NRNP 6665 Week 6 Midterm Exam
NRNP 6665 Week 6 Midterm Exam
Question 1 1 pts
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?
Bulimia nervosa
Anorexia nervosa
Encopresis
Autism spectrum disorder
Question 2 1 pts
Which of the following is NOT consistent with the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
The developmental perspective should always be incorporated into the child and adolescent provider’s considerations and actions.
The child/adolescent psychiatry’s primary concerns are the welfare, functioning, and optimal development of children.
The child/adolescent psychiatry provider should seek to avoid all actions that may have a detrimental effect on optimum child/adolescent behavior NRNP 6665 Week 6 Midterm Exam .
The right of consent to treatment belongs to the individual child/adolescent of minor age.
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Question 4 1 pts
The clinician asks the child who is anxious/worried, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories?
Panic disorder
Specific phobia
Generalized anxiety disorder
Separation anxiety disorder
Question 16 1 pts
When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?
Sensory impairment
Intellectual disability
Substance use disorder
Mood or anxiety disorder
NRNP 6665 Week 6 Midterm Exam
Question 17 1 pts
Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Haloperidol (Haldol)
Risperidone (Risperdal)
Question 18 1 pts
When depression and medical conditions co-exist, the clinician should all of the following EXCEPT:
Attempt to determine if the medical condition is pathophysiological 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 is improved.*
If indicated and medically safe to do so, treat the co-existing depression.
Question 19 1 pts
Which of the following may be symptoms of depression in adolescents? Check all that apply.
Substance abuse
Antisocial behavior
Sexually promiscuity
Poor academic performance
Question 20 1 pts
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?
Substance use disorder
Major depressive disorder
Generalized anxiety disorder
Posttraumatic stress disorder
Question 22 1 pts
The most common age of onset of anorexia nervosa is which of the following?
Early 20s
10–13 years of age
14–18 years of age
19–29 years of age
Question 23 1 pts
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 1 pts
Universal sleep hygiene would NOT include which of the following?
Getting adequate exercise
Avoid heavy meals before bedtime
Consistent bedtime and arousal time
Only go to bed when you are actually feeling sleepy
Question 28 1 pts
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 about for between several minutes to a half hour during nocturnal sleep
Question 29 1 pts
Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?
Choose a rating scale with fair diagnostic reliability.
A longer rating scale will provide 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 1 pts
Which of the following questions should be considered prior to prescribing any medication?
What is the patient or caregiver preference?
How rapid of a treatment response is needed?
How does the child’s age effect your risk-benefit analysis?
All of the above
Question 32 1 pts
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?
Fidelity
Autonomy
Beneficence
Nonmaleficence
Question 33 1 pts
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 the following? NRNP 6665 Week 6 Midterm Exam
A manic episode
A hypomanic episode
Cyclothymia
Bipolar II Disorder
Question 34 1 pts
A 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 1 pts
The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?
Depression
Social phobia
Schizophrenia
Obsessive-compulsive disorder
NRNP 6665 Week 6 Midterm Exam
Question 48 1 pts
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?
Safety
Bullying
Conduct disorder
Oppositional defiant disorder
NRNP 6665 Week 6 Midterm Exam Question 52 1 pts
When the patient lacks 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 1 pts
The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation?
These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child
These Level 1 and Level 2 assessments can help the practitioner 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 is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.
Question 55 1 pts
Sleep-related hallucinations occurring at sleep onset are known as which of the following?
Hypnagogic
Hypnopompic
Complex hallucinations
Paranormal hallucinations
NRNP 6665 Week 6 Midterm Exam
Question 56 1 pts
Which of the following 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 disorder does not differ among races.
Question 57 1 pts
A patient presents reporting a history of depressive episodes which typically occur every winter, you recognize this is most likely which of the following?
Cyclothymia
Bipolar II Disorder
Intermittent Dysthymia
Major Depressive Disorder with seasonal pattern
NRNP 6665 Week 6 Midterm Exam
Question 60 1 pts
Examples of atypical features in a patient with Major Depressive Episode include which of the following?
Overeating and oversleeping
Loss of appetite
Insomnia
Sleep walking
