NR 606 Midterm Exam Newest Exam Preparation
Newest With Complete Questions And Correct Detailed
Answers| Brand New Version
What is the treatment for DMDD? - answer;-Treatment options for DMDD include CBT, IBT , parent
training and medication
Although medications may help manage symptoms, most medications for DMDD have not been studied
in-depth and have not been approved for DMDD treatment by the U.S. Food and Drug Administration
(FDA).
Medication classes commonly used in DMDD treatment include stimulant medications, which can help
decrease irritability.
Antidepressants can assist with irritability and other mood problems associated with DMDD.
Atypical antipsychotics are also used to help control severe outbursts of temper, especially those
involving aggression towards people or property.
What is separation anxiety disorder? - answer;-Separation anxiety disorder occurs when a child
experiences intense or prolonged worry or fear about being separated from family members or other
,individuals with whom the child is close. The condition may be triggered by stress that leads to
separation from a loved one and is diagnosed when symptoms are excessive for the developmental age
and interfere with daily functioning.
Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom
the individual is attached, as evidenced by AT LEAST THREE of the following:
Recurrent excessive distress when anticipating or experiencing separation from home or from major
attachment figures,
Persistent and excessive worry about losing major attachment figures or about possible harm to them,
such as illness, injury, disasters, or death
Persistent and excessive worry about experiencing an untoward event (e.g., getting lost, being
kidnapped, having an accident, becoming ill) that causes separation from a major attachment figure
Persistent reluctance or refusal to go out, away from home, to school, to work, or elsewhere because of
fear of separation
Persistent and excessive fear of or reluctance about being alone or without major attachment figures at
home or in other settings
Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major
attachment figure, The fear, anxiety, or avoidance is persistent, lasting at least 4 weeks in children and
adolescents and typically 6 months or more in adults.
How long should symptoms of separation anxiety disorder be consistent before meeting diagnosis for
criteria? - answer;-the symptoms must be excessive and can last AT LEAST 4 WEEKS. It HAS to cause
major functional impairment in the childs life or developmental stage
Persistent or Intense fear of social situations, including performing in front of others, in which scrutiny,
embarrassment, or humiliation are possible. What phobia is this? - answer;-Social phobia!!!!
What are some s/s of social phobia in adolescents and how long should symptoms be present for
diagnosis? - answer;-Fear causes clinically significant distress and interferes with daily activities.
,Physical symptoms may include blushing, stammering, nausea, difficulty speaking, or a racing heart. In
children, social anxiety may manifest with tantrums, crying, clinging, freezing up, or withdrawing from
social situations.
Symptoms have to be present for
How long must symptoms be persistent for social anxiety disorder in children for diagnosis? - answer;-
To be diagnosed with social anxiety disorder, the symptoms must be consistently present in similar
situations for 6 months or longer and the anxiety must occur in settings with peers, not just during
interactions with adults (Elia, 2021)
Unrealistic excessive/persistent worry about everyday life for at least 6 months; characterized by
excessive or unrealistic worry about everyday life events that are out of proportion to the impact of the
events for at least 6 months. The
What anxiety disorder is this? - answer;-Generalized anxiety disorder
What are some s/s of GAD in children? Patients must have ONE or more symptoms to be diagnosed with
GAD & must cause significant impairment - answer;-Restlessness, easily fatigued, irritability, muscle
tension, sleep disturbance, nightmares, frequent urination, fidgeting, poor school performance, upset
stomach, mind going blank, difficulty concentrating
What diagnostic tool can be used to assess for GAD, SAD, and separation anxiety disorder in children? -
answer;-SCARED tool
Screen for Child Anxiety Related Disorders (SCARED) tool
A total score of ≥ 25 may indicate the presence of an Anxiety Disorder. Scores higher than 30 are more
specific.
A score of 7 for items 1, 6, 9, 12, 15, 18, 19, 22, 24, 27, 30, 34, 38 may indicate Panic Disorder or
Significant Somatic Symptoms.
, A score of 9 for items 5, 7, 14, 21, 23, 28, 33, 35, 37 may indicate Generalized Anxiety Disorder.
A score of 5 for items 4, 8, 13, 16, 20, 25, 29, 31 may indicate Separation Anxiety Disorder.
A score of 8 for items 3, 10, 26, 32, 39, 40, 41 may indicate Social Anxiety Disorder. A score of 3 for items
2, 11, 17, 36 may indicate Significant School Avoidance.
What is a common co-morbidity for these anxiety disorders? - answer;-DEPRESSION
What is the treatment for majority of these anxiety disorders? - answer;-·Treatment: CBT + (SSRI's)
Cognitive-behavioral therapy (CBT) is the most common psychotherapeutic approach.
First-line pharmacologic treatment is selective serotonin reuptake inhibitors (SSRIs).
Benzodiazepines are also used sometimes for short-term treatment, especially for certain specific
phobias such as fear of dental or medical treatments
____________ anxiety disorder in which an individual is unable to speak in certain social settings that
they find stressful, such as school or work, though they can communicate well in other settings such as
at home or with family.
It usually starts to appear between ages 2-4 and is more common in females - answer;-Selective mutism.
Diagnosis of selective mutism is based on the client's medical, developmental, and family history
As a PMHNP, what would be your recommendations for a child that is diagnosed with selective mutism?
- answer;-In addition to psychological treatment, treatment for SM may involve referral for speech and
language therapy
What is the DSM-5 criteria for O.C.D. in adolescents? - answer;-The obsessions and compulsions must
be time-consuming (>1 hour per day) and disrupt normal routines, functioning, or relationships.
While adults typically recognize that the obsessions and compulsions are excessive or unreasonable,
children may not have sufficient cognitive awareness, so this is not a required diagnostic criterion in
children.
Newest With Complete Questions And Correct Detailed
Answers| Brand New Version
What is the treatment for DMDD? - answer;-Treatment options for DMDD include CBT, IBT , parent
training and medication
Although medications may help manage symptoms, most medications for DMDD have not been studied
in-depth and have not been approved for DMDD treatment by the U.S. Food and Drug Administration
(FDA).
Medication classes commonly used in DMDD treatment include stimulant medications, which can help
decrease irritability.
Antidepressants can assist with irritability and other mood problems associated with DMDD.
Atypical antipsychotics are also used to help control severe outbursts of temper, especially those
involving aggression towards people or property.
What is separation anxiety disorder? - answer;-Separation anxiety disorder occurs when a child
experiences intense or prolonged worry or fear about being separated from family members or other
,individuals with whom the child is close. The condition may be triggered by stress that leads to
separation from a loved one and is diagnosed when symptoms are excessive for the developmental age
and interfere with daily functioning.
Developmentally inappropriate and excessive fear or anxiety concerning separation from those to whom
the individual is attached, as evidenced by AT LEAST THREE of the following:
Recurrent excessive distress when anticipating or experiencing separation from home or from major
attachment figures,
Persistent and excessive worry about losing major attachment figures or about possible harm to them,
such as illness, injury, disasters, or death
Persistent and excessive worry about experiencing an untoward event (e.g., getting lost, being
kidnapped, having an accident, becoming ill) that causes separation from a major attachment figure
Persistent reluctance or refusal to go out, away from home, to school, to work, or elsewhere because of
fear of separation
Persistent and excessive fear of or reluctance about being alone or without major attachment figures at
home or in other settings
Persistent reluctance or refusal to sleep away from home or to go to sleep without being near a major
attachment figure, The fear, anxiety, or avoidance is persistent, lasting at least 4 weeks in children and
adolescents and typically 6 months or more in adults.
How long should symptoms of separation anxiety disorder be consistent before meeting diagnosis for
criteria? - answer;-the symptoms must be excessive and can last AT LEAST 4 WEEKS. It HAS to cause
major functional impairment in the childs life or developmental stage
Persistent or Intense fear of social situations, including performing in front of others, in which scrutiny,
embarrassment, or humiliation are possible. What phobia is this? - answer;-Social phobia!!!!
What are some s/s of social phobia in adolescents and how long should symptoms be present for
diagnosis? - answer;-Fear causes clinically significant distress and interferes with daily activities.
,Physical symptoms may include blushing, stammering, nausea, difficulty speaking, or a racing heart. In
children, social anxiety may manifest with tantrums, crying, clinging, freezing up, or withdrawing from
social situations.
Symptoms have to be present for
How long must symptoms be persistent for social anxiety disorder in children for diagnosis? - answer;-
To be diagnosed with social anxiety disorder, the symptoms must be consistently present in similar
situations for 6 months or longer and the anxiety must occur in settings with peers, not just during
interactions with adults (Elia, 2021)
Unrealistic excessive/persistent worry about everyday life for at least 6 months; characterized by
excessive or unrealistic worry about everyday life events that are out of proportion to the impact of the
events for at least 6 months. The
What anxiety disorder is this? - answer;-Generalized anxiety disorder
What are some s/s of GAD in children? Patients must have ONE or more symptoms to be diagnosed with
GAD & must cause significant impairment - answer;-Restlessness, easily fatigued, irritability, muscle
tension, sleep disturbance, nightmares, frequent urination, fidgeting, poor school performance, upset
stomach, mind going blank, difficulty concentrating
What diagnostic tool can be used to assess for GAD, SAD, and separation anxiety disorder in children? -
answer;-SCARED tool
Screen for Child Anxiety Related Disorders (SCARED) tool
A total score of ≥ 25 may indicate the presence of an Anxiety Disorder. Scores higher than 30 are more
specific.
A score of 7 for items 1, 6, 9, 12, 15, 18, 19, 22, 24, 27, 30, 34, 38 may indicate Panic Disorder or
Significant Somatic Symptoms.
, A score of 9 for items 5, 7, 14, 21, 23, 28, 33, 35, 37 may indicate Generalized Anxiety Disorder.
A score of 5 for items 4, 8, 13, 16, 20, 25, 29, 31 may indicate Separation Anxiety Disorder.
A score of 8 for items 3, 10, 26, 32, 39, 40, 41 may indicate Social Anxiety Disorder. A score of 3 for items
2, 11, 17, 36 may indicate Significant School Avoidance.
What is a common co-morbidity for these anxiety disorders? - answer;-DEPRESSION
What is the treatment for majority of these anxiety disorders? - answer;-·Treatment: CBT + (SSRI's)
Cognitive-behavioral therapy (CBT) is the most common psychotherapeutic approach.
First-line pharmacologic treatment is selective serotonin reuptake inhibitors (SSRIs).
Benzodiazepines are also used sometimes for short-term treatment, especially for certain specific
phobias such as fear of dental or medical treatments
____________ anxiety disorder in which an individual is unable to speak in certain social settings that
they find stressful, such as school or work, though they can communicate well in other settings such as
at home or with family.
It usually starts to appear between ages 2-4 and is more common in females - answer;-Selective mutism.
Diagnosis of selective mutism is based on the client's medical, developmental, and family history
As a PMHNP, what would be your recommendations for a child that is diagnosed with selective mutism?
- answer;-In addition to psychological treatment, treatment for SM may involve referral for speech and
language therapy
What is the DSM-5 criteria for O.C.D. in adolescents? - answer;-The obsessions and compulsions must
be time-consuming (>1 hour per day) and disrupt normal routines, functioning, or relationships.
While adults typically recognize that the obsessions and compulsions are excessive or unreasonable,
children may not have sufficient cognitive awareness, so this is not a required diagnostic criterion in
children.
