ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM fy fy fy fy fy
LATEST 2025 (TEST 1, 2, & 3) QUESTIONS & ANSWERS
fy fy fy fy fy fy fy fy fy fy
fy WITH RATIONALES (TEST 1-3 LATEST VERSIONS EACH
fy fy fy fy fy fy
WITH 100 QUESTIONS EACH) | NEWEST VERSIONS
fy fy fy fy fy fy fy
ALREADY GRADED A+ fy fy fy
TEST 1 fy
Your patient, whose wife died a few months ago, appears to be very unkempt and
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
apathetic. Although several months have passed since his wife's death he has not
fy fy fy fy fy fy fy fy fy fy fy fy fy
progressed at all through his grieving. You assess this condition as which of the
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following?
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disenfranchised grief
fy fy
panic disorder
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complicated grief
fy fy
physiologic grief - -Correct Answer:
fy fy fy fy fy
complicated grief
fy fy
RATIONALE: A person has uncomplicated grief when he or she has normal physical, fy fy fy fy fy fy fy fy fy fy fy fy
psychological, cognitive and spiritual responses to the death of a significant other. Butwhen
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the person shows persistent maladaptive behaviors such as not taking care of personal
fy fy fy fy fy fy fy fy fy fy fy fy fy
hygiene and/or appearance and does not progress through the mourning process, this is
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complicated grief.
fy fy
If a patient has had a myocardial infarction, which of the following atypical
fy fy fy fy fy fy fy fy fy fy fy fy
antidepressants should not be prescribed within the recovery phase?
fy fy fy fy fy fy fy fy fy
Trazodone
fy
Duloxetine
fy
Bupropion
fy
Desvenlafaxine - -Correct Answer:
fy fy fy fy
Trazodone
fy
,RATIONALE: If a patient has had a myocardial infarction, during the recovery phase,the fy fy fy fy fy fy fy fy fy fy fy fy fy
patient should not be prescribed this medication. Trazodone (Desyrel) can cause the
fy fy fy fy fy fy fy fy fy fy fy fy
patient to develop orthostatic hypotension and priapism.
fy fy fy fy fy fy fy
To get your teaching ideas and concepts across to a poor reader which of the followingwould
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
be most appropriate?
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Use longer sentences.
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Use abstract concepts.
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Discourage questioning.
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Use examples and review. - -Correct Answer:
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Use examples and review.
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RATIONALE: To get the idea across to a poor reader use examples and review. The other fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
choices are not helpful. You should use short sentences and easy to read layouts;be
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concrete rather than abstract; and teach them how to ask questions about their health.
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Also, tell context first and use visual, use common words and examples, and explain
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meaning.
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A 21-year old woman presents with complaints of milky discharge from her breasts. She
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doesn't have any other symptoms and is not pregnant, nor has been before. She tells the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
nurse about each medication that she takes. Which of these drugs may be implicated as
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
the cause of the symptom?
fy fy fy fy fy
aspirin
fy
Lamotrigine
fy
Risperidone
fy
sertraline - -Correct Answer:
fy fy fy fy
Risperidone
fy
RATIONALE: Risperidone can cause the greatest prolactin elevation among atypical fy fy fy fy fy fy fy fy fy
psychotics. A milky white discharge known as galactorrhea could be a sign of an underlying
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
condition. The fact that the woman takes Risperidone, an atypical antipsychotic, would
fy fy fy fy fy fy fy fy fy fy fy fy
likely point to the cause and should be switched with one less likelyto have that same side
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
effect.
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Which of the following would be considered one of the main things that is responsiblefor
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about 2/3 of psychiatric hospital readmissions?
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Not sufficient care.
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Medication noncompliance
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Biophysical assessments
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None of the above - -Correct Answer:
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Medication noncompliance
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RATIONALE: Medication noncompliance is a major problem with the psychiatric mental fy fy fy fy fy fy fy fy fy fy
health patients. The home health nurses assists by helping the patients
fy fy fy fy fy fy fy fy fy fy fy
to see the relationship between their compliance with their medication regimen andcontrol
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of their symptoms.
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,Which of the following would be considered an important form of communication that
fy fy fy fy fy fy fy fy fy fy fy fy
can help to promote consistency in the care of the patient at the
fy fy fy fy fy fy fy fy fy fy fy fy fy
same time that it justifies their stay in the hospital?
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Review of care.
fy fy fy
Documentation
fy
Verbal reporting
fy fy
None of the above - -Correct Answer:
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Documentation
fy
RATIONALE: The other 3 options above are incorrect. fy fy fy fy fy fy fy
One of the most important aspects of nursing is documentation. Documentation can
fy fy fy fy fy fy fy fy fy fy fy
promote consistency in the care of the patient and is also used to help justify the patient
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
remaining in the hospital.
fy fy fy fy
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
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following except?
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Vomiting
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Respiratory failure
fy fy
Hypertensive crisis
fy fy
Seizures - -Correct Answer:
fy fy fy fy
Hypertensive crisis
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RATIONALE: Hypertensive crisis would be considered a symptom of PCP overdose. fy fy fy fy fy fy fy fy fy fy
Vomiting, respiratory failure and seizures would be considered an effectof fy fy fy fy fy fy fy fy fy fy
LSD overdose.
fy fy
Symptoms of serotonin syndrome include all of the following EXCEPT: fy fy fy fy fy fy fy fy fy
insomnia
fy
nausea
fy
loss of coordination
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sweating or shivering with goose bumps - -Correct Answer:
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nausea
fy
Symptoms of serotonin syndrome can present in patients that have drug combinationsthat fy fy fy fy fy fy fy fy fy fy fy fy
are contraindicated. They can vary from restlessness and agitation to tremors, chills,
fy fy fy fy fy fy fy fy fy fy fy fy
headaches, and insomnia as well as loss of coordination. Nausea has not beenimplicated
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in serotonin syndrome.
fy fy fy
What is the rate of suicide attempts for patients having dissociative identity disorder?
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30%
fy
45%
fy
70%
fy
60% - -Correct Answer:
fy fy fy fy
70%
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, RATIONALE: People with dissociative identity disorder have one of the highest risks for fy fy fy fy fy fy fy fy fy fy fy fy
suicide. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-
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5),more than 70% of outpatients with DID have attempted suicide, and multiple suicide
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attempts are common.
fy fy fy
Of the following, which would not be considered a phase of schizophrenia treatment?
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Maintenance
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Acute
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Cognitive
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Stabilization - -Correct Answer:
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Cognitive
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RATIONALE: Cognitive is not one of the three phases of schizophrenia treatment.The fy fy fy fy fy fy fy fy fy fy fy fy
three phases are:
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Phase 1: acute f y f y
Phase 2: stabilization
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Phase 3: maintenance
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The patient should be monitored for effects of psychotropic medications which canimpact
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cardiac rhythms. Which of the following could be a potential
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cardiac side effect? fy fy
A prolonged QT interval
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Narrowing of the QRS
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Both A and B
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None of the above - -Correct Answer:A
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prolonged QT interval
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RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These fy fy fy fy fy fy fy fy fy fy
medications can cause a widening of the QRS or a prolonged QT interval.
fy fy fy fy fy fy fy fy fy fy fy fy fy
This is a measure of the ventricular repolarization.
fy fy fy fy fy fy fy
Sullivan described three developmental cognitive modes of experience and believedthat
fy fy fy fy fy fy fy fy fy fy
mental disorders are related to the persistence of one of the early modes. The mode that
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
begins in early childhood as the child begins to connect experiences in sequence is which
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
of the following?
fy fy fy
prototaxic mode
fy fy
parataxic mode
fy fy
syntaxic mode
fy fy
composite mode - -Correct Answer:
fy fy fy fy fy
parataxic mode
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RATIONALE: The parataxic mode begins in early childhood. The child may not make fy fy fy fy fy fy fy fy fy fy fy fy
logical sense of the experiences and may see them as coincidence or chance events. The
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
child seeks to relieve anxiety by repeating familiar experiences, although he or shemay not
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
understand what he or she is doing.
fy fy fy fy fy fy fy
LATEST 2025 (TEST 1, 2, & 3) QUESTIONS & ANSWERS
fy fy fy fy fy fy fy fy fy fy
fy WITH RATIONALES (TEST 1-3 LATEST VERSIONS EACH
fy fy fy fy fy fy
WITH 100 QUESTIONS EACH) | NEWEST VERSIONS
fy fy fy fy fy fy fy
ALREADY GRADED A+ fy fy fy
TEST 1 fy
Your patient, whose wife died a few months ago, appears to be very unkempt and
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
apathetic. Although several months have passed since his wife's death he has not
fy fy fy fy fy fy fy fy fy fy fy fy fy
progressed at all through his grieving. You assess this condition as which of the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
following?
fy
disenfranchised grief
fy fy
panic disorder
fy fy
complicated grief
fy fy
physiologic grief - -Correct Answer:
fy fy fy fy fy
complicated grief
fy fy
RATIONALE: A person has uncomplicated grief when he or she has normal physical, fy fy fy fy fy fy fy fy fy fy fy fy
psychological, cognitive and spiritual responses to the death of a significant other. Butwhen
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
the person shows persistent maladaptive behaviors such as not taking care of personal
fy fy fy fy fy fy fy fy fy fy fy fy fy
hygiene and/or appearance and does not progress through the mourning process, this is
fy fy fy fy fy fy fy fy fy fy fy fy fy
complicated grief.
fy fy
If a patient has had a myocardial infarction, which of the following atypical
fy fy fy fy fy fy fy fy fy fy fy fy
antidepressants should not be prescribed within the recovery phase?
fy fy fy fy fy fy fy fy fy
Trazodone
fy
Duloxetine
fy
Bupropion
fy
Desvenlafaxine - -Correct Answer:
fy fy fy fy
Trazodone
fy
,RATIONALE: If a patient has had a myocardial infarction, during the recovery phase,the fy fy fy fy fy fy fy fy fy fy fy fy fy
patient should not be prescribed this medication. Trazodone (Desyrel) can cause the
fy fy fy fy fy fy fy fy fy fy fy fy
patient to develop orthostatic hypotension and priapism.
fy fy fy fy fy fy fy
To get your teaching ideas and concepts across to a poor reader which of the followingwould
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
be most appropriate?
fy fy fy
Use longer sentences.
fy fy fy
Use abstract concepts.
fy fy fy
Discourage questioning.
fy fy
Use examples and review. - -Correct Answer:
fy fy fy fy fy fy fy
Use examples and review.
fy fy fy fy
RATIONALE: To get the idea across to a poor reader use examples and review. The other fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
choices are not helpful. You should use short sentences and easy to read layouts;be
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
concrete rather than abstract; and teach them how to ask questions about their health.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
Also, tell context first and use visual, use common words and examples, and explain
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
meaning.
fy
A 21-year old woman presents with complaints of milky discharge from her breasts. She
fy fy fy fy fy fy fy fy fy fy fy fy fy
doesn't have any other symptoms and is not pregnant, nor has been before. She tells the
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
nurse about each medication that she takes. Which of these drugs may be implicated as
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
the cause of the symptom?
fy fy fy fy fy
aspirin
fy
Lamotrigine
fy
Risperidone
fy
sertraline - -Correct Answer:
fy fy fy fy
Risperidone
fy
RATIONALE: Risperidone can cause the greatest prolactin elevation among atypical fy fy fy fy fy fy fy fy fy
psychotics. A milky white discharge known as galactorrhea could be a sign of an underlying
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
condition. The fact that the woman takes Risperidone, an atypical antipsychotic, would
fy fy fy fy fy fy fy fy fy fy fy fy
likely point to the cause and should be switched with one less likelyto have that same side
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
effect.
fy
Which of the following would be considered one of the main things that is responsiblefor
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
about 2/3 of psychiatric hospital readmissions?
fy fy fy fy fy fy
Not sufficient care.
fy fy fy
Medication noncompliance
fy fy
Biophysical assessments
fy fy
None of the above - -Correct Answer:
fy fy fy fy fy fy fy
Medication noncompliance
fy fy
RATIONALE: Medication noncompliance is a major problem with the psychiatric mental fy fy fy fy fy fy fy fy fy fy
health patients. The home health nurses assists by helping the patients
fy fy fy fy fy fy fy fy fy fy fy
to see the relationship between their compliance with their medication regimen andcontrol
fy fy fy fy fy fy fy fy fy fy fy fy
of their symptoms.
fy fy fy
,Which of the following would be considered an important form of communication that
fy fy fy fy fy fy fy fy fy fy fy fy
can help to promote consistency in the care of the patient at the
fy fy fy fy fy fy fy fy fy fy fy fy fy
same time that it justifies their stay in the hospital?
fy fy fy fy fy fy fy fy fy
Review of care.
fy fy fy
Documentation
fy
Verbal reporting
fy fy
None of the above - -Correct Answer:
fy fy fy fy fy fy fy
Documentation
fy
RATIONALE: The other 3 options above are incorrect. fy fy fy fy fy fy fy
One of the most important aspects of nursing is documentation. Documentation can
fy fy fy fy fy fy fy fy fy fy fy
promote consistency in the care of the patient and is also used to help justify the patient
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
remaining in the hospital.
fy fy fy fy
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
fy fy fy fy fy fy fy fy fy fy fy fy fy
following except?
fy fy
Vomiting
fy
Respiratory failure
fy fy
Hypertensive crisis
fy fy
Seizures - -Correct Answer:
fy fy fy fy
Hypertensive crisis
fy fy
RATIONALE: Hypertensive crisis would be considered a symptom of PCP overdose. fy fy fy fy fy fy fy fy fy fy
Vomiting, respiratory failure and seizures would be considered an effectof fy fy fy fy fy fy fy fy fy fy
LSD overdose.
fy fy
Symptoms of serotonin syndrome include all of the following EXCEPT: fy fy fy fy fy fy fy fy fy
insomnia
fy
nausea
fy
loss of coordination
fy fy fy
sweating or shivering with goose bumps - -Correct Answer:
fy fy fy fy fy fy fy fy fy
nausea
fy
Symptoms of serotonin syndrome can present in patients that have drug combinationsthat fy fy fy fy fy fy fy fy fy fy fy fy
are contraindicated. They can vary from restlessness and agitation to tremors, chills,
fy fy fy fy fy fy fy fy fy fy fy fy
headaches, and insomnia as well as loss of coordination. Nausea has not beenimplicated
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
in serotonin syndrome.
fy fy fy
What is the rate of suicide attempts for patients having dissociative identity disorder?
fy fy fy fy fy fy fy fy fy fy fy fy
30%
fy
45%
fy
70%
fy
60% - -Correct Answer:
fy fy fy fy
70%
fy
, RATIONALE: People with dissociative identity disorder have one of the highest risks for fy fy fy fy fy fy fy fy fy fy fy fy
suicide. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-
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5),more than 70% of outpatients with DID have attempted suicide, and multiple suicide
fy fy fy fy fy fy fy fy fy fy fy fy fy
attempts are common.
fy fy fy
Of the following, which would not be considered a phase of schizophrenia treatment?
fy fy fy fy fy fy fy fy fy fy fy fy
Maintenance
fy
Acute
fy
Cognitive
fy
Stabilization - -Correct Answer:
fy fy fy fy
Cognitive
fy
RATIONALE: Cognitive is not one of the three phases of schizophrenia treatment.The fy fy fy fy fy fy fy fy fy fy fy fy
three phases are:
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Phase 1: acute f y f y
Phase 2: stabilization
fy fy fy
Phase 3: maintenance
fy fy fy
The patient should be monitored for effects of psychotropic medications which canimpact
fy fy fy fy fy fy fy fy fy fy fy fy
cardiac rhythms. Which of the following could be a potential
fy fy fy fy fy fy fy fy fy fy
cardiac side effect? fy fy
A prolonged QT interval
fy fy fy fy
Narrowing of the QRS
fy fy fy fy
Both A and B
fy fy fy fy
None of the above - -Correct Answer:A
fy fy fy fy fy fy fy fy
prolonged QT interval
fy fy fy
RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These fy fy fy fy fy fy fy fy fy fy
medications can cause a widening of the QRS or a prolonged QT interval.
fy fy fy fy fy fy fy fy fy fy fy fy fy
This is a measure of the ventricular repolarization.
fy fy fy fy fy fy fy
Sullivan described three developmental cognitive modes of experience and believedthat
fy fy fy fy fy fy fy fy fy fy
mental disorders are related to the persistence of one of the early modes. The mode that
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
begins in early childhood as the child begins to connect experiences in sequence is which
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
of the following?
fy fy fy
prototaxic mode
fy fy
parataxic mode
fy fy
syntaxic mode
fy fy
composite mode - -Correct Answer:
fy fy fy fy fy
parataxic mode
fy fy
RATIONALE: The parataxic mode begins in early childhood. The child may not make fy fy fy fy fy fy fy fy fy fy fy fy
logical sense of the experiences and may see them as coincidence or chance events. The
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
child seeks to relieve anxiety by repeating familiar experiences, although he or shemay not
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
understand what he or she is doing.
fy fy fy fy fy fy fy
