Walden NURS 6660 FINAL EXAMQuestion 1 In which demographic is depression twice as prevalent in girls as compared to boys? A. Preschoolers B. School aged C. Adolescents D. All children
Question 2
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6 ...
In which demographic is depression twice as prevalent in girls as compared to boys?
A. Preschoolers
B. School aged
C. Adolescents
D. All children
Question 2
Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was
started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L according
to his most recent blood work. Andrew says he does not feel any different, but both his
parents and teachers report improvement in his mood. He has been more stable, is
getting along better with friends and siblings, and is even more interested in his
schoolwork. The PMHNP plans to maintain Andrew on this medication and knows that
he will need which of the following ongoing laboratory assessments?
A. Complete blood count, thyroid function tests, and serum calcium
B. Liver function tests, complete blood count, and 12-lead electrocardiogram
C. White blood cell differential, fasting glucose, and fasting lipid profile
D. Comprehensive metabolic panel, complete blood count, and thyroid function tests
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,Question 3
Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last
40 to 50 years have been characterized by increased attention to this issue and the
publication of various ethical codes and practice position statements by professional
organizations. Which of the following is not a true statement with respect to confidentiality
of the child or adolescent client?
A. The PMHNP should not be concerned with consent for disclosure when child abuse
or maltreatment has occurred.
WALDEN UNIVERSITY NURS 6660 FINAL EXAM
B. In 1979, the American Psychiatric Association (APA) stated that children 12 years
of age or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of
Ethics
states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best approach is
when the child and PMHNP agree on disclosure.
Question 4
Debi is a 15-year-old girl who is currently being treated for depression. Her parents
have been very proactive and involved in her care, and Debi has achieved remission 2
months after beginning treatment with a combination of pharmacotherapy and cognitive
behavioral therapy. While counseling Debi’s parents about important issues in
management, the PMHNP advises that:
A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive
symptoms
B. The mean length of major depressive episode in adolescents is 4 months
20 to 40% of adolescents who have major depressive disorder will develop
bipolar I
C. within 5
years
,D. Adolescent-onset depression typically needs long-term pharmacologic management
to prevent relapse
Question 5
The therapeutic outcomes for children with disorders of written expression are most
favorable when they are characterized by:
Concomitant pharmacotherapy with a psychostimulant to promote attention and
focus
Multimodal therapy to include group interaction with peer-to-peer feedback on writing
samples
A variety of tutors who will offer a variety of writing techniques, composition strategies,
and critiques
Intensive, continuous administration of individually tailored, one-on-one
expressive and
creative writing
therapy
Question 6
When considering a diagnosis of developmental coordination disorder, the PMHNP
knows that the diagnosis may be associated with:
A. Above-average scores on performance subtests of standardized intelligence
testing
B. Below-average scores on verbal subtests of standardized intelligence testing
C. Soft neurologic signs on physical examination such as slight reflex
abnormalities D. Physical findings consistent with neuromuscular disease such as
muscular dystrophy
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, Question 7
Caylee is a 5-year-old girl who is referred for evaluation by child protective services.
She was recently removed from her biological family and placed in foster care, as her
home environment was reportedly unsafe due to conditions of extreme neglect. Her
foster mother reports that Caylee is very quiet and withdrawn and always appears sad
and disinterested in her surroundings; however, she becomes very irritable when
anything unexpected or unplanned occurs. The foster mother became very concerned
when it appeared that Caylee was hallucinating. The PMHNP considers that:
A. Caylee is at high risk for suicide and precautions should be taken
B. The hallucinations are consistent with brief psychotic disorder or schizophrenia
C. The history and reported symptoms are typical of depressive disorder in young
children
D. This is a common situation when prepubertal children are removed from the
biological parents regardless of how dysfunctional they are
Question 8
Children with gender dysphoria typically have higher rates of all the following except:
A. Depression
B. Impulse control disorders
C. Anxiety disorders
D. Eating disorder
Question 9
Eileen is a 23-month-old girl who is being evaluated for autism spectrum disorder
because her pediatrician is concerned about the presence of developmental red flags.
She has just a few words of speech and has not put together any meaningful two-word
phrases. While taking a history from Eileen’s mother the PMHNP learns that for
approximately the last 2 months Eileen has been seen eating paint chips that are
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