NURS 6660N-8 Exam - Week 11 Final
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1. Question: Conventional antipsychotics are not first-line interventions in early-onset
schizophrenia due to the risk of dystonic reactions. However, when children are not responsive to
first-line therapy with atypical antipsychotics, which of the following is the most appropriate
conventional choice?
2. Question: The therapeutic outcomes for children with disorders of ... expression are most
favorable when they are ... by: NURS 6660N-8 Exam
3. Question: Linda is a 5-year-old girl who has persistent pica; she was finally ... for care
when her kindergarten teacher became ... by her eating of potentially toxic nonfood substances.
Linda’s mother admits during the history that Linda has ... doing this for years, but ... it was not a
big deal since Linda didn’t eat anything dangerous. Linda’s mother must work two jobs and
essentially did not bother to pursue Linda’s unusual symptom because it didn’t seem unsafe.
While discussing management strategies with Linda’s mother, the PMHNP counsels that the
most rapidly successful treatment strategy appears to ... :
4. Question: Rumination is a feeding disorder most commonly ... in infants, but it can occur
at any point in the lifespan. Characteristic findings in infants include:
5. Question: Katelyn is a16-year-old girl who presents for therapy with her mother and
father. Katelyn was born with male genitalia but has felt like a female “all of her life.” She says
she knew something was different as far back as she can remember. She always ... to wear her
mother’s clothes and makeup and play with other girls. Katelyn ... dressing and openly
identifying as a girl when she was 13 years old, and her parents are trying to ... supportive but
they are struggling. Most recently Katelyn has ... an intimate partner relationship with Jennifer, a
15-year-old girl who was gender ... female at birth and identifies as a female. Katelyn’s father
does not understand the relationship. The PMHNP explains that Katelyn:
6. Question: All the following are true with respect to making a diagnosis of major
depressive disorder in children except: NURS 6660N-8 Exam
7. Question: Donna is a 16-year-old transgender female who has ... through extensive
individual and family counseling and is ready to start hormone therapy with estrogen,
progesterone, and testosterone-blocking agents. When counseling her specifically about the risks,
benefits, and ... monitoring of hormonal therapy, the PMHNP advises Donna that: NURS 6660N-
8 Exam
8. Question: The leading cause of death in youths living in juvenile residential facilities is:
9. Question: ... PMHNP is working with a pediatrician colleague on a journal article to
increase awareness and improve diagnostic strategies for early-onset bipolar disorder. ... upon a
review of the longitudinal research on this disorder, the literature review of this article ... include
all the following except:
10. Question: Tiana is a 10-year-old girl who is being ... for evaluation because her school
performance is appreciably below what is ... at her age. Historically she has ... a very happy
child, likes school, and looks forward to going. However, over the last several months her
teacher reports that she is much slower than her peers in reading, and she appears to ... upset and
withdrawn when ... to read in class. The PMHNP would expect additional report from the teacher
to include all the following except:
11. Question: Which of the following statements best ... the treatment course and
progression of bulimia nervosa? NURS 6660N-8 Exam
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, 12. Question: Kelly is a 14-year-old female who has finally been ... for management of
anorexia nervosa. She was ... almost 1 year ago with the food-restricting subtype, but attempts to
get her into psychiatric care were unsuccessful. She continues to ... resistant but her caloric
intake is now < 400 daily and she finally appears to ... unable to sustain the supraphysiologic
levels of exercise that she has ... to try and “keep her weight down.” She is 5’2” tall and weighs
82 lbs., which is approximately 75% of ideal body weight for her height. Her vital signs are
stable and surprisingly there are no ... laboratory or ECG abnormalities. When counseling Kelly
and her parents about the ... course of treatment, the PMHNP advises that Kelly will require:
13. Question: In which demographic is depression twice as prevalent in girls as ... to boys?
14. Question: Debbie is a 10-year-old female who has been ... to remediation therapy for her
reading disorder. While designing her treatment program, the PMHNP knows that the most
current strategies are ... by:
15. Question: Which of the following symptom clusters is most likely in a 16-year-old male
with major depressive disorder? NURS 6660N-8 Exam
16. Question: The etiology of childhood depression is multifactorial and may include
biological factors. Which of the following is a true statement with respect to hormonal studies
in ... children?
17. Question: Jared is a 6-year-old boy who comes to the PMHNP for an evaluation with his
father. The father reports that he is ... about Jared because he has ... problems fitting in at school
ever since he ... kindergarten. He does not have any friends at school and does not seem to know
how to play with others. Dad reports that Jared has never ... “very talkative” and sometimes
switches from one topic to another without any reason. When considering early-onset
schizophrenia, the PMHNP recognizes that which of the following must ... present? NURS
6660N-8 Exam
18. Question: Learning disorders affect at least 5% of all school-aged children in the United
States. Since 1975, Public Law 94-142 mandates that all states provide free, appropriate services
to all children. Among the various types of learning disorders, the PMHNP knows that the
overwhelming majority are:
19. Question: While the core features of schizophrenia are essentially the same in children as
they are in adults, the presentation or characterization is sometimes very different ...
developmental issues. Unlike adults with schizophrenia, children with schizophrenia do not
have:
20. Question: The PMHNP is working with rural primary care providers to increase
awareness of mental health disorders in infancy and early childhood. The program includes a
session on screening for feeding disorders in infants. If an infant is either ... by the provider or ...
by the parent to frequently suck the tongue rhythmically or appear to strain with his or her
back ... and then swallow, the examiner should consider the possibility of:
21. Question: Which of the following is a true statement with respect to avoidant/restrictive
food intake disorder? NURS 6660N-8 Exam
22. Question: Regarding pediatric suicide, which of the following is a true statement?
23. Question: The PMHNP is working with a couple who has ... trying for years to conceive
and is now ready to pursue adoption as an option. They are considering all possibilities; private
vs. government ... adoption, adopting from another country, adopting a child of a different race or
ethnicity, adopting an older child rather than an infant, and adopting a child who is currently in
foster care vs. one who lives in an orphanage. While counseling this couple, the PMHNP advises
them that:
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:18:02 GMT -05:00
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