Question: 1
The PMHNP is evaluating a 15-year-old male patient who has been referred by his
courtappointed guardian. He has been in foster care for the last 6 years and
maintained a steady pattern of low-level behavior problems such as skipping
school and ignoring curfew. He is not openly defiant and has always been
described as a ―loner.‖ He just does not follow most rules. During the mental
status examination, the PMHNP notes that his expressions are sometimes
inconsistent with the topic of conversation, and he does not seem to be able to
transition effectively among levels of emotion. This represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight
Question: 2
A variety of diagnostic instruments are available to assist the PMHNP with
comprehensive data collection. Which of the following tools is considered an
―interviewer-based‖ tool designed as a guide to clinicians designed to help clarify
answers to questions?
A. The Children's Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)
3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric
assessment. Kevin comes to his first appointment with both of his parents. He is
sitting in the chair with his arms crossed and responds with ―yes‖ and ―no‖
answers to direct questions; otherwise, he volunteers no information. The parents
are clearly upset and indicate they just ―don't know what to do with him
anymore.‖ The most appropriate action for the PMHNP would be to:
, A. Ask the parents to step out and interview Kevin privately
B. Have Kevin complete the standardized-testing assessment
C. Schedule session two after reviewing court documentation
D. Arrange for three sessions with a family therapist then reevaluate Kevin
4 the PMHNP observes separation from and reunion with the parent as part the
mental status exam of a 25-month-old toddler. Extremes of emotion during
separation or reunion are most consistent with:
A. Normal developmental progression at that age
B. Cognitive dysfunction
C. Neurologic dysfunction
D. Problems with the parent-child relationship
5 the PMHNP is performing an emergency assessment on Renee, a 9-year-old girl
who was initially brought to the attention of social services by her maternal
grandmother. Renee is reluctant to talk about herself or her home life. The physical
examination that accompanied this emergency assessment revealed a variety of
ecchymoses in various stages of healing, and the examiner was suspicious that
there was a history of sexual abuse. Renee is quiet and passive during the
interview, but is rather aggressive when playing with dolls. While considering the
need for removal from the home, the PMHNP knows that all the following are risk
factors for predictors of further abuse and maltreatment except:
A. Neglect as the form of maltreatment
B. Parental conflict
C. Number of previous episodes
D. Gender of the victim
Question 22
6Harmony is a 4-year-old female who has been through several evaluations for
behavioral
abnormalities that have become increasingly disruptive, and the family is
concerned for the safety of both Harmony and her 2-year-old brother.
Comprehensive assessment of Harmony includes neuropsychiatric testing. The
PMHNP documents the presence of neurological hard signs. These suggest:
A. Brain lesions
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