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 indi...
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
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)
,Question.5
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
Question.6
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
Question.7
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.
Question.8
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.
B. The caretaker is incapable of arranging follow-up.
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