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NURS 6660 / NURS 6660N Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent
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NURS 6660 Midterm Exam
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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
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
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
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
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)
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
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