NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam

Question 1

Which of the following medications have received FDA approval for the treatment of generalized anxiety disorder in children aged 7–17?
A. Sertraline
B. Quetiapine
C. Duloxetine
D. Clomipramine

Question 2

What is accurate regarding social skills training with teenagers?
A. Social skills training aims to instruct in social problem-solving.
B. Social skills training is more effective in a one-on-one setting.
C. Social skills training is more effective in a group setting due to peer influences.
D. A and C

Question 3

To assess for which of the following common diagnostic possibilities, the clinician asks an adolescent, “Have you felt persistently sad or gloomy for more than a year?”
A. Bipolar disorder
B. Substance use disorder
C. Major depressive disorder
D. Persistent depressive disorder

Question 4

What are examples of atypical features in a patient experiencing a Major Depressive Episode?
A. Overeating and oversleeping
B. Loss of appetite
C. Insomnia
D. Sleepwalking

NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam Question 5

The ARNP working with a 5-year-old child in a busy pediatric practice intends to utilize Level 1 and Level 2 cross-cutting symptoms measures. What is true in this situation?
A. These user-friendly screens can be completed before a formal evaluation, expediting the assessment of this child.
B. These Level 1 and Level 2 assessments can assist the practitioner in identifying the presenting problem for this child.
C. Systematic use of the Level 1 and Level 2 cross-cutting assessments will yield measurable outcomes for this child.
D. There are no Level 1 and Level 2 cross-cutting assessments available for use with a 5-year-old.

NRNP-6665 Comprehensive Integrated Psychiatric Assessment Discussion Example

Question 6

Addressing which of the following domains in the American Academy of Child and Adolescent Psychiatry Code of Ethics, does the principle that competent mental health care and a full range of services should be accessible to all children, adolescents, and their families pertain to?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence

Question 7

Which of the following is inconsistent with what is known about prolonged sleep deprivation?
A. Prolonged sleep deprivation leads to death.
B. Prolonged sleep deprivation leads to severe physical impairment.
C. Prolonged sleep deprivation leads to severe cognitive impairment.
D. Prolonged sleep deprivation, while annoying and frustrating, is not life-threatening.

Question 8

During which of the following age ranges are developmental impairments and disruptive behavior problems most prevalent?
A. Ages 0–5
B. Ages 6–12
C. Ages 13–18
D. Ages 18+

Question 9

A 15-year-old girl presents with symptoms that include restrictive eating and food avoidance, driven by a desire to avoid obesity, despite experiencing negative consequences. This presentation is consistent with which of the following diagnoses?
A. Bulimia nervosa
B. Anorexia nervosa
C. Encopresis
D. Autism spectrum disorder

Question 10

Which strategies enhance therapeutic engagement?
A. Engage the child/adolescent in a way that makes them feel noticed, heard, and appreciated.
B. Ensure that the parent/caregiver is always present in the room.
C. Begin with targeted diagnostic questions to save time.
D. Always take the child/adolescent’s side in case of disagreement with the caregiver.

Question 11

According to the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics, to whom is the provider obligated when delivering care?
A. The child or adolescent
B. The child/adolescent’s guardian(s)
C. Only the guardian(s) for children under 7
D. A and B

Question 12

During the evaluation of a patient with a history of Bipolar I Disorder who is currently in a manic state, the patient claims to be the Queen of England and quite wealthy. This is an example of which of the following?
A. Mood-congruent manic delusion
B. Mood-incongruent manic delusion
C. Mood-congruent manic hallucination
D. Mood-incongruent manic hallucination

Question 13

What is NOT true regarding the symptomatology of anorexia nervosa?
A. Most aberrant behaviors directed toward weight loss occur in secret.
B. All patients have an intense fear of gaining weight and becoming obese.
C. Most patients with anorexia nervosa have no difficulty eating with their family in public places.
D. Fear of gaining weight and becoming obese frequently contributes to the individual’s lack of interest in and resistance to therapy/treatment.

Question 14

Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies typically used in which of the following therapies?
A. Relaxation therapy
B. Social skills training
C. Motivational Interviewing
D. Applied behavioral analysis

Question 15

What principles should be considered when using a rating scale to assess mood and anxiety disorders?
A. Choose a rating scale with fair diagnostic reliability.
B. A longer rating scale will provide better diagnostic specificity.
C. Use a broad-based rating scale to investigate a specific problem.
D. Select scales that are research validated for age, condition, and, ideally, culture.

Question 16

What are ethical standards set forth by the APA?
A. They are guidelines for psychologists.
B. They are enforceable rules for psychologists.
C. They are an exhaustive list of professional standards.
D. They are standards that apply to the professional and private conduct of psychologists.

Question 17

Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders?
A. No correlation has been found between socioeconomic status and major depressive disorder.
B. A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups.
C. Bipolar I disorder is more common among individuals who graduated from college.
D. The prevalence of mood disorders does not differ among races.

Question 18

A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following?
A. Bipolar II Disorder
B. Dysthymic Disorder
C. Cyclothymic Disorder
D. Bipolar I Disorder, hypomanic type

Question 19

What is an initial screening question for a child with sleep problems?
A. Do worries keep you awake?
B. What is your routine before going to bed?
C. Do you startle easily or experience frequent nightmares?
D. Do you feel tense, restless, or worried most of the time?

Question 20

When assessing a child presenting with anxiety and worry, the provider asks the child, “Do you experience sudden surges of fear that make your body feel shaky or your heart race?” to screen for which of the following common diagnostic possibilities?
A. Obsessive-compulsive disorder
B. Posttraumatic stress disorder
C. Panic disorder
D. Separation anxiety disorder

Question 21

What is important to understand when treating a child with an anxiety disorder?
A. Anxiety disorders are frequently

diagnosed in families.
B. Repeated exposure to feared situations always helps the child unlearn the fear response.
C. Parents should encourage avoidance of feared situations to dissipate fear.
D. SSRIs are the MOST effective treatment in relieving symptoms of anxiety.

Question 22

What is true regarding the cultural formulation interview with a child and caregiver?
A. Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance.
B. While cultural understanding is important, it is essential not to personalize the diagnosis.
C. While obtaining cultural information is important, it may increase bias and thus decrease the 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 23

Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?
A. Ages 0–5
B. Ages 6–12
C. Ages 13–18
D. Ages 18+

Question 24

A distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least a week or requiring hospitalization is consistent with which of the following?
A. A manic episode
B. A hypomanic episode
C. Cyclothymia
D. Bipolar II Disorder

Question 98

What is the average time from the start of child mental health symptoms until a young person enters mental health treatment?
A. 4–6 weeks
B. 3–6 months
C. 1–2 years
D. 8–10 years

Question 99

What should be considered first when assessing a child with sleep problems?
A. Poor sleep habits
B. Insomnia disorder
C. Major depressive disorder
D. Generalized anxiety disorder

Question 100

What is the most common eating disorder?
A. Bulimia nervosa
B. Anorexia nervosa
C. Binge eating disorder
D. Night eating syndrome

NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam