NR 668 Final Exam Questions and Answers
Psychology
1. 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?:
Provide toys and allow the child to play
2. Which eating disorder is considered ego syntonic?:
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.)
3. 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?: Sertraline
4. 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?: Psychomotor agitation
5. 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?: Expressive language disorder
6. 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 mile- stones.
She loves arts and crafts and physical education. Prior to
diagnosing a learning disorder, which of the following
screening tests must be performed?-
: Vision and hearing
,7. Which disorder is associated with higher rates of ADHD,
enlarges testes, a long narrow face, hypotonia and short
stature?: Fragile X (Fragile X is associ- ated 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.)
, 8. 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 dis-
organization and forgetfulness. Otherwise she is socially
engaged and enjoys many activities. Which of the following is
the most likely diagnosis?: Attention deficit disorder
9. A pregnant woman with depression is reluctant to take
medication for fear of causing her baby neonatal abstinence
syndrome due to selective serotonin reuptake inhibitor (SSRI)
medication. Her husband states they would like to use a faith
healer instead. Which of the following is most accurate
regarding the prognosis of depression during pregnancy?:
The actual course of depres- sion cannot be predicted
10. Which of the following statements regarding intellectual
developmental disorder is false?: IQ test scores remain the gold
standard for determining intellec- tual disability (IQ test scores are
not the gold standard for determining intellectual disability.
Furthermore, IQ tests fail to asses reasoning in real life scenarios
and fail to measure mastery of practical tasks despite measuring
conceptual capacity.)
Psychology
1. 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?:
Provide toys and allow the child to play
2. Which eating disorder is considered ego syntonic?:
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.)
3. 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?: Sertraline
4. 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?: Psychomotor agitation
5. 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?: Expressive language disorder
6. 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 mile- stones.
She loves arts and crafts and physical education. Prior to
diagnosing a learning disorder, which of the following
screening tests must be performed?-
: Vision and hearing
,7. Which disorder is associated with higher rates of ADHD,
enlarges testes, a long narrow face, hypotonia and short
stature?: Fragile X (Fragile X is associ- ated 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.)
, 8. 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 dis-
organization and forgetfulness. Otherwise she is socially
engaged and enjoys many activities. Which of the following is
the most likely diagnosis?: Attention deficit disorder
9. A pregnant woman with depression is reluctant to take
medication for fear of causing her baby neonatal abstinence
syndrome due to selective serotonin reuptake inhibitor (SSRI)
medication. Her husband states they would like to use a faith
healer instead. Which of the following is most accurate
regarding the prognosis of depression during pregnancy?:
The actual course of depres- sion cannot be predicted
10. Which of the following statements regarding intellectual
developmental disorder is false?: IQ test scores remain the gold
standard for determining intellec- tual disability (IQ test scores are
not the gold standard for determining intellectual disability.
Furthermore, IQ tests fail to asses reasoning in real life scenarios
and fail to measure mastery of practical tasks despite measuring
conceptual capacity.)
