NR607 Exam 2 Actual Exam Style V3 | NR
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. A 10-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dysregulation. According to the DSM-5-TR, which diagnosis is most appropriate if
these symptoms occur at least three times per week for over a year?
A. Oppositional Defiant Disorder
B. Bipolar I Disorder
C. Conduct Disorder
D. Disruptive Mood Dysregulation Disorder
Answer: D
Rationale: Disruptive Mood Dysregulation Disorder (DMDD) was introduced to address
concerns about the overdiagnosis of Bipolar Disorder in children. The symptoms must be
present for at least 12 months in at least two settings. This diagnosis is specifically
intended for children between the ages of 6 and 18 years.
2. When utilizing Bowen’s Family Systems Theory, what is the primary goal of differentiation
of self?
A. To isolate oneself from family conflict
,B. To establish rigid boundaries between family members
C. To balance emotional and intellectual functioning while maintaining connections
D. To focus solely on individual needs without considering others
Answer: C
Rationale: Differentiation of self allows an individual to distinguish between their own
thoughts and feelings and those of the family collective. A highly differentiated person can
remain calm and logical during emotional family crises. This process is essential for
reducing the likelihood of triangulation and maintaining healthy relationships.
3. In the context of pediatric psychopharmacology, which of the following carries an FDA
Black Box Warning for increased risk of suicidal ideation in children and adolescents?
A. Fluoxetine
B. Guanfacine
C. Methylphenidate
D. Melatonin
Answer: A
Rationale: All Selective Serotonin Reuptake Inhibitors (SSRIs), including Fluoxetine, carry
a Black Box Warning for increased suicidal thoughts in young patients. This warning
requires clinicians to monitor patients closely during the first few months of treatment.
Families should be educated to report any changes in behavior or mood immediately.
, 4. A 16-year-old patient with a history of recurrent binge eating followed by compensatory
behaviors such as self-induced vomiting and excessive exercise likely meets criteria for:
A. Anorexia Nervosa, Binge-eating/Purging type
B. Binge Eating Disorder
C. Bulimia Nervosa
D. Avoidant/Restrictive Food Intake Disorder
Answer: C
Rationale: Bulimia Nervosa is characterized by episodes of binge eating followed by
inappropriate compensatory behaviors. Unlike Anorexia, individuals with Bulimia typically
maintain a body weight at or above a minimally normal level. The DSM-5-TR requires these
behaviors to occur at least once a week for three months.
5. Which family therapy model emphasizes ‘enactments’ to observe and modify the
interactions and boundaries within a family?
A. Strategic Family Therapy
B. Bowenian Family Systems Therapy
C. Structural Family Therapy
D. Solution-Focused Brief Therapy
Answer: C
607 Diagnosis & Management in
Psychiatric-Mental Health III Practicum |
Chamberlain
1. A 10-year-old child presents with persistent irritability and frequent episodes of extreme
behavioral dysregulation. According to the DSM-5-TR, which diagnosis is most appropriate if
these symptoms occur at least three times per week for over a year?
A. Oppositional Defiant Disorder
B. Bipolar I Disorder
C. Conduct Disorder
D. Disruptive Mood Dysregulation Disorder
Answer: D
Rationale: Disruptive Mood Dysregulation Disorder (DMDD) was introduced to address
concerns about the overdiagnosis of Bipolar Disorder in children. The symptoms must be
present for at least 12 months in at least two settings. This diagnosis is specifically
intended for children between the ages of 6 and 18 years.
2. When utilizing Bowen’s Family Systems Theory, what is the primary goal of differentiation
of self?
A. To isolate oneself from family conflict
,B. To establish rigid boundaries between family members
C. To balance emotional and intellectual functioning while maintaining connections
D. To focus solely on individual needs without considering others
Answer: C
Rationale: Differentiation of self allows an individual to distinguish between their own
thoughts and feelings and those of the family collective. A highly differentiated person can
remain calm and logical during emotional family crises. This process is essential for
reducing the likelihood of triangulation and maintaining healthy relationships.
3. In the context of pediatric psychopharmacology, which of the following carries an FDA
Black Box Warning for increased risk of suicidal ideation in children and adolescents?
A. Fluoxetine
B. Guanfacine
C. Methylphenidate
D. Melatonin
Answer: A
Rationale: All Selective Serotonin Reuptake Inhibitors (SSRIs), including Fluoxetine, carry
a Black Box Warning for increased suicidal thoughts in young patients. This warning
requires clinicians to monitor patients closely during the first few months of treatment.
Families should be educated to report any changes in behavior or mood immediately.
, 4. A 16-year-old patient with a history of recurrent binge eating followed by compensatory
behaviors such as self-induced vomiting and excessive exercise likely meets criteria for:
A. Anorexia Nervosa, Binge-eating/Purging type
B. Binge Eating Disorder
C. Bulimia Nervosa
D. Avoidant/Restrictive Food Intake Disorder
Answer: C
Rationale: Bulimia Nervosa is characterized by episodes of binge eating followed by
inappropriate compensatory behaviors. Unlike Anorexia, individuals with Bulimia typically
maintain a body weight at or above a minimally normal level. The DSM-5-TR requires these
behaviors to occur at least once a week for three months.
5. Which family therapy model emphasizes ‘enactments’ to observe and modify the
interactions and boundaries within a family?
A. Strategic Family Therapy
B. Bowenian Family Systems Therapy
C. Structural Family Therapy
D. Solution-Focused Brief Therapy
Answer: C
