NURS 6660 Midterm Exam 1 | Verified
Questions and Answers
1. 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
2. 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
,3. 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 assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
D
4. 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
5. 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
6. 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
7. 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
8. Which of the following is a true statement with respect to developmental
testing in infants?
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
9. 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.
Questions and Answers
1. 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
2. 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
,3. 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 assessment
B. Standardized developmental measures
C. Assessment without the parents present
D. Observation of Jason during play
D
4. 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
5. 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
6. 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
7. 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
8. Which of the following is a true statement with respect to developmental
testing in infants?
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
9. 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.
