NRNP 6665/ NRNP6665 FINAL EXAM | (2023/2024) Questions and Verified Answers
1. Katelyn is a 16-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...
NRNP 6665/ NRNP6665 FINAL EXAM | (2023/2024) Questions and Verified Answers 1. Katelyn iisiai16-year-oldigirliwhoipresents iforitherapy iwithiherimother iand father . Katelyn wasiborniwithimale igenitalia ibutihasifeltilikeiaifemale i"alliofiherilife.i"iSheisays
isheiknew isomething iwasidifferent iasifaribackiasisheicaniremember .iSheialways iwanted i
toiwear iherimother's iclothes iandimakeup iandiplayiwithiother igirls.iKatelyn istarted idressi
ngiandiopenly iidentifying iasiaigirliwhen isheiwasi13iyears iold,iandiheriparents iareitrying
itoibeisupportive ibutitheyiareistruggling .iMost irecently iKatelyn ihasideveloped ianiintima
teipartner irelationship iwithiJennifer, iai15-yearoldigirliwhoiwasigender -
assigned ifemale iatibirth iandiidentifies iasiaifemale .iKatelyn's ifather idoesinotiunderstand it
heirelationship .iTheiPMHNP iexplains ithatiKatelyn : A. Isiresponding itoitheimale ihormonal isurges iofipuberty iandiwilliultimately iidentify
iwithiheriphysiologic igender i B. Does inotihave iaiclear isense iofigender iidentity iandimayibeiaicandidate iforireparat
iveitherapy itoicorrect iherigender iidentity iissuesi C. Is a transgender female who identifies as lesbian D. Isiaiheterosexual imale iwithitransvestic idisorder ii 2. Alliofitheifollowing iareiproposed ietiologies iofipicaiexcept : A. Nutritional ideficiencies i B. Parental ineglect i C. Compensation iforioralineeds i D. Autism spectrum disorder 3. While itheicoreifeatures iofischizophrenia iareiessentially itheisame iinichildren iasitheyiareii
niadults, itheipresentation ioricharacterization iisisometimes iveryidifferent igiven idevelopm
ental iissues .iUnlike iadults iwithischizophrenia, ichildren iwithischizophrenia idoinotihave : A. Classic ipositive isymptoms i B. Poverty of speech content C. Social irejection i D. Delusions iofipersecution i11i 4. TheiPMHNP iisiworking iwithiaicouple iwhoihasibeen itrying iforiyears itoiconceive iandiisi
nowiready itoipursue iadoption iasianioption .iThey iareiconsidering iallipossibilities; iprivate ivs.igovernment -
mediated iadoption, iadopting ifrom ianother icountry, iadopting iaichild iofiaidifferent iraceior
iethnicity, iadopting ianiolder ichild irather ithanianiinfant, iandiadopting iaichild iwhoiisicurr
ently iinifoster icareivs.ioneiwhoilives iinianiorphanage .iWhile icounseling ithisicouple, ithei
PMHNP iadvises ithem ithat: A. Younger children adopted from foster care settings have the best outcomes B. Children iadopted ifrom iabuse iandineglect isituations ihave ibetter ipsychological iada
ptation ithanithose iadopted iasinewborns i C. Transracial iadoptions ihave idemonstrated igreater idisruptions iasicompared itoisame
-raceiadoptions i D. Adoptions iintoifamilies iasianionlyichild iareimore isuccessful ithanithose iintoifamil
iesiwithibiological ichildren i 5. Meliisiai15-year-
oldimale iwithiaicomplex ipsychiatric iassessment .iHeihasiailongihistory iofimood iinstabilit
y,ibehavior iproblems, ianditrouble iwithischoolwork .iHeiwasianiextremely iactiveichild iw
ho,iationeitime, iwasiputionimedication iforihyperactivity .iAfter iaicomprehensive ievaluati
on,itheiPMHP irecognizes ithatiheimeets idiagnostic icriteria iforibothibipolar iIidisorder iand
iattention ideficit ihyperactivity idisorder i(ADHD) .iTheimost isucces sfuliapproach itoihisim
anagement iisilikely itoibegin iwith: A. Pharmacotherapy iforiADHD i B. Pharmacotherapy for bipolar I C. Parental itraining iandibehavioral iinterventions iforiADHD i D. Family -focused ipsychoeducational i(FFT -A)iforibipolar iIi 6. Bruce iandiDebbie ihave imade ianiappointment iforiaipsychiatric iconsultation iforiwhat iam
ounts itoipsychiatric igenetic icounseling .iBruce iisi31iyears ioldiandiDebbie iisi28iyears iold
.iThey ihave ibeen imarried ifori3iyears iandiwant itoihave ichildren .iDebbie iisiworried ibecau
seisheihasiaidiagnosis iofischizophre nia.iHerisymptoms ifirstibecame ievident iwhen isheiw
asiiniherijunior iyearioficollege; ifortunately, isheiknew iabout itheidisease idueitoifamily ihis
toryiandisought icareiquickly .iSheihasibeen iveryiopen iwithiBruce, ianditheyiareibothiwell
iinformed iabout itheidisease .iDebbie iisianionlyichild iandiherifather ihadischizophrenia itha
tiwasinotiwellicontrolled .iHeicommitted isuicide iwhen isheiwasi15iyears iold.iDebbie itake
siolanzapine iandifeels iwellioverall .iSheihasiaipart-
timeijob,ifunctions iwell, ibutiisiconcerned iabout itheigenetic inature iofiheridisease .iCouns
eling iforiBruce iandiDebbie iincludes iwhich iofitheifollowing ipieces iofiinformation ? A. Schizophrenia iisiupitoieight itimes imore iprevalent iinifirst-
degree irelatives iasicompared itoitheigeneral ipopulation .i B. Schizophrenia ihasibeen iisolated itoichromosome inumber i5iandiantenatal itesting iis
iavailable itoipredict igenetic ipredisposition iofitheifetus .i
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nurse_steph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £9.42. You're not tied to anything after your purchase.
