2025 NRNP 6665 MIDTERM EXAM

Question 1 A Relaxation therapy . B Social skills training . C Motivational . Interviewing D Applied behavioral . analysis Question 2 A The child’s clinical presentation fulfills the specific symptom based . diagnostic criteria. B The child’s symptoms are not caused by other diagnoses or stressors. . C The child’s symptoms are impairing a child’s functioning in at least two . settings. D A and B . Question 3 A Allow child to keep a cell phone at bedside. . B Establish bedtime routines and maintain consistently. . C Limit use of electronics in the evening i.e., television, . computer, etc. D Set and maintain a bedtime that will allow for adequate . sleep. Question 4 Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies? According to the APA which of the following are required to support a child’s DSM- 5 diagnosis? Which of the following is NOT consistent with good sleep hygiene? Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight? A Aripiprazole (Abilify) . B Ziprasidone . (Geodon) C Haloperidol (Haldol) . D Risperidone . (Risperdal) Question 5 A Safety . B Bullying . C Conduct disorder . D Oppositional defiant . disorder Question 6 A Substance use disorder . B Substance withdrawal . C Substance tolerance . D Substance induced mental . disorder Question 7 A Become a surrogate decision maker for the patient. . B Consult a formally-designated surrogate for patient choices. When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories? The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you started using?” to screen for which of the following diagnostic possibilities? When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following? . C Make safe choices for the patient based on the nurse’s beliefs . and values. D Continue to support all the patient’s choices until a surrogate . can be found. Question 8 A Obsessive -compulsive . disorder B Posttraumatic stress . disorder C Panic disorder . D Separation anxiety . disorder Question 9 A Ziprasidone . (Geodon) B Aripiprazole . (Abilify) C Olanzapine . (Zyprexa) D Quetiapine . (Seroquel) Question 10 A Bipolar II Disorder . B Cyclothymic Disorder . When assessing a child who has presented with concerns of being anxious and worried, the provider asks the child “Do you get sudden surges of fear that make your body feel shaky or your heart race?” to screen for which of the following common diagnostic possibilities? Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes? A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis? C Bipolar I Disorder, mixed . episode D Bipolar I Disorder, cyclothymic . type Question 11 Which of the following is NOT true about symptomatology of anorexia nervosa? A Most aberrant behaviors directed toward losing weight occurs in secret. . B All patients have an intense fear of gaining weight and becoming obese. . C Most patients with anorexia nervosa will have no difficulty eating with their family in . public places. D Fear of gaining weight and becoming obese frequently contributes to the individual’s . lack of interest in and resistance to therapy/treatment. Question 12 Sleep-related hallucinations occurring at sleep onset are known as which of the following? A Hypnagogic . B Hypnopompic . C Complex . hallucinations D Paranormal . hallucinations Question 13 A Cognitive theory . B Psychosocial theory . C Psychodynamic theory . D Learned helplessness . theory The theory that depression results from specific thought distortions is consistent with which of the following? Question 14 A Stigma associated with mental health . B Poor problem recognition . C Limited availability of mental health . specialists D All of the above . Question 15 A Asking about a child and caregiver’s cultural understanding is an efficient way to . build a therapeutic alliance. B While cultural understanding is important, it is important not to personalize the . diagnosis. C While obtaining cultural information is important, it may increase bias and thus . decrease accuracy of the assessment. D Engaging in a discussion about culture, while interesting and engaging, is a . distraction from the problem that brought the child and caregiver to the provider. Question 16 A Integrity . B Justice . C Beneficence . D Nonmalefice . nce Question 17 Reasons for the underuse of specific mental health treatments during childhood include which of the following? Which of the following is true regarding the cultural formulation interview with a child and caregiver? According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles? Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight? A Fluoxetine . (Prozac) B Trazodone . (Desyrel) C Amitriptyline . (Elavil) D Venlafaxine . (Effexor) Question 18 Which of the following is the most common eating disorder? A Bulimia nervosa . B Anorexia nervosa . C Binge eating . disorder D Night eating . syndrome Question 19 A Ages 0–5 . B Ages 6– . 12 C Ages 13– . 18 D Ages 18+ . Question 20 A Suicidality . B Bipolar disorder ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges? The clinician asks the child who is being seen for labile mood “Have you felt really down depressed or uninterested in things you used to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories? . C Major depressive disorder . D Disruptive mood dysregulation . disorder Question 21 A Bulimia nervosa . B Anorexia nervosa . C Binge eating . disorder D Night eating . syndrome Question 22 A Mood-congruent manic delusion . B Mood-incongruent manic . delusion C Mood-congruent manic . hallucination D Mood-incongruent manic . hallucination Question 23 A Group CBT . B Trauma-Focused CBT . C Motivational Interviewing Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following? A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following? . D Dialectical-behavioral . therapy Question 24 A If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial . Interventions. B If a child/adolescent has mild symptoms, initiate psychotropic medication at the . same time as appropriate psychosocial interventions are started. If a child/adolescent has moderate to severe range of symptoms initiate psychotropic C medication at the same time as the appropriate psychosocial interventions are . started. D If a child/adolescent has a moderate to severe range of symptoms initiate . psychotropic medication prior to initiating psychosocial interventions. Question 25 A Cognitive behavioral therapy . (CBT) B Trauma-focused CBT . C Motivational interviewing . D Dialectical-behavioral therapy . Question 26 A 4–6 . weeks B 3–6 . months C 1–2 years . D 8–10 Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions? The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following? The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following? . years Question 27 A Motivational interviewing . B Dialectical-behavioral therapy . C Cognitive behavioral therapy . (CBT) D Behavioral management . training Question 28 A Stage . 1 B Stage . 2 C Stage . 3 D Stage . 4 Question 29 A Fidelity . B Autonomy . C Beneficence . D Nonmalefice . nce Question 30 A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors. Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep? The right to assent of dissent from treatment for a child or adolescent is reflected in which of the following American Academy of Child and Adolescent Psychiatry ethical issues? A Address any acute safety concerns . B Obtain any necessary professional . assistance C Develop a prevention plan for future . crises D A and B . Question 31 A Conduct disorder . B Autism spectrum disorder . C Generalized anxiety disorder . D Attention-deficit/hyperactivity . disorder Question 32 A Dysthymia . B Cyclothymia . C Major Depression, subacute, . recurrent D Bipolar II disorder . Question 33 A Overeating and In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following? A 10-year-old child presents with developmentally inappropriate and persistent difficulty with inattention with symptoms which are interfering with academic goals and in social settings. This is consistent with which of the following diagnoses? A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with which of the following diagnoses? Examples of atypical features in a patient with Major Depressive Episode include which of the following? . oversleeping B Loss of appetite . C Insomnia . D Sleep walking . Question 34 Somnambulism is characterized by which of the following? A Waking from sleep/naps with vivid recall of intensely frightening dreams . B A sleep-wake pattern out of synchrony with the desired sleep-wake schedule . C Excessive daytime sleepiness or sleep attacks . D Repeated episodes of rising from bed and walking about for between several minutes . to a half hour during nocturnal sleep Question 35 A Bulimia nervosa . B Anorexia nervosa . C Encopresis . D Autism spectrum . disorder Question 36 A Sertraline . B Fluoxetine . C Duloxetine