Exam (elaborations)
NURS6660 > NURS 6660 Midterm Exam Questions And Answers. Graded A
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status examination is significant for an inability to stack two blocks or draw a circle. The PMHNP also appreciates the inability to attend to any task for more than a few seconds. These findings indicate an abnormality in:
	A.	Social relatedness
	B.	Thought process and content
	C.	Motor behavior
	D.	Judgment and insight
C

During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he appears to be having transient visual and auditory hallucinations. The PMHNP knows that the best approach to this finding is to consider that:
	A.	This is most consistent with early-onset schizophrenia
	B.	An organic brain disorder should be ruled out 
	C.	These are normal findings in very young children
	D.	Comprehensive psychiatric assessment is indicated
B

Jason is a 17-month-old male who is referred for evaluation of an unusually high level of irritability. His mother says he cries “all the time,” and sometimes he just cannot be comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability should include all the following except:
	A.	A comprehensive medical assessment
	B.	Standardized developmental measures
	C.	Assessment without the parents present
	D.	Observation of Jason during play
D

Which of the following is the most common anxiety disorder of childhood?
	A.	Generalized anxiety disorder
	B.	Separation anxiety disorder
	C.	Social anxiety disorder
	D.	Obsessive-compulsive disorder
A

When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive disorder (OCD), the PMHNP considers that evidence-based data from the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral therapy (CBT) and:
	A.	Clomipramine (Anafranil)
	B.	Sertraline (Zoloft)
	C.	Aripiprazole (Abilify)
	D.	Lithium (Eskalith)
B