NR 668 CEA Final Exam Questions AND Correct Answers
A 10-year-old boy is referred by the school nurse
because of persistent stomachache every morning in
school. In evaluating the boy, the PMHNP learned that
he does not like to go to school and insists on coming
home immediately, and that he sleeps in his parent's
bed at night. His clinical description is most
characteristic of which of the following conditions?
a. Separation anxiety
b. Social phobia
c. PTSD
d. Reactive attachment disorder - ✔✔a. Separation
anxiety
A 10-year-old girl is referred for evaluation of
behavioral difficulties. Her teachers report that she is
easily distracted and fails to complete any class work,
and often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the
most difficult because of her general disorganization
and forgetfulness. Otherwise she is socially engaged
,and enjoys many activities. Which of the following is
the most likely diagnosis?
a. Disruptive behavior
b. Conduct disorder
c. Attention deficit disorder
d. Oppositional defiant disorder - ✔✔c. Attention deficit
disorder
A 15-year-old boy has refused to go to school for the
past month. Every morning he has a new symptom or
develops one and has to be picked up from school.
When he is home, the symptoms disappear. On
weekends the symptoms never present. What is the
most likely diagnosis?
a. Panic disorder
b. Social anxiety
c. Separation anxiety
d. Agoraphobia - ✔✔c. Separation anxiety
,A 16 year old client Jamie presents to your office and
begins with "I might be transgender". You respond, My
name is James, and my pronouns are he/him. How do
you Jamie, describe your gender identity? What are
your preferred pronouns? Jamie answers, "My
pronouns are "They". As a PMHNP you recognize that
Jamie...
a. Identifies as cisgender
b. Identifies as none of these
c. Identifies as gender binary
d. Identifies as non-binary - ✔✔d. Identifies as non-
binary
Some people do not identify with a specific gender.
Persons whose gender is not female or male may use
several terms to describe themselves including "non-
binary" as one of them.
A 16-year-old boy is being evaluated for emotional
lability, hypervigilance, difficulty sleeping, and
irritability. During the interview he reports that his first
sexual encounter was with his teacher 1 year ago and
he continues to have sex with her on occasion. He
, states that his relationship is consensual. What should
the PMHNP do with this information?
a. Screen for neurosyphilis
b. Instruct the boy in the proper use of condoms
c. Prescribe a selective serotonin reuptake inhibitor
(SSRI) for posttraumatic stress disorder (PTSD)
d. Report the incident to child protective services -
✔✔d. Report the incident to child protective services
A 16-year-old boy with a history of substance use
disorder reports fatigue, apathy, and anhedonia almost
every day and his mother reports increasing irritability
and raging behavior. The boy says he smokes marijuana
daily just to feel good and is unwilling to give it up. The
mother wants some sort of medication to help him feel
better so that he stops smoking marijuana. The PMHNP
agrees to prescribe fluoxetine 20 mg daily. What is the
most common side effect associated with this
medication?
a. Weight grain
b. Sedation
A 10-year-old boy is referred by the school nurse
because of persistent stomachache every morning in
school. In evaluating the boy, the PMHNP learned that
he does not like to go to school and insists on coming
home immediately, and that he sleeps in his parent's
bed at night. His clinical description is most
characteristic of which of the following conditions?
a. Separation anxiety
b. Social phobia
c. PTSD
d. Reactive attachment disorder - ✔✔a. Separation
anxiety
A 10-year-old girl is referred for evaluation of
behavioral difficulties. Her teachers report that she is
easily distracted and fails to complete any class work,
and often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the
most difficult because of her general disorganization
and forgetfulness. Otherwise she is socially engaged
,and enjoys many activities. Which of the following is
the most likely diagnosis?
a. Disruptive behavior
b. Conduct disorder
c. Attention deficit disorder
d. Oppositional defiant disorder - ✔✔c. Attention deficit
disorder
A 15-year-old boy has refused to go to school for the
past month. Every morning he has a new symptom or
develops one and has to be picked up from school.
When he is home, the symptoms disappear. On
weekends the symptoms never present. What is the
most likely diagnosis?
a. Panic disorder
b. Social anxiety
c. Separation anxiety
d. Agoraphobia - ✔✔c. Separation anxiety
,A 16 year old client Jamie presents to your office and
begins with "I might be transgender". You respond, My
name is James, and my pronouns are he/him. How do
you Jamie, describe your gender identity? What are
your preferred pronouns? Jamie answers, "My
pronouns are "They". As a PMHNP you recognize that
Jamie...
a. Identifies as cisgender
b. Identifies as none of these
c. Identifies as gender binary
d. Identifies as non-binary - ✔✔d. Identifies as non-
binary
Some people do not identify with a specific gender.
Persons whose gender is not female or male may use
several terms to describe themselves including "non-
binary" as one of them.
A 16-year-old boy is being evaluated for emotional
lability, hypervigilance, difficulty sleeping, and
irritability. During the interview he reports that his first
sexual encounter was with his teacher 1 year ago and
he continues to have sex with her on occasion. He
, states that his relationship is consensual. What should
the PMHNP do with this information?
a. Screen for neurosyphilis
b. Instruct the boy in the proper use of condoms
c. Prescribe a selective serotonin reuptake inhibitor
(SSRI) for posttraumatic stress disorder (PTSD)
d. Report the incident to child protective services -
✔✔d. Report the incident to child protective services
A 16-year-old boy with a history of substance use
disorder reports fatigue, apathy, and anhedonia almost
every day and his mother reports increasing irritability
and raging behavior. The boy says he smokes marijuana
daily just to feel good and is unwilling to give it up. The
mother wants some sort of medication to help him feel
better so that he stops smoking marijuana. The PMHNP
agrees to prescribe fluoxetine 20 mg daily. What is the
most common side effect associated with this
medication?
a. Weight grain
b. Sedation
