NRNP 6665 Week 6 Midterm Exam

NRNP 6665 Week 6 Midterm Exam

Question 1

A 15-year-old girl presents with symptoms characterized by restrictive eating and food avoidance, driven by a desire to prevent obesity. These behaviors persist despite negative consequences. What diagnosis is consistent with this presentation?

Bulimia nervosa

Anorexia nervosa

Encopresis

Autism spectrum disorder

Question 2

Which statement is NOT in line with the American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics?

The developmental perspective should be integrated into the provider’s considerations and actions when dealing with children and adolescents.

The primary concerns of child/adolescent psychiatry are the welfare, functioning, and optimal development of children.

Child/adolescent psychiatry providers should avoid actions that may harm optimal child/adolescent behavior.

The right to consent to treatment belongs to the individual child/adolescent of minor age.

Question 4

The clinician asks an anxious/worried child if there is a specific situation or thing that immediately triggers fear. This question aims to screen for which diagnostic category?

Panic disorder

Specific phobia

Generalized anxiety disorder

Separation anxiety disorder

Question 16

When assessing a child with poor academic performance, which diagnostic category should be considered as a priority?

Sensory impairment

Intellectual disability

Substance use disorder

Mood or anxiety disorder

Question 17

Among the following antipsychotic medications, which one is most likely to increase appetite and body weight?

Aripiprazole (Abilify)

Ziprasidone (Geodon)

Haloperidol (Haldol)

Risperidone (Risperdal)

Question 18

When depression and medical conditions coexist, the clinician should do all of the following EXCEPT:

Attempt to determine if the medical condition is pathophysiologically related to the depression.

Attempt to determine whether any medications the patient is taking for the medical condition are causing the depression.

Do not attempt to treat the depression until the medical condition improves.

If indicated and medically safe, treat the coexisting depression.

Question 19

Which of the following may be symptoms of depression in adolescents? Check all that apply.

Substance abuse

Antisocial behavior

Sexual promiscuity

Poor academic performance

NURS 6512n Week 3 – Digital Clinical Experience Orientation – Patient: Tina Jones

Question 20

The provider asks a teenager, who has been described as extremely moody by parents, if they have been using drugs or alcohol. This question assesses for which diagnostic possibility?

Substance use disorder

Major depressive disorder

Generalized anxiety disorder

Posttraumatic stress disorder

Question 22

At what age does anorexia nervosa most commonly first occur?

Early 20s

10–13 years of age

14–18 years of age

19–29 years of age

Question 23

Which of the following is inconsistent with what is known about prolonged sleep deprivation?

Prolonged sleep deprivation leads to death.

Prolonged sleep deprivation leads to severe physical impairment.

Prolonged sleep deprivation leads to severe cognitive impairment.

Prolonged sleep deprivation, while annoying and frustrating, is not life-threatening.

Question 25

Universal sleep hygiene would NOT include which of the following?

Getting adequate exercise

Avoiding heavy meals before bedtime

Maintaining a consistent bedtime and arousal time

Going to bed only when feeling sleepy

Question 28

Somnambulism is characterized by which of the following?

Waking from sleep/naps with vivid recall of intensely frightening dreams

A sleep-wake pattern out of synchrony with the desired sleep-wake schedule

Excessive daytime sleepiness or sleep attacks

Repeated episodes of rising from bed and walking around for several minutes to half an hour during nocturnal sleep

Question 29

Principles to consider when using a rating scale to assess mood and anxiety disorders include which of the following?

Choose a rating scale with fair diagnostic reliability.

A longer rating scale provides better diagnostic specificity.

Use a broad-based rating scale to investigate a particular problem.

Select scales that are research-validated for age, condition, and ideally, culture.

Question 31

Which questions should be considered before prescribing any medication?

What is the patient or caregiver’s preference?

How rapid of a treatment response is needed?

How does the child’s age affect the risk-benefit analysis?

All of the above

Question 32

The American Academy of Child and Adolescent Psychiatry Code of Ethics Principle II: Promoting the Welfare of Children and Adolescents addresses which ethical issue?

Fidelity

Autonomy

Beneficence

Nonmaleficence

Question 33

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 manic episode

A hypomanic episode

Cyclothymia

Bipolar II Disorder

Question 34

What is the general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors?

Motivational interviewing

Dialectical-behavioral therapy

Cognitive-behavioral therapy (CBT)

Behavioral management training

Question 35

The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?

Depression

Social phobia

Schizophrenia

Obsessive-compulsive disorder

Question 48

When assessing a child with disruptive or aggressive behavior, the clinician asks if the child has been thinking about or planning to harm anyone. This question is intended to screen for which diagnostic category?

Safety

Bullying

Conduct disorder

Oppositional defiant disorder

Question 52

When a patient lacks the capacity to make a decision, the nurse has the ethical responsibility to do which of the following?

Become a surrogate decision-maker for the patient.

Consult a formally designated surrogate for patient choices.

Make safe choices for the patient based on the nurse’s beliefs and values.

Continue to support all the patient’s choices until a surrogate can be found.

Question 53

The ARNP is working with a 5-year-old child in a busy pediatric practice and wants to use Level 1 and Level 2 cross-cutting symptoms measures. Which statement is true in this situation?

These easy-to-use screens can be filled out before a formal evaluation to expedite assessment.

These Level 1 and Level 2 assessments can help identify the presenting problem for this child.

Systematic use of the Level 1 and Level 2 cross-cutting assessments will provide measurable outcomes for this child.

There are no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

Question 55

Sleep-related hallucinations occurring at sleep onset are known as which of the following?

Hypnagogic

Hypnopompic

Complex hallucinations

Paranormal hallucinations

Question 56

Which statement is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders?

No correlation has been found between socioeconomic status and major depressive disorder.

A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups.

Bipolar I disorder is more common among persons who graduated from college.

The prevalence of mood disorders does not differ among races.

Question 57

A patient reports a history of depressive episodes that typically occur every winter. What is the most likely diagnosis?

Cyclothymia

Bipolar II Disorder

Intermittent Dysthymia

Major Depressive Disorder with a seasonal pattern

Question 60

Examples of atypical features in a patient with a Major Depressive Episode include which of the following?

Overeating and oversleeping

Loss of appetite

Insomnia

Sleepwalking