NURS 6660 MIDTERM EXAM – QUESTION WITH ANSWERS-WALDEN UNIVERSITY.GRADED A
NURS 6660 Midterm Exam – Question with
Answers-Walden University GRADED A
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status examination is
significant for an inability to stack two blocks or draw a circle. The PMHNP also appreciates the inability to attend
to any task for more than a few seconds. These findings indicate an abnormality in:
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he appears to be having
transient visual and auditory hallucinations. The PMHNP knows that the best approach to this finding is to consider that:
A This is most consistent with early-onset . schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young . children
D Comprehensive psychiatric assessment is
. indicated
B
A 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 comprehensive medical . assessment
B Standardized developmental . measures
C Assessment without the parents . present
D Observation of Jason during play
pg. 1
,2
.
D
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety . disorder
B Separation anxiety . disorder
C Social anxiety disorder
.
D Obsessive-compulsive
. disorder
A
When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive disorder (OCD), the PMHNP
considers that evidence-based data from the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are
achieved with cognitive behavioral therapy (CBT) and:
A Clomipramine . (Anafranil)
B Sertraline (Zoloft)
.
C Aripiprazole (Abilify)
.
D Lithium (Eskalith)
.
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at school?
A A significant change in study habits in which the patient is demonstrating higher . academic achievement to
the exclusion of a social life
B A persistent, sustained increase in the number and variety of physical complaints that . have no obvious
organic cause
C Evidence that the patient has started smoking cigarettes and seems to spend more time . alone than usual
D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
A
pg. 2
, Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which his mother, the driver, was killed.
After suffering multiple injuries and weeks in the hospital, Michael was discharged to home with physical therapy. He ultimately
made a complete physical recovery but is unable to get into a car. Just the thought of riding in a car produces profound
physiologic symptoms. He has been diagnosed with post-traumatic stress disorder (PTSD). His avoidance of riding in a car is
conceptualized as:
C
Which of the following is a true statement with respect to developmental testing in infants?
A None of the available validated developmental tools are reliable in infants under 6 . months of age.
B An infant’s score on developmental assessment is a reliable predictor of future . intelligence quotient.
C Infant assessments are helpful in detecting mental retardation and developmental . disorders.
D Assessment in older infants focuses on sensorimotor and social responses.
.
C
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt. The police were called when a
neighbor saw Wendy jump out of the open window of her first-floor apartment. She was unhurt, but when the neighbor asked
why she jumped out she said she wanted to kill herself. Which coincident finding would warrant an inpatient psychiatric
admission for Wendy?
B
Caleb is a 10-year-old boy who is referred for assessment because he is not following any of the rules of discipline at home. His
parents report that they have had three separate nannies resign in the last 4 months because Caleb is unmanageable. This is a
long-standing problem, going back to daycare even before kindergarten. The PMHNP knows that when conducting her initial
interview of Caleb she should:
A Anticipate that he can tolerate up to a 45. minute session
B Consider that symbolic play with dolls will be . informative
C Interview him alone before involving the parents
.
D Be clear that he is there because of problem
pg. 3
NURS 6660 Midterm Exam – Question with
Answers-Walden University GRADED A
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status examination is
significant for an inability to stack two blocks or draw a circle. The PMHNP also appreciates the inability to attend
to any task for more than a few seconds. These findings indicate an abnormality in:
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he appears to be having
transient visual and auditory hallucinations. The PMHNP knows that the best approach to this finding is to consider that:
A This is most consistent with early-onset . schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young . children
D Comprehensive psychiatric assessment is
. indicated
B
A 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 comprehensive medical . assessment
B Standardized developmental . measures
C Assessment without the parents . present
D Observation of Jason during play
pg. 1
,2
.
D
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety . disorder
B Separation anxiety . disorder
C Social anxiety disorder
.
D Obsessive-compulsive
. disorder
A
When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive disorder (OCD), the PMHNP
considers that evidence-based data from the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are
achieved with cognitive behavioral therapy (CBT) and:
A Clomipramine . (Anafranil)
B Sertraline (Zoloft)
.
C Aripiprazole (Abilify)
.
D Lithium (Eskalith)
.
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at school?
A A significant change in study habits in which the patient is demonstrating higher . academic achievement to
the exclusion of a social life
B A persistent, sustained increase in the number and variety of physical complaints that . have no obvious
organic cause
C Evidence that the patient has started smoking cigarettes and seems to spend more time . alone than usual
D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
A
pg. 2
, Michael is a 13-year-old boy who was involved in a traumatic automobile accident in which his mother, the driver, was killed.
After suffering multiple injuries and weeks in the hospital, Michael was discharged to home with physical therapy. He ultimately
made a complete physical recovery but is unable to get into a car. Just the thought of riding in a car produces profound
physiologic symptoms. He has been diagnosed with post-traumatic stress disorder (PTSD). His avoidance of riding in a car is
conceptualized as:
C
Which of the following is a true statement with respect to developmental testing in infants?
A None of the available validated developmental tools are reliable in infants under 6 . months of age.
B An infant’s score on developmental assessment is a reliable predictor of future . intelligence quotient.
C Infant assessments are helpful in detecting mental retardation and developmental . disorders.
D Assessment in older infants focuses on sensorimotor and social responses.
.
C
Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt. The police were called when a
neighbor saw Wendy jump out of the open window of her first-floor apartment. She was unhurt, but when the neighbor asked
why she jumped out she said she wanted to kill herself. Which coincident finding would warrant an inpatient psychiatric
admission for Wendy?
B
Caleb is a 10-year-old boy who is referred for assessment because he is not following any of the rules of discipline at home. His
parents report that they have had three separate nannies resign in the last 4 months because Caleb is unmanageable. This is a
long-standing problem, going back to daycare even before kindergarten. The PMHNP knows that when conducting her initial
interview of Caleb she should:
A Anticipate that he can tolerate up to a 45. minute session
B Consider that symbolic play with dolls will be . informative
C Interview him alone before involving the parents
.
D Be clear that he is there because of problem
pg. 3
