NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
1. An 8-year-old boy diagnosed with leukemia is referred to child
psychiatry because he is consistently displaying a flat affect,
irritability, angry acting out, and occasional physical aggression
toward his 6-year-old brother. What
approach should the PMHNP take when interviewing this child?: Provide
toys and allow the child to play
2. Which eating disorder is considered ego syntonic?: Anorexia Nervosa
(Anorexia Nervosa is challenging to treat because it is ego syntonic. In other words, one's behaviors,
feelings and values are in line with the needs of the ego and reliable to one's self image.)
3. A 30-year-old G1P0,1 has become increasingly oddly related,
neglecting
self-care, sleeping much of the day, eating minimally, crying easily,
and despite reassurance that her pregnancy is progressing normally,
worries that she will lose the pregnancy. Which of the following
medications is considered least harmful in pregnancy?: Sertraline
4. A 10-year-old boy who had been prescribed fluoxetine for major
depressive disorder presents to the psychiatric emergency
department for running into the street in front of a car on the way
home from school. In the emergency department, he has been
selectively mute, but the nurse practitioner student was able to elicit
his desire to be dead. He has been medically cleared pending a
psychiatric evaluation. What is the most common sign of major
depressive disorder in children?: Psychomotor agitation
5. A 6-year-old boy is referred by the child study team for speech
difficulty. On examination the boy is friendly and cooperative, his
speech is clear, and he uses simple sentences with a limited
vocabulary. Most notably he confuses verb tenses consistently. The
parents report he met most of his developmental milestones except
speech, which was delayed. His clinical presentation is most
consistent with which of the following?: Expressive language disorder
6. The school psychologist refers a 7-year-old girl with difficulty
reading, dis- tractibility, and writing avoidance behaviors. The child
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
has no diagnosed con- ditions, takes no medications, and met all of
her developmental milestones. She loves arts and crafts and
physical education. Prior to diagnosing a learning disorder, which of
the following screening tests must be performed?: Vision and hearing
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
7. Which disorder is associated with higher rates of ADHD, enlarges
testes, a long narrow face, hypotonia and short stature?: Fragile X (Fragile X is
associated with a higher rate of ADHD, impaired intellectual ability, learning d/o's, autism spectrum
d/o. Physical attributes include hypotonia, flat feet, enlarges testes, long narrow face, flexible fingers and
short stature.)
8. 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 dis-
organization and forgetfulness. Otherwise she is socially engaged and
enjoys many activities. Which of the following is the most likely
diagnosis?: Attention deficit disorder
9. A pregnant woman with depression is reluctant to take
medication for fear of causing her baby neonatal abstinence
syndrome due to selective serotonin reuptake inhibitor (SSRI)
medication. Her husband states they would like to use a faith healer
instead. Which of the following is most accurate regarding the
prognosis of depression during pregnancy?: The actual course of depression
cannot be predicted
10. Which of the following statements regarding intellectual
developmental dis- order is false?: IQ test scores remain the gold standard for determining
intellectual disability (IQ test scores are not the gold standard for determining intellectual disability.
Furthermore, IQ tests fail to asses reasoning in real life scenarios and fail to measure mastery of
practical tasks despite measuring conceptual capacity.)
11. An 8-year-old boy presents with nocturnal enuresis, which
persists despite behavioral interventions including eliminating fluid
intake in the evening, scheduled awakening at night to use the
bathroom, and a urine alarm. Which of the following medications is
most appropriate?: Imipramine
12. Sam is 11 years old without past psychiatric history. He was
born by normal spontaneous vaginal delivery with normal APGAR
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
scores. He has met all of
his developmental milestones. He began sixth grade this year and
has had increased trouble falling asleep. He has always had
bedtime rituals but lately they are extending in complexity and
length. Most of his time in the evening is spent checking that the
lights are turned off and that the windows are locked. As a result,
he is only getting 5 hours of sleep at night and now has excessive
DETAILED ACTUAL ANSWERS
1. An 8-year-old boy diagnosed with leukemia is referred to child
psychiatry because he is consistently displaying a flat affect,
irritability, angry acting out, and occasional physical aggression
toward his 6-year-old brother. What
approach should the PMHNP take when interviewing this child?: Provide
toys and allow the child to play
2. Which eating disorder is considered ego syntonic?: Anorexia Nervosa
(Anorexia Nervosa is challenging to treat because it is ego syntonic. In other words, one's behaviors,
feelings and values are in line with the needs of the ego and reliable to one's self image.)
3. A 30-year-old G1P0,1 has become increasingly oddly related,
neglecting
self-care, sleeping much of the day, eating minimally, crying easily,
and despite reassurance that her pregnancy is progressing normally,
worries that she will lose the pregnancy. Which of the following
medications is considered least harmful in pregnancy?: Sertraline
4. A 10-year-old boy who had been prescribed fluoxetine for major
depressive disorder presents to the psychiatric emergency
department for running into the street in front of a car on the way
home from school. In the emergency department, he has been
selectively mute, but the nurse practitioner student was able to elicit
his desire to be dead. He has been medically cleared pending a
psychiatric evaluation. What is the most common sign of major
depressive disorder in children?: Psychomotor agitation
5. A 6-year-old boy is referred by the child study team for speech
difficulty. On examination the boy is friendly and cooperative, his
speech is clear, and he uses simple sentences with a limited
vocabulary. Most notably he confuses verb tenses consistently. The
parents report he met most of his developmental milestones except
speech, which was delayed. His clinical presentation is most
consistent with which of the following?: Expressive language disorder
6. The school psychologist refers a 7-year-old girl with difficulty
reading, dis- tractibility, and writing avoidance behaviors. The child
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
has no diagnosed con- ditions, takes no medications, and met all of
her developmental milestones. She loves arts and crafts and
physical education. Prior to diagnosing a learning disorder, which of
the following screening tests must be performed?: Vision and hearing
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
7. Which disorder is associated with higher rates of ADHD, enlarges
testes, a long narrow face, hypotonia and short stature?: Fragile X (Fragile X is
associated with a higher rate of ADHD, impaired intellectual ability, learning d/o's, autism spectrum
d/o. Physical attributes include hypotonia, flat feet, enlarges testes, long narrow face, flexible fingers and
short stature.)
8. 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 dis-
organization and forgetfulness. Otherwise she is socially engaged and
enjoys many activities. Which of the following is the most likely
diagnosis?: Attention deficit disorder
9. A pregnant woman with depression is reluctant to take
medication for fear of causing her baby neonatal abstinence
syndrome due to selective serotonin reuptake inhibitor (SSRI)
medication. Her husband states they would like to use a faith healer
instead. Which of the following is most accurate regarding the
prognosis of depression during pregnancy?: The actual course of depression
cannot be predicted
10. Which of the following statements regarding intellectual
developmental dis- order is false?: IQ test scores remain the gold standard for determining
intellectual disability (IQ test scores are not the gold standard for determining intellectual disability.
Furthermore, IQ tests fail to asses reasoning in real life scenarios and fail to measure mastery of
practical tasks despite measuring conceptual capacity.)
11. An 8-year-old boy presents with nocturnal enuresis, which
persists despite behavioral interventions including eliminating fluid
intake in the evening, scheduled awakening at night to use the
bathroom, and a urine alarm. Which of the following medications is
most appropriate?: Imipramine
12. Sam is 11 years old without past psychiatric history. He was
born by normal spontaneous vaginal delivery with normal APGAR
, NR 668 FINAL EXAM QUESTIONS WITH COMPLETE
DETAILED ACTUAL ANSWERS
scores. He has met all of
his developmental milestones. He began sixth grade this year and
has had increased trouble falling asleep. He has always had
bedtime rituals but lately they are extending in complexity and
length. Most of his time in the evening is spent checking that the
lights are turned off and that the windows are locked. As a result,
he is only getting 5 hours of sleep at night and now has excessive
