NURS 6660 FINAL EXAM LATEST (2 VERSIONS) / NURS6660 FINAL EXAM LATEST (2 VERSIONS):LATEST
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NURS 6660 (NURS6660)
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Walden University
NURS 6660 FINAL EXAM LATEST (2 VERSIONS) / NURS6660 FINAL EXAM LATEST (2 VERSIONS):LATESTNURS 6660 FINAL EXAM LATEST
VERSION 1
Question: 1
The PMHNP is evaluating a 15-year-old male patient who has been referred by his courtappointed guardian. He has been in foster care for the last 6 years ...
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NURS 6660 (NURS6660)
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NURS 6660
FINAL EXAM
2 VERSIONS
100+ Q&A
, NURS 6660: FINAL EXAM
VERSION 1
Question14
The PMHNP is evaluating the data he has collected in the assessment of Anna, a 9-yearold
girl who presented for evaluation because her teacher strongly encouraged Anna's mother to
seek care. According to the teacher, Anna has been consistently disruptive in the classroom
since the beginning of the school year, 2 months ago. The assessment includes unstructured
interviews with Anna, her mother, and grandmother, and Connors Parent or Teacher Rating
Scale for ADHD completed by her primary school teacher and mother. The PMNHP notes a
marked disparity among reports—they all seem to contradict each other. The PMHNP
considers that this apparent contradiction:
A. Likely indicates a subjective bias from the mother or teacher
B. May accurately reflect Anna's behavior in different settings
C. Requires that other adults exposed to Anna's behavior provide input
D. Indicates that a different approach to Anna's assessment is necessary
Question: 1
The PMHNP is evaluating a 15-year-old male patient who has been referred by his
courtappointed guardian. He has been in foster care for the last 6 years and maintained a
steady pattern of low-level behavior problems such as skipping school and ignoring curfew.
He is not openly defiant and has always been described as a ―loner.‖ He just does not follow
most rules. During the mental status examination, the PMHNP notes that his expressions are
sometimes inconsistent with the topic of conversation, and he does not seem to be able to
transition effectively among levels of emotion. This represents an abnormality in:
A. Mood
B. Affect
C. Thought process and content
D. Judgment and insight
, Question: 2
A variety of diagnostic instruments are available to assist the PMHNP with
comprehensive data collection. Which of the following tools is considered an
―interviewer-based‖ tool designed as a guide to clinicians designed to help clarify
answers to questions?
A. The Children's Interview for Psychiatric Symptoms (ChIPS)
B. The Diagnostic Interview for Children and Adolescents (DICA)
C. The Pictorial Instrument for Children and Adolescents (PICA-III-R)
D. The Child and Adolescent Psychiatric Assessment (CAPA)
3 61 Kevin is a 15-year-old male who presents for court-ordered psychiatric assessment.
Kevin comes to his first appointment with both of his parents. He is sitting in the chair with
his arms crossed and responds with ―yes‖ and ―no‖ answers to direct questions; otherwise,
he volunteers no information. The parents are clearly upset and indicate they just ―don't
know what to do with him anymore.‖ The most appropriate action for the PMHNP would be
to:
A. Ask the parents to step out and interview Kevin privately
B. Have Kevin complete the standardized-testing assessment
C. Schedule session two after reviewing court documentation
D. Arrange for three sessions with a family therapist then reevaluate Kevin
4 the PMHNP observes separation from and reunion with the parent as part the mental status
exam of a 25-month-old toddler. Extremes of emotion during separation or reunion are most
consistent with:
A. Normal developmental progression at that age
B. Cognitive dysfunction
C. Neurologic dysfunction
D. Problems with the parent-child relationship
5 the PMHNP is performing an emergency assessment on Renee, a 9-year-old girl who was
initially brought to the attention of social services by her maternal grandmother. Renee is
reluctant to talk about herself or her home life. The physical examination that accompanied
this emergency assessment revealed a variety of ecchymoses in various stages of healing,
and the examiner was suspicious that there was a history of sexual abuse. Renee is quiet and
passive during the interview, but is rather aggressive when playing with dolls. While
, considering the need for removal from the home, the PMHNP knows that all the following
are risk factors for predictors of further abuse and maltreatment except:
A. Neglect as the form of maltreatment
B. Parental conflict
C. Number of previous episodes
D. Gender of the victim
Question 22
6Harmony is a 4-year-old female who has been through several evaluations for
behavioral
abnormalities that have become increasingly disruptive, and the family is concerned
for the safety of both Harmony and her 2-year-old brother. Comprehensive assessment
of Harmony includes neuropsychiatric testing. The PMHNP documents the presence
of neurological hard signs. These suggest:
A. Brain lesions
B. Early-onset schizophrenia
C. Low intelligence
D. Learning disability
Question 20
7During 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
8Question 54
The PMHNP has been retained by the local school board to provide comprehensive
counseling
and guidance following an episode of tragic school violence. A 9th grader, acting alone,
brought a gun into the school, fatally shooting a teacher and injuring four other teachers and
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