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NURS 6660 mid term exam -with100% verified answers-2022
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NURS 6660 mid term exam -with100% verified answers-2022
Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status
examination is significant for an inability to stack two blocks or draw a circle. The PMHNP
also appreciates the inability to attend to any task for more than a few seconds. These
findings indicate an abnormality in:
A Social relatedness
.
B Thought process and
. content
C Motor behavior
.
D Judgment and insight
.
C
During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he
appears to be having transient visual and auditory hallucinations. The PMHNP knows that the
best approach to this finding is to consider that:
A This is most consistent with early-onset
. schizophrenia
B An organic brain disorder should be ruled out
.
C These are normal findings in very young
. children
D Comprehensive psychiatric assessment is
. indicated
B
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
Which of the following is the most common anxiety disorder of childhood?
A Generalized anxiety
. disorder
B Separation anxiety
. disorder
C Social anxiety disorder
.
D Obsessive-compulsive
. disorder
A
When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive
disorder (OCD), the PMHNP considers that evidence-based data from the Pediatric OCD
Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral
therapy (CBT) and:
A Clomipramine
. (Anafranil)
B Sertraline (Zoloft)
.
C Aripiprazole (Abilify)
.
D Lithium (Eskalith)
.
B
Which of the following behaviors is least suspicious for an adolescent who is being bullied at
school?
A A significant change in study habits in which the patient is demonstrating higher
. academic achievement to the exclusion of a social life
B A persistent, sustained increase in the number and variety of physical complaints that
. have no obvious organic cause
C Evidence that the patient has started smoking cigarettes and seems to spend more time
. alone than usual
D Migration to a completely different peer group and a change in appearance and behavior
. to aggressively mimic the new group
A
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