NURS 6660 Mid Term Walden University
NURS 6660 Mid Term Walden University
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:
A Social relatedness
.
B Thought process and
. content
C Motor behavior
.
D Judgment and insight
.
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
pg. 1
, NURS 6660 MID TERM WALDEN UNIVERSITY
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 D Observation of Jason during play
. assessment .
B Standardized developmental
. measures
C Assessment without the parents
. present
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
pg. 2
, NURS 6660 MID TERM WALDEN UNIVERSITY
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
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:
A Panic attacks
.
B Operant
. conditioning
C Hyper arousal
.
D Flashbacks
.
C
Which of the following is a true statement with respect to developmental testing in infants?
pg. 3
, NURS 6660 MID TERM WALDEN UNIVERSITY
. 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?
A This was not the first episode.
.
B The caretaker is incapable of arranging follow-up.
.
C One or both of the biological parents has a history of suicide
. attempts.
D Wendy was left with a babysitter when the incident
. occurred.
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:
pg. 4
NURS 6660 Mid Term Walden University
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:
A Social relatedness
.
B Thought process and
. content
C Motor behavior
.
D Judgment and insight
.
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
pg. 1
, NURS 6660 MID TERM WALDEN UNIVERSITY
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 D Observation of Jason during play
. assessment .
B Standardized developmental
. measures
C Assessment without the parents
. present
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
pg. 2
, NURS 6660 MID TERM WALDEN UNIVERSITY
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
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:
A Panic attacks
.
B Operant
. conditioning
C Hyper arousal
.
D Flashbacks
.
C
Which of the following is a true statement with respect to developmental testing in infants?
pg. 3
, NURS 6660 MID TERM WALDEN UNIVERSITY
. 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?
A This was not the first episode.
.
B The caretaker is incapable of arranging follow-up.
.
C One or both of the biological parents has a history of suicide
. attempts.
D Wendy was left with a babysitter when the incident
. occurred.
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:
pg. 4
