1. An abused child runs to hide in the bedroom closet at the sound of the garage door opening even though the abusive parent no longer lives in the home, and even though hiding never prevented the abuse when that parent was present. This fear response can best be explained with which of the followi...
Complete 2020 child PRITE Questios &
Answers
1. An abused child runs to hide in the bedroom closet at the sound of the garage door
opening even though the abusive parent no longer lives in the home, and even though
hiding never prevented the abuse when that parent was present. This fear response can
best be explained with which of the following learning models?
A. Incentive learning
B. Operant conditioning
C. Learned helplessness
D. Classical conditioning
E. Contingency management - ANSWERSD
2. A child suddenly screams in the early part of the night with associated diaphoresis
and tachypnea, lasting for 1-2 minutes. The child has no recall of the events the next
day. These events are most associated with which of the following parasomnias?
A. Nightmares
B. Sleep terrors
C. Sleep talking
D. Confusional arousals
E. REM sleep behavior disorder - ANSWERSB
3. An emergency room physician evaluates a child with new-onset symptoms of
obsessions and compulsions. The physician cannot determine a cause for the child's
symptoms. Which of the following steps taken by the emergency room physician is
considered lifelong learning?
A. Obtain a psychiatry consult
B. Pursue further medical evaluation
C. Refer the patient to an outpatient psychiatrist
D. Review evidence-based literature regarding the symptoms
E. Develop a committee to create a standard evaluation for mental illness -
ANSWERSD
4. The medical director of an outpatient clinic for youth with disruptive behavior
disorders was concerned that patients treated with antipsychotic medications were
developing metabolic syndrome. The clinic implemented a system in the electronic
medical record in which charts were flagged for providers and the clinic manager if the
patient's body mass index had increased by more than 2 points since baseline. This
system is an example of:
,A. root cause analysis.
B. continuous quality improvement.
C. consumer satisfaction monitoring.
D. health-plan sponsored practice protocol.
E. disease-specific outcome measurement. - ANSWERSB
5. An adolescent is found unconscious in the school bathroom. The student has a
perioral rash and perinasal dermatitis. A plastic bag is found on the floor next to the
adolescent's backpack. A search of the backpack is most likely to reveal:
A. alcohol.
B. cannabis.
C. cough syrup.
D. an e-cigarette.
E. an aerosol can. - ANSWERSE
6. Which of the following personality disorders is most frequently comorbid in patients
with bulimia nervosa?
A. Avoidant
B. Histrionic
C. Borderline
D. Narcissistic
E. Obsessive-compulsive - ANSWERSC
7. According to psychodynamic theory, which of the following is the main role of the
therapist in play therapy?
A Serve as a surrogate for the absent parent figure
B. Enable the child to discuss feelings towards the aggressor
C. Reduce violence by modelling appropriate gender roles and behavior
D. Provide a setting for the child to develop the capacity for self-observation
E Devise a strategy for the patient to ask for time-out when feeling frustrated -
ANSWERSD
8. Which of the following is typical of the language development of six-month-old
infants?
A. Babbling with consonant and vowel sounds
B. Production of grunting, crying, and gurgling noises
C. Inconsistent and unclear use of the first few words
D. Starting to string words together in a very basic way
E. Using first words with reliable consistency and purpose - ANSWERSA
9. What is the primary goal of family therapy for oppositional defiant disorder?
,A Allowing the therapist to set limits with the child
B. Monitoring for signs of abuse to ensure child safety
C. Establishing a warm and mutually respectful relationship between parents and child
D. Providing psychoeducation to the parents about features of oppositional defiant
disorder
E. Determining whether the family system has diffused or rigid boundaries with external
systems - ANSWERSC
10. Which scale for attention-deficit/hyperactivity disorder (ADHD) in children has a
validated version for the child to complete?
A. ADHD Rating Scale-5
B. Conners 3rd Edition Rating Scale
C. Vineland Adaptive Behavior Scales
D. Swanson, Nolan, and Pelham-IV Rating Scale
E. Strengths and Weaknesses of ADHD Symptoms and Normal Behavior - ANSWERSB
11. An adolescent who has been recently diagnosed with non-epileptic seizures has
been sent from school to the emergency department on multiple occasions due to
having episodes during class. The adolescent and parents state that they do not want
the school to be informed of the patient's diagnosis. If the physician wanted to advocate
that the diagnosis should be shared with the school, which of the following statements
made by the physician would be best?
A. "There are several potential legal ramifications of not informing the school."
B. "There is real potential risk of inappropriate and invasive medical treatment."
C. "If the school is not informed, the hospital will no longer be able to admit your child."
D. "We will have to make a report to child protective services if you do not disclose the
diagnosis."
E. "Due to the potential dangerousness of not informing the school, we are obligated to
share the diagno - ANSWERSB
12. Which of the following symptoms is more common in adolescents with depression
compared to younger children with the disorder?
A. Irritability
B. Melancholia
C. Hallucinations
D. Temper outbursts
E. Somatic complaints - ANSWERSB
13. An adolescent with insulin-dependent diabetes who is in treatment for medical non-
adherence is pregnant. She wants to keep her pregnancy a secret and not inform her
parents, citing the right to health care confidentiality. The physician feels obligated to
inform the parents of the pregnancy. Which of the following concepts may justify the
physician informing the parents of the pregnancy?
, A. Rights of the fetus
B. Family-centered care
C. Imminent danger to patient
D. Parents must consent to care
E. Inability to document patient is a mature minor - ANSWERSC
14. In the mental status assessment, a unique component to evaluating infants may
include observation for:
A. speech.
B. hyperactivity.
C. affect regulation.
D. feeding behaviors.
E. dysmorphic features. - ANSWERSD
15. During a routine visit to the pediatrician, the mother of a 24-month-old girl states that
she has witnessed her daughter touching her vulva during baths. The mother asks if this
behavior is cause for concern. How should the pediatrician respond?
A. "This behavior is only atypical if done in a public setting."
B. "Genital self-stimulation should raise concern for sexual abuse."
C. "This behavior is only atypical if she displayed interests in other people's genitalia."
D. "Exploration of the body is a typical behavior at this age and there is no reason to be
concerned."
E. "Typically developing children do not begin to engage in genital self-stimulation until
they are older. - ANSWERSD
16. Which of the following rating scales provides a general screening of behavioral
health symptoms that identifies risk for childhood psychiatric disorders in a primary care
setting?
A. Pediatric Symptom Checklist
B. Patient Health Questionnaire-9
C. Mood and Feelings Questionnaire
D. McMaster Family Assessment Device
E. Screen for Child Anxiety Related Disorders - ANSWERSA
17. The therapeutic effects of second-generation antipsychotic medications are partly
mediated through action on which of the following receptor sites?
A. 5-HT 1A
B. 5-HT 1B/D
C. 5-HT 2A
D. 5-HT 2C
E. 5-HT 3 - ANSWERSC
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