NURS 6660 MIDTERM WITH ANSWERS
NURS 6660 midterm exam questions with
answers
Question 1
Which of the following statements is true with respect to children who present to care
acutely due to violent, enraged behavior?
A. Under no circumstances should the PMHNP approach this patient.
B. Prepubertal children typically require medication as they are too young to
respond to conversation.
C. Children who have a history of repeated, self-limited, severe tantrums require
at least a 72-hour admission.
D. If the child appears to be calming down in the emergency area, the clinician
may ask the child for his version of events.
Correct Answer ✅ :C
Question 2
Phillip is a 5-year-old boy who is in care after being referred for failure to speak at
school. He has been in kindergarten for 5 months, and initially his teacher thought
he was just shy, so she did not focus on him. However, it has become increasingly
apparent that he flat out will not speak at school. Phillip’s parents are adamant that
there is not any problem at home and that Phillip talks with them and his older
sister routinely. Further assessment reveals that he has always been extremely shy
and that he doesn’t like it when people make a fuss over him. The PMHNP
suspects that Phillip has selective mutism, which is closely related to:
A. A history of sexual abuse
B. Fetal alcohol syndrome
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, NURS 6660 MIDTERM WITH ANSWERS
C. Early onset schizophrenia D.
Social anxiety disorder
Correct Answer ✅ :D
Question 3
Jason is a 17-month-old male who is referred for evaluation of an unusually high
level of irritability. His mother says he cries ―all the time,‖ and sometimes he just
cannot be comforted; Jason’s pediatrician felt that the complaint warranted an
evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability
should include all the following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Correct Answer ✅ :D
Question 4
Treatment of abused children is multimodal and long term. The single most
important aspect of treatment is:
A. Establishing a safe place for the child
B. Exposure related to the feared experience
C. Psychoeducation
D. Cognitive-behavioral interventions
Correct Answer ✅ :D
Question 5
Having child and adolescent patients rate their feelings and moods on a scale of 1–
10 is most effective in which age group?
A. 18-months to 3 years
B. 3 to 5 years
C. 5 to 11 years
pg. 2
, NURS 6660 MIDTERM WITH ANSWERS
D. 12 to 17 years
Correct Answer ✅ :C
Question 6
The PMHNP is evaluating his data for the assessment of Eric, a 23-month-old
male who was referred because he is having nightmares to the extent that most
nights he is waking up family members with his crying and screaming. In addition
to the clinical interview with the parents and patient, developmental assessment,
and standardized tools, the assessment should include:
A. Review of a video recording of a nightmare event and Eric’s immediate
response
B. Age-appropriate interview, e.g., ―If you had three wishes, what would they
be?‖
C. Observation of Eric in a playroom where he is unaware that he is being
watched
D. Partially open-ended questions that provide some focus but allow expression
of feeling
Correct Answer ✅ :A
Question 7
What is the primary diagnostic difference between obsessive-compulsive disorders
in children as compared to adults?
A. Age of onset
B. Response to treatment
C. Recognition that the thoughts or behaviors are irrational
D. The thoughts or behaviors occupy > 1 hour daily
Correct Answer ✅ :A
Question 8
Psychiatric assessment of children and adolescents is best achieved by a
combination of tools and techniques best suited to the child’s age and
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, NURS 6660 MIDTERM WITH ANSWERS
developmental stage. When interviewing a 10-year-old, the PMHNP may have the
best success by having the patient:
A. Talk with the examiner via dolls
B. Respond to open-ended questions
C. Draw family members and peers
D. Complete an MMPI
Correct Answer ✅ :B
Question 9
The clinical interview is an important part of psychiatric assessment and should be
conducted early in the diagnostic process. However, a comprehensive assessment
should include other information-gathering modalities because the clinical
interview:
A. Does not offer flexibility in understanding the evolution of the problem
B. Frequently deemphasizes the influence of environmental factors
C. May not systematically cover all psychiatric diagnostic categories
D. Creates a dialogue in which patients cannot give subjective responses
Correct Answer ✅ :C
Question 10
Comprehensive psychiatric assessment ultimately requires the integration of
biological predisposition, psychodynamic factors, environmental factors, and life
events. These factors, along with a mental status exam, developmental assessment,
and any appropriate standardized testing is collectively referred to as:
A. Neuropsychiatric assessment
B. Biopsychosocial formulation
C. The Physical and Neurological Examination of Soft Signs (PANESS)
D. Kaufman Assessment Battery for Children
Correct Answer ✅ :B
pg. 4
NURS 6660 midterm exam questions with
answers
Question 1
Which of the following statements is true with respect to children who present to care
acutely due to violent, enraged behavior?
A. Under no circumstances should the PMHNP approach this patient.
B. Prepubertal children typically require medication as they are too young to
respond to conversation.
C. Children who have a history of repeated, self-limited, severe tantrums require
at least a 72-hour admission.
D. If the child appears to be calming down in the emergency area, the clinician
may ask the child for his version of events.
Correct Answer ✅ :C
Question 2
Phillip is a 5-year-old boy who is in care after being referred for failure to speak at
school. He has been in kindergarten for 5 months, and initially his teacher thought
he was just shy, so she did not focus on him. However, it has become increasingly
apparent that he flat out will not speak at school. Phillip’s parents are adamant that
there is not any problem at home and that Phillip talks with them and his older
sister routinely. Further assessment reveals that he has always been extremely shy
and that he doesn’t like it when people make a fuss over him. The PMHNP
suspects that Phillip has selective mutism, which is closely related to:
A. A history of sexual abuse
B. Fetal alcohol syndrome
pg. 1
, NURS 6660 MIDTERM WITH ANSWERS
C. Early onset schizophrenia D.
Social anxiety disorder
Correct Answer ✅ :D
Question 3
Jason is a 17-month-old male who is referred for evaluation of an unusually high
level of irritability. His mother says he cries ―all the time,‖ and sometimes he just
cannot be comforted; Jason’s pediatrician felt that the complaint warranted an
evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability
should include all the following except:
A. A comprehensive medical assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
Correct Answer ✅ :D
Question 4
Treatment of abused children is multimodal and long term. The single most
important aspect of treatment is:
A. Establishing a safe place for the child
B. Exposure related to the feared experience
C. Psychoeducation
D. Cognitive-behavioral interventions
Correct Answer ✅ :D
Question 5
Having child and adolescent patients rate their feelings and moods on a scale of 1–
10 is most effective in which age group?
A. 18-months to 3 years
B. 3 to 5 years
C. 5 to 11 years
pg. 2
, NURS 6660 MIDTERM WITH ANSWERS
D. 12 to 17 years
Correct Answer ✅ :C
Question 6
The PMHNP is evaluating his data for the assessment of Eric, a 23-month-old
male who was referred because he is having nightmares to the extent that most
nights he is waking up family members with his crying and screaming. In addition
to the clinical interview with the parents and patient, developmental assessment,
and standardized tools, the assessment should include:
A. Review of a video recording of a nightmare event and Eric’s immediate
response
B. Age-appropriate interview, e.g., ―If you had three wishes, what would they
be?‖
C. Observation of Eric in a playroom where he is unaware that he is being
watched
D. Partially open-ended questions that provide some focus but allow expression
of feeling
Correct Answer ✅ :A
Question 7
What is the primary diagnostic difference between obsessive-compulsive disorders
in children as compared to adults?
A. Age of onset
B. Response to treatment
C. Recognition that the thoughts or behaviors are irrational
D. The thoughts or behaviors occupy > 1 hour daily
Correct Answer ✅ :A
Question 8
Psychiatric assessment of children and adolescents is best achieved by a
combination of tools and techniques best suited to the child’s age and
pg. 3
, NURS 6660 MIDTERM WITH ANSWERS
developmental stage. When interviewing a 10-year-old, the PMHNP may have the
best success by having the patient:
A. Talk with the examiner via dolls
B. Respond to open-ended questions
C. Draw family members and peers
D. Complete an MMPI
Correct Answer ✅ :B
Question 9
The clinical interview is an important part of psychiatric assessment and should be
conducted early in the diagnostic process. However, a comprehensive assessment
should include other information-gathering modalities because the clinical
interview:
A. Does not offer flexibility in understanding the evolution of the problem
B. Frequently deemphasizes the influence of environmental factors
C. May not systematically cover all psychiatric diagnostic categories
D. Creates a dialogue in which patients cannot give subjective responses
Correct Answer ✅ :C
Question 10
Comprehensive psychiatric assessment ultimately requires the integration of
biological predisposition, psychodynamic factors, environmental factors, and life
events. These factors, along with a mental status exam, developmental assessment,
and any appropriate standardized testing is collectively referred to as:
A. Neuropsychiatric assessment
B. Biopsychosocial formulation
C. The Physical and Neurological Examination of Soft Signs (PANESS)
D. Kaufman Assessment Battery for Children
Correct Answer ✅ :B
pg. 4
