. Which of the following statements is true with respect to children who present to care acutely due to violent, enraged behavior?
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 teache...
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.
C
,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
D
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
, D
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
D
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
C
Question 6
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