2021 MidTerm NRNP MidTerm Seraphin NRNP 6665 100 questions answered and graded

2021 MidTerm Seraphin 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 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. . 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 . 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 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 Question 17 . nce 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 . 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 . 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 . 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 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 . 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 . D Fluvoxami . ne Question 37 A Safety . B Self medication . C Substance . tolerance D Substance use . disorder Question 38 A Bipolar I Disorder is more prevalent in men . B Bipolar I Disorder is more prevalent in women . C Manic episodes are more prevalent in women. . D Bipolar I Disorder has equal prevalence among men . and women. Question 39 Which of the following is NOT consistent with the code of ethics for the nursing profession? A A code of ethics for the nursing profession informs every aspect of . the nurse’s life. B A code of ethics makes explicit the primary obligations of the nursing . profession. C A code of ethics addresses the values and ideals of the nursing . profession. D B and C only . Question 40 Which of the following is NOT consistent with what is known about anorexia nervosa? A Anorexia nervosa is more prevalent in males. . B Anorexia nervosa is most frequent in developed countries . C Anorexia nervosa is equally prevalent in males and females . D Roughly half of patients with anorexia nervosa will not only diet but will also regularly . engage in binge and purge behaviors Question 41 A Rating scare are inherently imperfect. . B Rating scales should never be the sole basis for making a diagnosis. . C Behavioral health rating scales are an efficient tool to quickly . diagnosis a patient. D A and B . Question 42 A There is no evidence that genetics plays a role in mood disorders. . B If one parent has a mood disorder the child has a 50% risk of developing a mood . disorder. C Bipolar I Disorder is typically the most common form of mood disorder in families of . bipolar probands. D Evidence from twin studies provides the most compelling data for the role of genetic . factors in mood disorders. Question 43 A Sertraline . B Fluoxetine . C Fluvoxamine . D Clomipramine . Question 44 A Getting adequate exercise . B Avoid heavy meals before bedtime . C Consistent bedtime and arousal time . D Only go to bed when you are actually . feeling sleepy Question 45 A Sudden onset . B Diurnal variation . C Confabulation . D Can be coached and encouraged into . remembering Question 46 A Abuse . B Conduct disorder . C Communication disorder . D Attention deficit/hyperactivity . disorder Question 47 A School phobia . B Excessive clinging to parents . C Preferring to spend time with friends from . school D A and B . Question 48 A The nurse must respect patient’s . decisions. B The nurse must support all patient . choices. C The nurse must agree with all patient . choices. D A and B only . Question 49 A Metaethics . B Normative . ethics C Applied ethics . D Moral ethics . Question 50 A Sleep state . misperception B Psychophysiological . insomnia C Persistent insomnia . D Non-organic insomnia . Question 51 A Fidelity . B Autonomy . C Beneficence . D Nonmalefice . nce Question 52 A Metaethics . B Applied ethics . C Normative ethics . D None of the above as this is not an ethical . question Question 53 The most powerful predictors of the onset of a depressive episode is which of the following? A Resent stressful events . B Persons with antisocial personality . disorder C Persons with paranoid personality . disorder D Person with borderline personality . disorder Question 54 A Fidelity . B Autonomy . C Beneficence . D Nonmalefice . nce Question 55 A Paroxetine . (Paxil) B Fluoxetine . (Prozac) C Citalopram . (Celexa) D Sertraline . (Zoloft) Question 56 A Adjustment disorder with depressed . mood B Substance abus . C Disruptive mood dysregulatio . D Posttraumatic stress disorder . Question 57 A Substance use disorder . B Major depressive disorder . C Generalized anxiety disorder . D Posttraumatic stress . disorder Question 58 Which of the following are medical complications NOT associated with anorexia nervosa? A Tachycardi . a B Bradycardi . a C Hypotensio . n D Hypotherm . ia Question 59 A Choose a rating scale with fair diagnostic reliability. . B A longer rating scale will provide better diagnostic specificity. . C Use a broad-based rating scale to investigate a particular problem. . D Select scales that are research validated for age, condition, and (ideally) culture. . Question 60 Hypersomnolence disorder (excessive sleeping) can be caused by which of the following? A Insufficient sleep . B Disrupted sleep . C Basic neurologic dysfunction in the brain systems . regulating sleep D All the above . Question 61 Which of the following questions should be considered prior to prescribing any medication? A What is the patient or caregiver preference? . B How rapid of a treatment response is needed? . C How does the child’s age effect your risk-benefit . analysis? D All of the above . Question 62 Strategies that enhance therapeutic engagement include which of the following? A Engage the child/adolescent in a manner to encourage them feeling noticed, heard, . and appreciated. B Make sure that the parent/caregiver is always in the room. . C Start off with targeted diagnostic questions to save time. . D Always take the child/adolescent’s side if there is disagreement with caregiver. . Question 63 A There is an inherent desire to better understand problems. . B It is important to focus on understanding the stigma of mental . health. C It is important to connect the specific diagnosis with the . recommended treatment. D A and C . Question 64 Which of the following BMIs is associated with severe anorexia nervosa? A BMI >17 kg/m2 . B BMI 16– . 16.99kg/m2 C BMI 15–15.99 . kg/m2 D BMI <15kg/m2 . Question 65 A Ages 0–5 . B Ages 6– . 12 C Ages 13– . 18 D Ages 18+ . Question 66 Applied behavioral analysis is typically indicated for which of the following disorders? A Anxiety disorder . B Depressive disorder . C Autism spectrum . disorder D Oppositional defiant . disorder Question 67 A A manic episode . B A hypomanic . episode C Cyclothymia . D Bipolar II Disorder . Question 68 A Dysthymia . B Cyclothymia . C Bipolar II . Disorder D Bipolar I . Disorder Question 69 A Depression . B Social phobia . C Schizophrenia . D Obsessive-compulsive . disorder Question 70 A Sensory impairment . B Intellectual disability . C Substance use . disorder D Mood or anxiety . disorder Question 71 A The AACP Code of Ethics contains laws to direct the professional activities of child . and adolescent providers. B The AACP Code of Ethics contain guidelines that could be used consistently and . impartially. C The principles and guidelines in the AACP Code of Ethics are to be applied at all . times. D If there is question about how to apply a principle the provider is directed to seek . consultation from appropriate professional resources. Question 72 A Keep up regular routines . B Maintain a “low-key” atmosphere . C Follow typical house rules but pick your . battles D All the above . Question 73 A Tofranil . B Zolpidem . C Solriamfetol . D Rotigotine . patch Question 74 A Anxiety disorder . B Adjustment . disorder C Conversion . disorder D Abuse or . maltreatment Question 75 A No correlation has been found between socioeconomic status and major depressive . disorder. B A higher-than-average incidence of Bipolar I disorder is found among the upper . socioeconomic groups. C Bipolar I disorder is more common among persons who graduated from college. . D The prevalence of mood disorder does not differ among races. . Question 76 A Morality . B Metaethics . C Applied ethics . D Normative . ethics Question 77 A Gaba and Dopamine . B Serotonin and . Norepinephrine C Insulin and testosterone . D Estrogen and Prolactin . Question 78 A An active mood disorder . B A history of suicide attempts . C Current substance use disorder . D A family history of suicidal behaviors . Question 79 Which of the following would be an initial screening question for a child with sleep problems? A Do worries keep you awake? . B What is your routine before going to bed? . C Do you startle easily or get frequent . nightmares? D Do you feel tense, restless or worried most of . the time? Question 80 Which of the following hormone levels is increased in anorexia nervosa? A Corticotrophin-releasing hormone . (CRH) B Luteinizing hormone (LH) . C Follicle-stimulating hormone (FSH) . D Thyroid-stimulating hormone . (TSH) Question 81 A Lithium . B Olanzapine . C Duloxetine . D Sertraline . Question 82 The most common age of onset of anorexia nervosa is which of the following? A Early 20s . B 10–13 years of . age C 14–18 years of . age D 19–29 years of . age Question 83 A Sertraline (Zoloft) . B Citalopram . (Celexa) C Fluvoxamine . (Luvox) D Paroxetine (Paxil) . Question 84 Which of the following medications is FDA approved for the treatment of bulimia? A Tofranil . B Flurazepa . m C Fluoxetin . e D Armodafi . nil Question 85 A Bipolar disorder . B Major depressive disorder . C Generalized anxiety disorder . D Obsessive-compulsive . disorder Question 86 Which of the following is true about social skills training with teens? A Social skills training is used to teach social problem solving. . B Social skills training is more potent in a one-to-one setting. . C Social skills training is more potent in a group setting due to the . peer influences. D A and C . Question 87 A Psychosis . B Weight loss . C Severe . anhedonia D B and C . Question 88 A Nurse educators . B Nurse researchers . C Physician assistants . D Advance practice registered . nurses Question 89 A Sertraline . B Quetiapine . C Duloxetine . D Clomipramine . Question 90 A Abuse of laxatives and diuretics . B Purging does not occur as a result of a binge episode . C Purging behavior occurs after eating small quantities of . food or drink D B and C . Question 91 Which of the following is important to realize when treating a child with an anxiety disorder? A Anxiety disorders are commonly diagnosed in families. . B Repeated exposures to feared situations will always help the child to unlearn the . fear response. C Parents should encourage avoidance of feared situations as this will help the . fear dissipate. D SSRI’s are the MOST effective treatment in relieving symptoms of anxiety. . Question 92 A Social skills training . B Motivational interviewing . C Applied behavioral analysis . D Behavioral management . training Question 93 It is crucial that potential risks and benefits of research are clearly described to the A guardian(s) and in a developmentally appropriate manner to the involved . children/adolescents. B Assent of the child/adolescent should be sought if developmentally feasible in . situations involving minimal risk. C Regardless of the degree or risk, the refusal of a child or adolescent to assent to . participation in research should be considered binding. D Children and adolescents should only be forced to participate in medical research if . the overall benefit strongly outweighs the risk. Question 94 A Ages 0–5 . B Ages 6– . 12 C Ages 13– . 18 D Ages 18+ . Question 95 A Panic disorder . B Specific phobia . C Generalized anxiety . disorder D Separation anxiety . disorder Question 96 A Poor sleep habits . B Insomnia disorder . C Major depressive . disorder D Generalized anxiety . disorder Question 97 A Bipolar disorder . B Substance use disorder . C Major depressive disorder . D Persistent depressive disorder . Question 98 Which of the following medications are FDA approved for the treatment of insomnia? A Temazepam . B Pramipexole . C Desmopressi . n D Sodium . oxybate Question 99 A Sertraline . B Fluoxetine . C Fluvoxamine . D Clomipramine . Question 100 A Fluoxetine . B Quetiapine . C Sertraline . D Bupropion HCL extended- . release