Which of the following statements is true with respect to children who present to
care acutely due to violent, enraged behavior?
A. Under no circumstances should the PMHNP approach this patient.
B. Prepubertal children typically require medication as they are too young to
respond to conversation.
C. Children who have a history of repeated, self-limited, severe tantrums
require at least a 72-hour admission.
D. If the child appears to be calming down in the emergency area, the clinician
may ask the child for his version of events.
Question 2
Phillip is a 5-year-old boy who is in care after being referred for failure to
speak at school. He has been in kindergarten for 5 months, and initially his
teacher thought he was just shy, so she did not focus on him. However, it
has become increasingly apparent that he flat out will not speak at school.
Phillip’s parents are adamant that there is not any problem at home and that
Phillip talks with them and his older sister routinely. Further assessment
reveals that he has always been extremely shy and that he doesn’t like it
when people make a fuss over him. The PMHNP suspects that Phillip has
selective mutism, which is closely related to:
A.A history of sexual abuse
, B. Fetal alcohol syndrome
C. Early onset schizophrenia
D. Social anxiety disorder
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
Treatment of abused children is multimodal and long term. The single most
important aspect of treatment is:
A.Establishing a safe place for the child
, B. Exposure related to the feared experience
C. Psychoeducation
D. Cognitive-behavioral interventions
Question 5
Having child and adolescent patients rate their feelings and moods on a
scale of 1–10 is most effective in which age group?
A.18-months to 3 years
B. 3 to 5 years
C. 5 to 11 years
D. 12 to 17 years
Question 6
The PMHNP is evaluating his data for the assessment of Eric, a 23-month-
old male who was referred because he is having nightmares to the extent
that most nights he is waking up family members with his crying and
screaming. In addition to the clinical interview with the parents and patient,
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