COMPREHENSIVE NR 668 FINAL EXAM| VERIFIED QUESTIONS
AND ANSWERS− 2025/ 2026 GURANTEED A+ PASS
An 8-Year-Old Boy Diagnosed With Leukemia Is Referred To Child Psychiatry Because He Is
Consistently Displaying A Flat Affect, Irritability, Angry Acting Out, And Occasional Physical
Aggression Toward His 6-Year-Old Brother. What Approach Should The Pmhnp Take When
Interviewing This Child?
Answer: Provide Toys And Allow The Child To Play
Which Eating Disorder Is Considered Ego Syntonic?
Answer: Anorexia Nervosa (Anorexia Nervosa Is Challenging To Treat Because It Is Ego
Syntonic. In Other Words, One's Behaviors, Feelings And Values Are In Line With The Needs Of
The Ego And Reliable To One's Self Image.)
A 30-Year-Old G1p0,1 Has Become Increasingly Oddly Related, Neglecting Self-Care, Sleeping
Much Of The Day, Eating Minimally, Crying Easily, And Despite Reassurance That Her Pregnancy
Is Progressing Normally, Worries That She Will Lose The Pregnancy. Which Of The Following
Medications Is Considered Least Harmful In Pregnancy?
Answer: Sertraline
A 10-Year-Old Boy Who Had Been Prescribed Fluoxetine For Major Depressive Disorder Presents
To The Psychiatric Emergency Department For Running Into The Street In Front Of A Car On The
Way Home From School. In The Emergency Department, He Has Been Selectively Mute, But The
Nurse Practitioner Student Was Able To Elicit His Desire To Be Dead. He Has Been Medically
Cleared Pending A Psychiatric Evaluation. What Is The Most Common Sign Of Major Depressive
Disorder In Children?
Answer: Psychomotor Agitation
, A 6-Year-Old Boy Is Referred By The Child Study Team For Speech Difficulty. On Examination The
Boy Is Friendly And Cooperative, His Speech Is Clear, And He Uses Simple Sentences With A
Limited Vocabulary. Most Notably He Confuses Verb Tenses Consistently. The Parents Report He
Met Most Of His Developmental Milestones Except Speech, Which Was Delayed. His Clinical
Presentation Is Most Consistent With Which Of The Following?
Answer: Expressive Language Disorder
The School Psychologist Refers A 7-Year-Old Girl With Difficulty Reading, Distractibility, And
Writing Avoidance Behaviors. The Child Has No Diagnosed Conditions, Takes No Medications,
And Met All Of Her Developmental Milestones. She Loves Arts And Crafts And Physical
Education. Prior To Diagnosing A Learning Disorder, Which Of The Following Screening Tests
Must Be Performed?
Answer: Vision And Hearing
Which Disorder Is Associated With Higher Rates Of Adhd, Enlarges Testes, A Long Narrow Face,
Hypotonia And Short Stature?
Answer: Fragile X (Fragile X Is Associated With A Higher Rate Of Adhd, Impaired Intellectual
Ability, Learning D/O's, Autism Spectrum D/O. Physical Attributes Include Hypotonia, Flat Feet,
Enlarges Testes, Long Narrow Face, Flexible Fingers And Short Stature.)
A 10-Year-Old Girl Is Referred For Evaluation Of Behavioral Difficulties. Her Teachers Report That
She Is Easily Distracted And Fails To Complete Any Class Work, And Often Stares Off Into Space
Or Tries To Chat With Her Neighbor. Her Mother Reports That Mornings Are The Most Difficult
Because Of Her General Disorganization And Forgetfulness. Otherwise She Is Socially Engaged
And Enjoys Many Activities. Which Of The Following Is The Most Likely Diagnosis?
AND ANSWERS− 2025/ 2026 GURANTEED A+ PASS
An 8-Year-Old Boy Diagnosed With Leukemia Is Referred To Child Psychiatry Because He Is
Consistently Displaying A Flat Affect, Irritability, Angry Acting Out, And Occasional Physical
Aggression Toward His 6-Year-Old Brother. What Approach Should The Pmhnp Take When
Interviewing This Child?
Answer: Provide Toys And Allow The Child To Play
Which Eating Disorder Is Considered Ego Syntonic?
Answer: Anorexia Nervosa (Anorexia Nervosa Is Challenging To Treat Because It Is Ego
Syntonic. In Other Words, One's Behaviors, Feelings And Values Are In Line With The Needs Of
The Ego And Reliable To One's Self Image.)
A 30-Year-Old G1p0,1 Has Become Increasingly Oddly Related, Neglecting Self-Care, Sleeping
Much Of The Day, Eating Minimally, Crying Easily, And Despite Reassurance That Her Pregnancy
Is Progressing Normally, Worries That She Will Lose The Pregnancy. Which Of The Following
Medications Is Considered Least Harmful In Pregnancy?
Answer: Sertraline
A 10-Year-Old Boy Who Had Been Prescribed Fluoxetine For Major Depressive Disorder Presents
To The Psychiatric Emergency Department For Running Into The Street In Front Of A Car On The
Way Home From School. In The Emergency Department, He Has Been Selectively Mute, But The
Nurse Practitioner Student Was Able To Elicit His Desire To Be Dead. He Has Been Medically
Cleared Pending A Psychiatric Evaluation. What Is The Most Common Sign Of Major Depressive
Disorder In Children?
Answer: Psychomotor Agitation
, A 6-Year-Old Boy Is Referred By The Child Study Team For Speech Difficulty. On Examination The
Boy Is Friendly And Cooperative, His Speech Is Clear, And He Uses Simple Sentences With A
Limited Vocabulary. Most Notably He Confuses Verb Tenses Consistently. The Parents Report He
Met Most Of His Developmental Milestones Except Speech, Which Was Delayed. His Clinical
Presentation Is Most Consistent With Which Of The Following?
Answer: Expressive Language Disorder
The School Psychologist Refers A 7-Year-Old Girl With Difficulty Reading, Distractibility, And
Writing Avoidance Behaviors. The Child Has No Diagnosed Conditions, Takes No Medications,
And Met All Of Her Developmental Milestones. She Loves Arts And Crafts And Physical
Education. Prior To Diagnosing A Learning Disorder, Which Of The Following Screening Tests
Must Be Performed?
Answer: Vision And Hearing
Which Disorder Is Associated With Higher Rates Of Adhd, Enlarges Testes, A Long Narrow Face,
Hypotonia And Short Stature?
Answer: Fragile X (Fragile X Is Associated With A Higher Rate Of Adhd, Impaired Intellectual
Ability, Learning D/O's, Autism Spectrum D/O. Physical Attributes Include Hypotonia, Flat Feet,
Enlarges Testes, Long Narrow Face, Flexible Fingers And Short Stature.)
A 10-Year-Old Girl Is Referred For Evaluation Of Behavioral Difficulties. Her Teachers Report That
She Is Easily Distracted And Fails To Complete Any Class Work, And Often Stares Off Into Space
Or Tries To Chat With Her Neighbor. Her Mother Reports That Mornings Are The Most Difficult
Because Of Her General Disorganization And Forgetfulness. Otherwise She Is Socially Engaged
And Enjoys Many Activities. Which Of The Following Is The Most Likely Diagnosis?
