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NURS 6660 / NURS 6660N Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent
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NURS 6660 / NURS 6660N Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent
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NURS 6660 Final Exam
Latest Multiple Versions
Verified Questions and Answers
Download to Secure High Score in Exam
Complete and Best Document for Exam Preparation
, Course NURS-6660N-8,PMH NP Role I: Child.2019 Fall Quarter 08/26-11/17-
PT27
Test Final Exam - Week 11
Started 11/6/19 4:12 PM
Submitted 11/6/19 5:31 PM
Due Date 11/11/19 1:59 AM
Status Completed
Attempt Score 74 out of 75 points
Time Elapsed 1 hour, 18 minutes out of 2 hours
Results Submitted Answers
Displayed
Question 1
1 out of 1 points
Conventional antipsychotics are not first-line interventions in early-onset schizophrenia due to the risk of
dystonic reactions. However, when children are not responsive to first-line therapy with atypical
antipsychotics, which of the following is the most appropriate conventional choice?
Selected Answer: D.
Chlorpromazine
Question 2
1 out of 1 points
The therapeutic outcomes for children with disorders of written expression are most favorable when they
are characterized by:
Selected Intensive, continuous administration of individually tailored, one-on-one expressive
Answer: and creative writing therapy
Question 3
1 out of 1 points
Linda is a 5-year-old girl who has persistent pica; she was finally referred for care when
her kindergarten teacher became alarmed by her eating of potentially toxic nonfood substances. Linda’s
mother admits during the history that Linda has been doing this for years, but thought it was not a big deal
since Linda didn’t eat anything dangerous. Linda’s mother must work two jobs and essentially did not
bother to pursue Linda’s unusual symptom because it didn’t seem unsafe. While discussing management
strategies with Linda’s mother, the PMHNP counsels that the most rapidly successful treatment strategy
appears to be:
Selected Answer: A.
Aversion therapy
Question 4
0 out of 1 points
Rumination is a feeding disorder most commonly seen in infants, but it can occur at any point in the
, lifespan. Characteristic findings in infants include:
Selected Answer: C.
Failure to thrive
Question 5
1 out of 1 points
Katelyn is a16-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
back as she can remember. She always wanted to wear her mother’s clothes and makeup and play with
other girls. Katelyn started dressing and openly identifying as a girl when she was 13 years old, and her
parents are trying to be supportive but they are struggling. Most recently Katelyn has developed an
intimate partner relationship with Jennifer, a 15-year-old girl who was gender-assigned female at birth
and identifies as a female. Katelyn’s father does not understand the relationship. The PMHNP explains that
Katelyn:
Selected Answer: C.
Is a transgender female who identifies as lesbian
Question 6
1 out of 1 points
All the following are true with respect to making a diagnosis of major depressive disorder in children
except:
Selected Answer: C.
There must be somatic or psychomotor complaints.
Question 7
1 out of 1 points
Donna is a 16-year-old transgender female who has been through extensive individual and family
counseling and is ready to start hormone therapy with estrogen, progesterone, and testosterone-blocking
agents. When counseling her specifically about the risks, benefits, and required monitoring of hormonal
therapy, the PMHNP advises Donna that:
Selected Answer: C.
Sterility is a probable consequence of hormone therapy
Question 8
1 out of 1 points
The leading cause of death in youths living in juvenile residential facilities is:
Selected Answer: A.
Suicide
Question 9
1 out of 1 points
The PMHNP is working with a pediatrician colleague on a journal article to increase awareness and
improve diagnostic strategies for early-onset bipolar disorder. Based upon a review of the longitudinal
, research on this disorder, the literature review of this article should include all the following except:
Selected C.
Answer: Higher socioeconomic status and lifetime psychosis are predictors of more rapid
cycling in early-onset bipolar disorder
Question 10
1 out of 1 points
Tiana is a 10-year-old girl who is being referred for evaluation because her school performance is
appreciably below what is expected at her age. Historically she has been a very happy child, likes school,
and looks forward to going. However, over the last several months her teacher reports that she is much
slower than her peers in reading, and she appears to be upset and withdrawn when asked to read in class.
The PMHNP would expect additional report from the teacher to include all the following except:
Selected Answer: A.
Inability to copy correctly from a printed text
Question 11
1 out of 1 points
Which of the following statements best characterized the treatment course and progression of bulimia
nervosa?
Selected Answer: A.
Cognitive behavioral therapy is considered the benchmark, first-line treatment.
Question 12
1 out of 1 points
Kelly is a 14-year-old female who has finally been referred for management of anorexia nervosa. She was
diagnosed almost 1 year ago with the food-restricting subtype, but attempts to get her into psychiatric
care were unsuccessful. She continues to be resistant but her caloric intake is now < 400 daily and she
finally appears to be unable to sustain the supraphysiologic levels of exercise that she has maintained to
try and “keep her weight down.” She is 5’2” tall and weighs 82 lbs., which is approximately 75% of
ideal body weight for her height. Her vital signs are stable and surprisingly there are no profound
laboratory or ECG abnormalities. When counseling Kelly and her parents about the recommended course
of treatment, the PMHNP advises that Kelly will require:
Selected Answer: B.
Hospitalization for controlled weight gain
Question 13
1 out of 1 points
In which demographic is depression twice as prevalent in girls as compared to boys?
Selected Answer: C.
Adolescents
Question 14
1 out of 1 points
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