NRNP 6665 / NRNP6665 Final Test
Questions | () Questions
and Verified Answers
Question:
Learning disorders affect at least 5% of all school-aged children in the United
States. Since 1975, Public Law 94-142 mandates that all states provide free,
appropriate services to all children. Among the various types of learning
disorders, the PMHNP knows that the overwhelming majority are:
Answer:
A. Reading disorders
B. Mathematics disorders
C. Disorders of written expression
D. Learning disorders not otherwise specified (NOS)
Question:
The PMHNP has been trained in custody evaluations and is preparing to
perform his first evaluation as a guardian ad litem. The case involves a 6-year-
old boy and his 4-year-old sister. The parents are very angry and not able to
talk or come to any agreements at all. Both parents want full custody and
support from the other parent, both of whom are working professionals. After
interviewing each party alone and then conducting a family interview, the
PMHNP reviews all records made available, including the legal filings and
petitions. There are no allegations of abuse or neglect or unsuitability from
,either parent; they just each want full custody. In addition to considering the
best interests of the children, the PMHNP knows that the elements
considered by the court will include all the following except the:
Answer:
A. Children's current adjustment to home, school, and community
B. Wishes of the children and parents
C. Physical health of parents and children
D. Parent's degree of financial resources
Question:
Marion is a 17-year-old female who has been referred by her high school
guidance counselor for evaluation. The counselor is concerned that Marion
has an eating disorder because she has seen her in the bathroom on several
occasions vomiting, but there is no other indicator of illness like fever or
missing school days. When considering the diagnosis of anorexia nervosa, the
PMHNP knows that all of the following must be present except:
Answer:
A. A voluntary, unhealthy degree of weight loss and maintenance
B. An intense fear of becoming fat
C. Some form of disorder of menstruation
D. Symptoms present for at least 3 months
Question:
Ryan is a 6-year-old male who is being evaluated because his pediatrician is
concerned that he demonstrates a marked inability to perform the daily
,motor skills consistent with what is expected at his age. At the age of 3 he was
assessed due to delay in developmental milestones and was found to have an
IQ of 68, consistent with mild mental retardation. When interpreting his
motor coordination today, the PMHNP considers that:
Answer:
A. Deficits in coordination are consistent with mental retardation; mental
retardation precludes a diagnosis of developmental coordination disorder
B. This diagnosis is unlikely for Ryan as developmental coordination disorder
is almost exclusively a diagnosis of females
C. Gross motor problems are often associate with comorbid language
disturbance
D. Secondary peer relationship problems are common in children with
developmental coordination disorder
Question:
Kelly is a 14-year-old female who has finally been referred for management of
anorexia nervosa. She was diagnosed almost 1 year ago with the food-
restricting subtype, but attempts to get her into psychiatric care were
unsuccessful. She continues to be resistant but her caloric intake is now < 400
daily and she finally appears to be unable to sustain the supraphysiologic
levels of exercise that she has maintained to try and "keep her weight down."
She is 5'2" tall and weighs 82 lbs., which is approximately 75% of ideal body
weight for her height. Her vital signs are stable and surprisingly there are no
profound laboratory or ECG abnormalities. When counseling Kelly and her
parents about the recommended course of treatment, the PMHNP advises
that Kelly will require:
Answer:
A. Intensive dynamic psychotherapy to alter eating behavior
B. Hospitalization for controlled weight gain
, C. Pharmacotherapy with selective serotonin reuptake inhibitors
D. Family therapy to include all members living in the home
Question:
Rumination is a feeding disorder most commonly seen in infants, but it can
occur at any point in the lifespan. Characteristic findings in infants include:
Answer:
A. Resultant soothing
B. Comorbid hiatal hernia
C. Failure to thrive
D. Onset at 4-6 weeks of age
Question:
neural tube defects
Answer:
malformations of the brain, spinal cord, or both during embryonic
development that often result in lifelong disability or death
Question:
Ms. Stevenson is a 21-year-old woman who brings her 3-week-old infant to the
PMHNP for an "emergency" evaluation. Ms. Stevenson has a 2-year-old who
was diagnosed with rumination disorder when he was 10 months old and had
to be hospitalized for tube feedings while the family started treatment. Ms.
Questions | () Questions
and Verified Answers
Question:
Learning disorders affect at least 5% of all school-aged children in the United
States. Since 1975, Public Law 94-142 mandates that all states provide free,
appropriate services to all children. Among the various types of learning
disorders, the PMHNP knows that the overwhelming majority are:
Answer:
A. Reading disorders
B. Mathematics disorders
C. Disorders of written expression
D. Learning disorders not otherwise specified (NOS)
Question:
The PMHNP has been trained in custody evaluations and is preparing to
perform his first evaluation as a guardian ad litem. The case involves a 6-year-
old boy and his 4-year-old sister. The parents are very angry and not able to
talk or come to any agreements at all. Both parents want full custody and
support from the other parent, both of whom are working professionals. After
interviewing each party alone and then conducting a family interview, the
PMHNP reviews all records made available, including the legal filings and
petitions. There are no allegations of abuse or neglect or unsuitability from
,either parent; they just each want full custody. In addition to considering the
best interests of the children, the PMHNP knows that the elements
considered by the court will include all the following except the:
Answer:
A. Children's current adjustment to home, school, and community
B. Wishes of the children and parents
C. Physical health of parents and children
D. Parent's degree of financial resources
Question:
Marion is a 17-year-old female who has been referred by her high school
guidance counselor for evaluation. The counselor is concerned that Marion
has an eating disorder because she has seen her in the bathroom on several
occasions vomiting, but there is no other indicator of illness like fever or
missing school days. When considering the diagnosis of anorexia nervosa, the
PMHNP knows that all of the following must be present except:
Answer:
A. A voluntary, unhealthy degree of weight loss and maintenance
B. An intense fear of becoming fat
C. Some form of disorder of menstruation
D. Symptoms present for at least 3 months
Question:
Ryan is a 6-year-old male who is being evaluated because his pediatrician is
concerned that he demonstrates a marked inability to perform the daily
,motor skills consistent with what is expected at his age. At the age of 3 he was
assessed due to delay in developmental milestones and was found to have an
IQ of 68, consistent with mild mental retardation. When interpreting his
motor coordination today, the PMHNP considers that:
Answer:
A. Deficits in coordination are consistent with mental retardation; mental
retardation precludes a diagnosis of developmental coordination disorder
B. This diagnosis is unlikely for Ryan as developmental coordination disorder
is almost exclusively a diagnosis of females
C. Gross motor problems are often associate with comorbid language
disturbance
D. Secondary peer relationship problems are common in children with
developmental coordination disorder
Question:
Kelly is a 14-year-old female who has finally been referred for management of
anorexia nervosa. She was diagnosed almost 1 year ago with the food-
restricting subtype, but attempts to get her into psychiatric care were
unsuccessful. She continues to be resistant but her caloric intake is now < 400
daily and she finally appears to be unable to sustain the supraphysiologic
levels of exercise that she has maintained to try and "keep her weight down."
She is 5'2" tall and weighs 82 lbs., which is approximately 75% of ideal body
weight for her height. Her vital signs are stable and surprisingly there are no
profound laboratory or ECG abnormalities. When counseling Kelly and her
parents about the recommended course of treatment, the PMHNP advises
that Kelly will require:
Answer:
A. Intensive dynamic psychotherapy to alter eating behavior
B. Hospitalization for controlled weight gain
, C. Pharmacotherapy with selective serotonin reuptake inhibitors
D. Family therapy to include all members living in the home
Question:
Rumination is a feeding disorder most commonly seen in infants, but it can
occur at any point in the lifespan. Characteristic findings in infants include:
Answer:
A. Resultant soothing
B. Comorbid hiatal hernia
C. Failure to thrive
D. Onset at 4-6 weeks of age
Question:
neural tube defects
Answer:
malformations of the brain, spinal cord, or both during embryonic
development that often result in lifelong disability or death
Question:
Ms. Stevenson is a 21-year-old woman who brings her 3-week-old infant to the
PMHNP for an "emergency" evaluation. Ms. Stevenson has a 2-year-old who
was diagnosed with rumination disorder when he was 10 months old and had
to be hospitalized for tube feedings while the family started treatment. Ms.
