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Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies? According to the APA which of the following are required to support a child’s DSM- 5 diagnosis? Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
NRNP 6665 Midterm Exam
Question 1
A Relaxation therapy
B Social skills training
C Motivational
Interviewing
D Applied^ behavioral
analysis
Question 2
A The^ child’s^ clinical^ presentation^ fulfills^ the^ specific^ symptom^ based
diagnostic criteria.
B The child’s symptoms are not caused by other diagnoses or stressors.
C The^ child’s^ symptoms^ are^ impairing^ a^ child’s^ functioning in^ at^ least two
settings.
D A and B
Question 3
Which of the following is NOT consistent with good sleep hygiene?
A Allow child to keep a cell phone at bedside.
B Establish bedtime routines and maintain consistently.
C
Limit use of electronics in the evening i.e., television,
computer, etc.
D
Set and maintain a bedtime that will allow for adequate
sleep.
Question 4
When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories? The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you started using?” to screen for which of the following diagnostic possibilities? When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?
A Aripiprazole (Abilify)
B Ziprasidone
(Geodon)
C Haloperidol (Haldol)
D Risperidone
(Risperdal) Question 5
A Safety
B Bullying
C Conduct disorder
D Oppositional^ defiant
disorder Question 6
A Substance use disorder
B Substance withdrawal
C Substance tolerance
D
Substance induced mental
disorder Question 7
A Become a surrogate decision maker for the patient.
B Consult^ a^ formally-designated surrogate^ for^ patient^ choices.
The theory that depression results from specific thought distortions is consistent with which of the following?
C
Bipolar I Disorder, mixed
episode
D
Bipolar I Disorder, cyclothymic
type Question 11 Which of the following is NOT true about symptomatology of anorexia nervosa?
A Most aberrant behaviors directed toward losing weight occurs in secret.
B All patients have an intense fear of gaining weight and becoming obese.
C family Most in^ patients with^ anorexia^ nervosa^ will^ have^ no^ difficulty^ eating^ with^ their
public places.
D individual’s Fear^ of^ gaining^ weight^ and^ becoming^ obese^ frequently^ contributes^ to^ the
lack of interest in and resistance to therapy/treatment. Question 12 Sleep-related hallucinations occurring at sleep onset are known as which of the following?
A Hypnagogic
B
Hypnopompic
C
Complex
hallucinations
D Paranormal
hallucinations Question 13
A Cognitive theory
B Psychosocial theory
C Psychodynamic theory
D Learned^ helplessness
theory
Reasons for the underuse of specific mental health treatments during childhood include which of the following? Which of the following is true regarding the cultural formulation interview with a child and caregiver? According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical Question 14
A Stigma associated with mental health
B Poor problem recognition
C Limited^ availability^ of^ mental^ health
specialists
D All of the above
Question 15
A
Asking about a child and caregiver’s cultural understanding is an efficient way to
build a therapeutic alliance.
B the While^ cultural understanding^ is^ important,^ it^ is^ important^ not^ to^ personalize
diagnosis.
C thus While^ obtaining^ cultural^ information is important, it^ may increase^ bias^ and
decrease accuracy of the assessment.
D
Engaging in a discussion about culture, while interesting and engaging, is a
distraction from the problem that brought the child and caregiver to the provider. Question 16
A Integrity
B Justice
C Beneficence
D Nonmalefice
nce Question 17 Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?
Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following? A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?
C Major depressive disorder
D Disruptive^ mood^ dysregulation
disorder Question 21
A Bulimia nervosa
B Anorexia nervosa
C Binge^ eating
disorder
D Night^ eating
syndrome Question 22
A Mood-congruent manic delusion
B Mood-incongruent^ manic
delusion
C
Mood-congruent manic
hallucination
D
Mood-incongruent manic
hallucination Question 23
A Group CBT
B Trauma-Focused CBT
C Motivational^ Interviewing
Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions? The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following? The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?
D Dialectical-behavioral
therapy Question 24
A
If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial
Interventions.
B the If^ a^ child/adolescent^ has^ mild^ symptoms,^ initiate^ psychotropic^ medication^ at
same time as appropriate psychosocial interventions are started. If a child/adolescent has moderate to severe range of symptoms initiate psychotropic
C medication at the same time as the appropriate psychosocial interventions
are
. started.
D If^ a^ child/adolescent^ has^ a^ moderate^ to^ severe^ range^ of^ symptoms^ initiate
psychotropic medication prior to initiating psychosocial interventions. Question 25
A Cognitive^ behavioral^ therapy
(CBT)
B Trauma-focused CBT
C Motivational interviewing
D Dialectical-behavioral therapy
Question 26
A 4–
weeks
B 3–
months
C 1–2 years
D 8–
A 10-year-old child presents with developmentally inappropriate and persistent difficulty with inattention with symptoms which are interfering with academic goals and in social settings. This is consistent with which of the following diagnoses? A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with Examples of atypical features in a patient with Major Depressive Episode include which of the following? In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?
A Address any acute safety concerns
B Obtain^ any^ necessary^ professional
assistance
C Develop^ a^ prevention^ plan^ for^ future
crises
D A and B
Question 31
A Conduct disorder
B Autism spectrum disorder
C Generalized anxiety disorder
D
Attention-deficit/hyperactivity
disorder Question 32
A Dysthymia
B Cyclothymia
C Major^ Depression,^ subacute,
recurrent
D Bipolar II disorder
Question 33
A Overeating^ and
A 15-year-old girl presents with symptoms that include restrictive eating and food avoidance, with a desire to avoid obesity, which persists despite negative consequences. This presentation is consistent with which of the following diagnoses? Which of the following antidepressants are approved by the FDA for treating depression in children ages 8–17?
oversleeping
B Loss of appetite
C Insomnia
D Sleep walking
Question 34 Somnambulism is characterized by which of the following?
A Waking from sleep/naps with vivid recall of intensely frightening dreams
B A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
C Excessive daytime sleepiness or sleep attacks
D minutes Repeated^ episodes^ of^ rising^ from^ bed^ and^ walking^ about^ for^ between^ several
to a half hour during nocturnal sleep Question 35
A Bulimia nervosa
B Anorexia nervosa
C Encopresis
D Autism^ spectrum
disorder Question 36
A Sertraline
B Fluoxetine
C Duloxetine
The mental health practitioner realizes the following about using a behavioral health rating scale? When responding to a family member about the genetic factors related to mood disorders the APRN would share which of the following? Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?
A Anorexia nervosa is more prevalent in males.
B Anorexia nervosa is most frequent in developed countries
C Anorexia nervosa is equally prevalent in males and females
D regularly Roughly^ half^ of^ patients^ with^ anorexia^ nervosa^ will^ not^ only^ diet^ but^ will^ also
engage in binge and purge behaviors Question 41
A Rating scare are inherently imperfect.
B Rating scales should never be the sole basis for making a diagnosis.
C Behavioral^ health^ rating^ scales^ are^ an^ efficient^ tool^ to^ quickly
diagnosis a patient.
D A and B
Question 42
A There is no evidence that genetics plays a role in mood disorders.
B mood If^ one^ parent^ has^ a^ mood^ disorder^ the^ child^ has^ a^ 50%^ risk^ of^ developing^ a
disorder.
C families Bipolar of^ I Disorder^ is^ typically^ the^ most^ common^ form^ of mood^ disorder^ in
bipolar probands.
D genetic Evidence^ from^ twin^ studies^ provides^ the^ most^ compelling^ data^ for^ the^ role^ of
factors in mood disorders. Question 43
A
Sertraline
B
Fluoxetine
Universal sleep hygiene would NOT include which of the following? Which of the following is NOT consistent with pseudodementia seen in major depressive disorder? When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?
C
Fluvoxamine
D
Clomipramine
Question 44
A Getting adequate exercise
B Avoid heavy meals before bedtime
C Consistent bedtime and arousal time
D Only^ go^ to^ bed^ when^ you^ are^ actually
feeling sleepy Question 45
A Sudden onset
B Diurnal variation
C Confabulation
D Can^ be^ coached^ and^ encouraged^ into
remembering Question 46
A Abuse
B Conduct disorder
C Communication disorder
D Attention^ deficit/hyperactivity
disorder Question 47 Which of^ the^ following^ may^ be^ symptoms^ of^ depression^ in^ children?
The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which of the following ethical issues? Ethical questions about what we “ought” to do or be are addressed within which domain ethics? insomnia
C Persistent insomnia
D Non-organic insomnia
Question 51
A Fidelity
B Autonomy
C Beneficence
D Nonmalefice
nce Question 52
A Metaethics
B Applied ethics
C Normative ethics
D None^ of^ the^ above^ as^ this^ is^ not^ an^ ethical
question Question 53 The most powerful predictors of the onset of a depressive episode is which of the following?
A Resent stressful events
B
Persons with antisocial personality
disorder
C Persons^ with^ paranoid^ personality
disorder
D Person^ with^ borderline^ personality
disorder
Attempts to influence providers through use of dinners, gifts, educational opportunities, and medication samples provide a conflict from which of the following American Academy of Child and Adolescent Psychiatry ethical perspectives? When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic Question 54
A Fidelity
B Autonomy
C Beneficence
D Nonmalefice
nce Question 55 Which of the following SSRIs is a first line treatment for depression in children?
A Paroxetine
(Paxil)
B Fluoxetine
(Prozac)
C Citalopram
(Celexa)
D Sertraline
(Zoloft) Question 56
A Adjustment^ disorder^ with^ depressed
mood
B Substance abus
C Disruptive mood dysregulatio
D Posttraumatic stress disorder
Question 57 The ARNP asks the teenager, who according to parents has been extremely moody, “Have you been using drugs or alcohol?” to assess for which of the following diagnostic possibilities?
Which of the following questions should be considered prior to prescribing any medication? Strategies that enhance therapeutic engagement include which of the following? Which of the following is true about educating children and their families about their diagnosed mental health disorder? Which of the following BMIs is associated with severe anorexia nervosa?
D All the above
Question 61
A What is the patient or caregiver preference?
B How rapid of a treatment response is needed?
C How^ does^ the^ child’s^ age^ effect^ your^ risk-benefit
analysis?
D All of the above
Question 62
A
Engage the child/adolescent in a manner to encourage them feeling noticed, heard,
and appreciated.
B Make sure that the parent/caregiver is always in the room.
C Start off with targeted diagnostic questions to save time.
D Always take the child/adolescent’s side if there is disagreement with
caregiver.
Question 63
A There is an inherent desire to better understand problems.
B It^ is^ important^ to^ focus^ on^ understanding^ the^ stigma^ of^ mental
health.
C It^ is^ important^ to^ connect^ the^ specific^ diagnosis with^ the
recommended treatment.
D A and C
Question 64
A BMI >17^ kg/m
Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges: A distinct period of an abnormally and persistently elevated, expansive or irritable mood lasting at least a week or requiring hospitalization is consistent with which of
B
BMI 16–
16.99kg/m
C BMI^ 15–15.
kg/m
D BMI < 1 5kg/m 2
Question 65
A Ages 0–
B Ages^ 6–
C Ages^ 13–
D Ages 18+
Question 66 Applied behavioral analysis is typically indicated for which of the following disorders?
A Anxiety disorder
B Depressive disorder
C Autism^ spectrum
disorder
D Oppositional^ defiant
disorder Question 67
A A manic episode
B A^ hypomanic
episode
