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
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