, NURS 6660 Final Exam
NURS 6660N FINAL EXAM NURS-6660N FINAL
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Question:1
Which of the following is a true statement with respect to crisis intervention and
psychological debriefing as a preventive strategy for post-traumatic stress disorder
(PTSD)?
A. Crisis intervention and psychologic debriefing is most effective if it occurs
within 24 hours of the event
B. The focus of crisis intervention and psychologic debriefing is management of
emotional reactions
C. Psychoeducation is not typically a component of crisis intervention and
psychologic debriefing
D. No controlled studies support that crisis intervention and psychologic
debriefing improves outcomes
Answer:D
Question:2
Jenny is a 5-year-old female who has been referred for consultation because the
emergency room physician suspects that she might be subject to physical abuse in
the home. On evaluation, the PMHNP finds Jenny to be fearful, docile, and
guarded. Although clearly in pain, Jenny seems surprised when the PMHNP
attempts to provide some comfort. The PMHNP notes that:
A. If Jenny demonstrates abnormal attachment with her mother, this will
complete textbook criteria for symptoms of physical abuse
B. There must be a consistent pattern of atypical physical injury to support the
diagnosis of physical abuse
C. Jenny’s behaviors are more consistent with sexual abuse than physical abuse
D. These same symptoms may occur in the absence of any abuse and are neither
specific or pathognomic for abuse
, D
Question:3
The PMHNP is evaluating 12-year-old Dale after the police were called to the
home. Dale is assessed as having a psychotic episode; he tells the NP that voices
are telling him that he is bad and that he should hurt himself. According to the
mother, he has no history of psychiatric disease, medications, or really any
concerns at all. Mom says he goes to school, has friends, and has always seemed
―normal.‖ An interview with his 13-year-old sister reveals that while there is no
long-term history of abnormal behavior, for the last couple of weeks things have
been very strange at home. His father has been arrested for ―something to do with
a teenage girl,‖ and their parents have been fighting. His father lost his job, and
there is a lot of talk about money and lawyers and jail. Dale has been very
emotional as he has always been close to his Dad; he seems to go from crying to
laughing in a blink, and is getting in fights at school. Even now, after he has
calmed a bit, Dale’s reality testing is altered. The PMHNP considers that Dale is
demonstrating:
A. Symptoms of childhood schizophrenia
B. A manic episode
C. Brief psychotic disorder
D. Intermittent explosive disorder
C
Question:4
The PMHNP is reviewing assessment data on Richard, a 14-year- old boy who was
brought in for evaluation by his parents. He has a longstanding history of being
difficult, defiant, and argumentative with adults. While considering differential
diagnosis of oppositional defiant disorder and conduct disorder, which of the
following findings meet criteria for conduct disorder?
A. Openly defies rules, argues with adults, is truant from school
B. Shoplifts valuable jewelry, is persistently angry and resentful, runs away
from home
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