:
- ANSWER ->there must be somatic or psychomotor
complaints
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: - ANSWER ->sterility is a probably
consequence of hormone therapy
the leading cause of death in youths living in juvenile
residential facilities is: - ANSWER ->suicide
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 the
disorder, the literature review of this article should
include all of the following except: - ANSWER ->higher
, socioeconomic status and lifetime psychosis are
predictors of more 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 below
what is expected for her age. Historically, she has been a
very happy child, likes school, and looks forward to going.
However, over the last several months her teacher
reports 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 of the following except: -
ANSWER ->inability to copy directly from a printed text
Which of the following statements best characterize the
treatment course and progression of bulimia nervosa? -
ANSWER ->cognitive behavioral therapy is considered
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 resistant but her
caloric intake is now < 400 daily and she finally appears
UPDATED AND REVISED IN 2025
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? - ANSWER -
>chlorpromazine
the therapeutic outcomes for children with disorders of
written expression are most favorable when they are
characterized by: - ANSWER ->intensive, continuous
administration of individually tailored. one on one
expressive and creative writing therapy
Linda is 5 year old girl who has persistent pics; she was
finally referred for care when her kindergarten teacher
become 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
though it was not a big deal since Linda didn't eat
anything dangerous. Linda's mother must work 2 jobs
,and essentially did not bother to purse Linda's unusual
symptoms because it didn't seem unsafe. While
discussing management strategies with Linda's mother,
the PMHNP counsel's that the most rapidly successful
treatment strategy appears to be: - ANSWER ->aversion
therapy
Katelyn is a 16-year-old girl who presents 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: - ANSWER ->is a transgender
female that identifies as lesbian
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: - ANSWER -
>failure to thrive
All of the following are true with respect to making a
diagnosis of major depressive disorder in children except:
- ANSWER ->there must be somatic or psychomotor
complaints
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: - ANSWER ->sterility is a probably
consequence of hormone therapy
the leading cause of death in youths living in juvenile
residential facilities is: - ANSWER ->suicide
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 the
disorder, the literature review of this article should
include all of the following except: - ANSWER ->higher
, socioeconomic status and lifetime psychosis are
predictors of more 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 below
what is expected for her age. Historically, she has been a
very happy child, likes school, and looks forward to going.
However, over the last several months her teacher
reports 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 of the following except: -
ANSWER ->inability to copy directly from a printed text
Which of the following statements best characterize the
treatment course and progression of bulimia nervosa? -
ANSWER ->cognitive behavioral therapy is considered
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 resistant but her
caloric intake is now < 400 daily and she finally appears
