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,NURS 6660 Midterm Exam
Question.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
Answer: D
,Question.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
Answer: B
Question.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
Answer: D
Question.4
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)
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