NR 668 FINAL EXAM | PSYCHIATRIC-MENTAL
HEALTH CAPSTONE PRACTICUM &
INTENSIVE FINAL EXAM | QUESTRIONS AND
ANSWERS RATED A+ | UPDATED 2024/2025 |
CHAMBERLAIN
An 8-year-old boy diagnosed with leukemia is referred to child psychiatry
because he is consistently displaying a flat affect, irritability, angry acting
out, and occasional physical aggression toward his 6-year-old brother.
What approach should the PMHNP take when interviewing this child?
- Correct Answer - Provide toys and allow the child to play
Which eating disorder is considered ego syntonic?
- Correct Answer - Anorexia Nervosa (Anorexia Nervosa is challenging to
treat because it is ego syntonic. In other words, one's behaviors, feelings
and values are in line with the needs of the ego and reliable to one's self
image.)
A 30-year-old G1P0,1 has become increasingly oddly related, neglecting
self-care, sleeping much of the day, eating minimally, crying easily, and
despite reassurance that her pregnancy is progressing normally, worries
that she will lose the pregnancy. Which of the following medications is
considered least harmful in pregnancy?
- Correct Answer - Sertraline
A 10-year-old boy who had been prescribed fluoxetine for major
depressive disorder presents to the psychiatric emergency department
,for running into the street in front of a car on the way home from school.
In the emergency department, he has been selectively mute, but the
nurse practitioner student was able to elicit his desire to be dead. He has
been medically cleared pending a psychiatric evaluation. What is the
most common sign of major depressive disorder in children?
- Correct Answer - Psychomotor agitation
A 6-year-old boy is referred by the child study team for speech difficulty.
On examination the boy is friendly and cooperative, his speech is clear,
and he uses simple sentences with a limited vocabulary. Most notably he
confuses verb tenses consistently. The parents report he met most of his
developmental milestones except speech, which was delayed. His
clinical presentation is most consistent with which of the following?
- Correct Answer - Expressive language disorder
The school psychologist refers a 7-year-old girl with difficulty reading,
distractibility, and writing avoidance behaviors. The child has no
diagnosed conditions, takes no medications, and met all of her
developmental milestones. She loves arts and crafts and physical
education. Prior to diagnosing a learning disorder, which of the following
screening tests must be performed?
- Correct Answer - Vision and hearing
Which disorder is associated with higher rates of ADHD, enlarges testes,
a long narrow face, hypotonia and short stature?
- Correct Answer - Fragile X (Fragile X is associated with a higher rate of
ADHD, impaired intellectual ability, learning d/o's, autism spectrum d/o.
Physical attributes include hypotonia, flat feet, enlarges testes, long
narrow face, flexible fingers and short stature.)
,A 10-year-old girl is referred for evaluation of behavioral difficulties. Her
teachers report that she is easily distracted and fails to complete any
class work, and often stares off into space or tries to chat with her
neighbor. Her mother reports that mornings are the most difficult
because of her general disorganization and forgetfulness. Otherwise she
is socially engaged and enjoys many activities. Which of the following is
the most likely diagnosis?
- Correct Answer - - Correct Answer - Attention deficit disorder
A pregnant woman with depression is reluctant to take medication for
fear of causing her baby neonatal abstinence syndrome due to selective
serotonin reuptake inhibitor (SSRI) medication. Her husband states they
would like to use a faith healer instead. Which of the following is most
accurate regarding the prognosis of depression during pregnancy?
- Correct Answer - The actual course of depression cannot be predicted
Which of the following statements regarding intellectual developmental
disorder is false?
- Correct Answer - IQ test scores remain the gold standard for
determining intellectual disability (IQ test scores are not the gold
standard for determining intellectual disability. Furthermore, IQ tests fail
to asses reasoning in real life scenarios and fail to measure mastery of
practical tasks despite measuring conceptual capacity.)
An 8-year-old boy presents with nocturnal enuresis, which persists
despite behavioral interventions including eliminating fluid intake in the
evening, scheduled awakening at night to use the bathroom, and a urine
alarm. Which of the following medications is most appropriate?
, - Correct Answer - Imipramine
Sam is 11 years old without past psychiatric history. He was born by
normal spontaneous vaginal delivery with normal APGAR scores. He
has met all of his developmental milestones. He began sixth grade this
year and has had increased trouble falling asleep. He has always had
bedtime rituals but lately they are extending in complexity and length.
Most of his time in the evening is spent checking that the lights are
turned off and that the windows are locked. As a result, he is only getting
5 hours of sleep at night and now has excessive daytime sleepiness with
decreased interest in socialization and failing grades. Which of the
following infectious diseases may contribute to this clinical presentation?
- Correct Answer – Streptococcus
The PMHNP is providing psychoeducation and anticipatory guidance to
the concerned parent regarding night terrors. At which stage of sleep is
this most likely to occur?
- Correct Answer - Stage 3 to 4
Early onset Schizophrenia is considered what?
- Correct Answer - All of the statements listed are true. (Early onset
schizophrenia is rare. It is 8X more prevalent amongst 1st degree
relatives (Sadock, Sadock & Ruiz, 2014).
Child protective services is requested for an evaluation of a 9-month-old
girl in foster care whose mother was on a methadone maintenance
program and using cocaine while pregnant. The child is HIV negative
and during the assessment you learn of a 3-year-old brother who is HIV
positive. You are asked to recommend placement for both these
children. Which of the following is best?
