NURS 6660 MID TERM EXAM TEST
g g g g g
ThegPMHNPgisgwritinggangarticlegtogincreasegawarenessgamonggpedi
atricgprimarygcaregprovidersgtogthosegfactorsgthatgmaygsuggestghigh
ergthangaveragegriskgforgthegdevelopmentgofgchildhoodganxietygdiso
rders.gItgisghelpfulgtognotegthatgwhichgofgthegfollowinggaregneurophy
siologicgcorrelatesgbetweengyounggchildrengandganxietygdisorders?
AgDelayedgdevelopmentalgmilestones
.
BgElevatedgrestinggheartgrate
.
CgPupillarygconstrictiongduring
. cognitivegtasks
DgYoungestgchildgingbirthgorder
.
B
Richardgisgang11-year-
oldgpatientgwhoghasgbeenghospitalizedgfollowinggagsuicidegattemptging
whichg heg mixedg ag varietyg ofg householdg cleansersg andg poisonsg andg s
wallowedg them.g Heg hasgbeengmedicallyg cleared,g andg hisg initialgpsych
iatricg assessmentg revealsg agpreadolescentg malegwhogmadegthisgsuici
degattemptgbecausegheg wasgsogunhappygatgschool.gHisgfamilygrecentl
ygmovedgfromganothergpartgofgthegcountrygandghegstartedgagnewgsch
ool.gThegothergchildrenghavegbeengbullyingghim,gandghegjustgdecidedg
itgwouldgbegbettergtogdie.gHeghasgnogsiblingsgandgnogfriendsg ingthisgn
ewgtown.gWhichgadditionalg findingsg duringgthisg assessmentg wouldgpr
omptgthegPMHNPgtogsuggestgagpsychiatricgadmission?
AgHisgmotherghasgaghistorygofgseveregpost-partum
. depression
BgAgfindinggofgmildgdepressiongduringgthis
,NURS 6660 MID TERM EXAM TEST
g g g g g
. examination
CgAppreciablegambivalencegaboutgsuicide
.
DgCompletegabsencegofganygothergpsychiatric
. diagnoses
B
Kellygisgang8-year-
oldggirlgwhogisgbeinggevaluatedgbygtheg PMHNPgbecausegshegisgmark
edlygbehindghergpeersgingschoolgperformance.gDuringghergmentalgsta
tusgexamination,gshegisgunablegtogrepeatgthreegobjectsgaftergfivegmi
nutes,gandgisgunablegtogrepeatgfivegdigitsgforwardgorgthreegdigitsgbac
kward.gFurthergevaluationgrevealsganginabilitygtogaddgsinglegdigits.gT
hegPMHNPginterpretsgthisgfindinggas:
AgConsistentgwithghergdevelopmentalgmilestone
. expectations
BgAgmanifestationgofgprofoundganxiety
.
CgReflectivegofgbraingdamagegorglearninggdisabilities
.
DgSuggestivegofgangabnormalitygofgthoughtgprocess
.
C
Ag varietyg ofg diagnosticg instrumentsg areg availableg tog assistg theg PMHN
Pg withg comprehensivegdatagcollection.gWhichgofgthegfollowinggtoolsgis
g consideredgang“interviewer-
based”gtoolgdesignedgasgagguidegtogcliniciansgdesignedgtoghelpgclarif
yganswersgtogquestions?
,NURS 6660 MID TERM EXAM TEST
g g g g g
AgThegChildren’sgInterviewgforgPsychiatricgSymptoms
. (ChIPS)
BgThegDiagnosticgInterviewgforgChildrengandgAdolescents
. (DICA)
CgThegPictorialgInstrumentgforgChildrengandgAdolescents
. (PICA-III-R)
DgTheg ChildgandgAdolescentgPsychiatricgAssessment
. (CAPA)
C
Psychiatricg assessmentg ofg childreng andg adolescentsg isg bestg achieved
g byg ag combinationg ofgtoolsgandgtechniquesgbestgsuitedgtogthegchild’sg
agegandgdevelopmentalgstage.gWhenginterviewinggag 10-year-
old,g theg PMHNPg mayg haveg theg bestg successg byg havingg theg patient:
AgTalkgwithgthegexaminergvia
. dolls
BgRespondgtogopen-ended
. questions
CgDrawgfamilygmembersgand
. peers
DgCompletegangMMPI
.
B
Jackgisgag3-year-
oldgboygwhogisgbeinggevaluatedgforgdevelopmentalgdelay.gThegmental
g statusgexaminationgisgsignificantgforganginabilitygtogstackgtwogblocksg
orgdrawgagcircle.gThegPMHNPgalsogappreciatesgtheginabilitygtogattendg
toganygtaskgforgmoregthangagfewgseconds.gThesegfindingsgindicategang
abnormalitygin:
, NURS 6660 MID TERM EXAM TEST
g g g g g
AgSocialgrelatedness
.
BgThoughtgprocessgand
. content
CgMotorgbehavior
.
DgJudgmentgandginsight
.
C
DuringgthegmentalgstatusgexamgofgOliver,gag4-year-
oldgchild,gthegPMHNPgappreciatesgthatghegappearsg tog beg havingg transi
entg visualg andg auditoryg hallucinations.g Theg PMHNPg knowsg thatg thegbe
stgapproachgtogthisgfindinggisgtogconsidergthat:
AgThisgisgmostgconsistentgwithgearly-onset
. schizophrenia
BgAngorganicgbraingdisordergshouldgbegruledgout
.
CgThesegaregnormalgfindingsgingverygyoung
. children
DgComprehensivegpsychiatricgassessmentgis
. indicated
B
Jasongisgag17-month-
oldgmalegwhogisgreferredgforgevaluationgofgangunusuallyghighglevelgofgir
ritability.gHisgmothergsaysghegcriesg“allgthegtime,”gandgsometimesghegj
ustgcannotgbegcomforted;gJason’sgpediatriciangfeltgthatgthegcomplaintgw
arrantedgangevaluationgbygchildgpsychiatry.gComprehensivegassessm
entgofgJason’sgirritabilitygshouldgincludegallgthegfollowinggexcept:
g g g g g
ThegPMHNPgisgwritinggangarticlegtogincreasegawarenessgamonggpedi
atricgprimarygcaregprovidersgtogthosegfactorsgthatgmaygsuggestghigh
ergthangaveragegriskgforgthegdevelopmentgofgchildhoodganxietygdiso
rders.gItgisghelpfulgtognotegthatgwhichgofgthegfollowinggaregneurophy
siologicgcorrelatesgbetweengyounggchildrengandganxietygdisorders?
AgDelayedgdevelopmentalgmilestones
.
BgElevatedgrestinggheartgrate
.
CgPupillarygconstrictiongduring
. cognitivegtasks
DgYoungestgchildgingbirthgorder
.
B
Richardgisgang11-year-
oldgpatientgwhoghasgbeenghospitalizedgfollowinggagsuicidegattemptging
whichg heg mixedg ag varietyg ofg householdg cleansersg andg poisonsg andg s
wallowedg them.g Heg hasgbeengmedicallyg cleared,g andg hisg initialgpsych
iatricg assessmentg revealsg agpreadolescentg malegwhogmadegthisgsuici
degattemptgbecausegheg wasgsogunhappygatgschool.gHisgfamilygrecentl
ygmovedgfromganothergpartgofgthegcountrygandghegstartedgagnewgsch
ool.gThegothergchildrenghavegbeengbullyingghim,gandghegjustgdecidedg
itgwouldgbegbettergtogdie.gHeghasgnogsiblingsgandgnogfriendsg ingthisgn
ewgtown.gWhichgadditionalg findingsg duringgthisg assessmentg wouldgpr
omptgthegPMHNPgtogsuggestgagpsychiatricgadmission?
AgHisgmotherghasgaghistorygofgseveregpost-partum
. depression
BgAgfindinggofgmildgdepressiongduringgthis
,NURS 6660 MID TERM EXAM TEST
g g g g g
. examination
CgAppreciablegambivalencegaboutgsuicide
.
DgCompletegabsencegofganygothergpsychiatric
. diagnoses
B
Kellygisgang8-year-
oldggirlgwhogisgbeinggevaluatedgbygtheg PMHNPgbecausegshegisgmark
edlygbehindghergpeersgingschoolgperformance.gDuringghergmentalgsta
tusgexamination,gshegisgunablegtogrepeatgthreegobjectsgaftergfivegmi
nutes,gandgisgunablegtogrepeatgfivegdigitsgforwardgorgthreegdigitsgbac
kward.gFurthergevaluationgrevealsganginabilitygtogaddgsinglegdigits.gT
hegPMHNPginterpretsgthisgfindinggas:
AgConsistentgwithghergdevelopmentalgmilestone
. expectations
BgAgmanifestationgofgprofoundganxiety
.
CgReflectivegofgbraingdamagegorglearninggdisabilities
.
DgSuggestivegofgangabnormalitygofgthoughtgprocess
.
C
Ag varietyg ofg diagnosticg instrumentsg areg availableg tog assistg theg PMHN
Pg withg comprehensivegdatagcollection.gWhichgofgthegfollowinggtoolsgis
g consideredgang“interviewer-
based”gtoolgdesignedgasgagguidegtogcliniciansgdesignedgtoghelpgclarif
yganswersgtogquestions?
,NURS 6660 MID TERM EXAM TEST
g g g g g
AgThegChildren’sgInterviewgforgPsychiatricgSymptoms
. (ChIPS)
BgThegDiagnosticgInterviewgforgChildrengandgAdolescents
. (DICA)
CgThegPictorialgInstrumentgforgChildrengandgAdolescents
. (PICA-III-R)
DgTheg ChildgandgAdolescentgPsychiatricgAssessment
. (CAPA)
C
Psychiatricg assessmentg ofg childreng andg adolescentsg isg bestg achieved
g byg ag combinationg ofgtoolsgandgtechniquesgbestgsuitedgtogthegchild’sg
agegandgdevelopmentalgstage.gWhenginterviewinggag 10-year-
old,g theg PMHNPg mayg haveg theg bestg successg byg havingg theg patient:
AgTalkgwithgthegexaminergvia
. dolls
BgRespondgtogopen-ended
. questions
CgDrawgfamilygmembersgand
. peers
DgCompletegangMMPI
.
B
Jackgisgag3-year-
oldgboygwhogisgbeinggevaluatedgforgdevelopmentalgdelay.gThegmental
g statusgexaminationgisgsignificantgforganginabilitygtogstackgtwogblocksg
orgdrawgagcircle.gThegPMHNPgalsogappreciatesgtheginabilitygtogattendg
toganygtaskgforgmoregthangagfewgseconds.gThesegfindingsgindicategang
abnormalitygin:
, NURS 6660 MID TERM EXAM TEST
g g g g g
AgSocialgrelatedness
.
BgThoughtgprocessgand
. content
CgMotorgbehavior
.
DgJudgmentgandginsight
.
C
DuringgthegmentalgstatusgexamgofgOliver,gag4-year-
oldgchild,gthegPMHNPgappreciatesgthatghegappearsg tog beg havingg transi
entg visualg andg auditoryg hallucinations.g Theg PMHNPg knowsg thatg thegbe
stgapproachgtogthisgfindinggisgtogconsidergthat:
AgThisgisgmostgconsistentgwithgearly-onset
. schizophrenia
BgAngorganicgbraingdisordergshouldgbegruledgout
.
CgThesegaregnormalgfindingsgingverygyoung
. children
DgComprehensivegpsychiatricgassessmentgis
. indicated
B
Jasongisgag17-month-
oldgmalegwhogisgreferredgforgevaluationgofgangunusuallyghighglevelgofgir
ritability.gHisgmothergsaysghegcriesg“allgthegtime,”gandgsometimesghegj
ustgcannotgbegcomforted;gJason’sgpediatriciangfeltgthatgthegcomplaintgw
arrantedgangevaluationgbygchildgpsychiatry.gComprehensivegassessm
entgofgJason’sgirritabilitygshouldgincludegallgthegfollowinggexcept:
