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 are approved by the FDA for treating generalized anxiety disorder in children ages 7–17?
A.
Sertraline
B.
Quetiapine
C.
Duloxetine
D.
Clomipramine
Question 2
Which of the following is true about social skills training with teens?
A.
Social skills training is used to teach social problem solving.
B.
Social skills training is more potent in a one-to-one setting.
C.
Social skills training is more potent in a group setting due to the peer influences.
D.
A and C
Question 3
The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities?
A.
Bipolar disorder
B.
Substance use disorder
C.
Major depressive disorder
D.
Persistent depressive disorder
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Question 4
Examples of atypical features in a patient with Major Depressive Episode include which of the following?
A.
Overeating and oversleeping
B.
Loss of appetite
C.
Insomnia
D.
Sleep walking
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 is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation?
A.
These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child
B.
These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.
C.
Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.
D.
There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.
Question 6
The principle that competent mental health care and a full array of services should be available for all children, adolescents, and their families address which of the following domains in the American Academy of Child and Adolescent Psychiatry Code of Ethics?
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.
NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
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
Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges:
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, with a desire to avoid obesity, which persists despite 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
Strategies that enhance therapeutic engagement include which of the following?
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 11
According the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics, the provider is obligated when providing care to which of the following individuals? NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
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 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.
Mood-congruent manic delusion
B.
Mood-incongruent manic delusion
C.
Mood-congruent manic hallucination
D.
Mood-incongruent manic hallucination
Question 13
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.
Most patients with anorexia nervosa will 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. NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
Question 14
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?
A.
Relaxation therapy
B.
Social skills training
C.
Motivational Interviewing
D.
Applied behavioral analysis
Question 15
Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?
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 particular problem.
D.
Select scales that are research validated for age, condition, and (ideally) culture.
Question 16
Ethical standards set forth by the APA are which of the following?
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 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 persons who graduated from college.
NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
D.
The prevalence of mood disorder 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
Which of the following would be 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 get frequent nightmares?
D.
Do you feel tense, restless or worried most of the time?
Question 20
When assessing a child who has presented with concerns of being anxious and worried, the provider asks the child “Do you get 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
Which of the following is important to realize when treating a child with an anxiety disorder?
A.
Anxiety disorders are commonly diagnosed in families.
B.
Repeated exposures to feared situations will always help the child to unlearn the fear response.
C.
Parents should encourage avoidance of feared situations as this will help the fear dissipate.
D.
SSRI’s are the MOST effective treatment in relieving symptoms of anxiety.
NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
Question 22
Which of the following 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 important not to personalize the diagnosis.
C.
While obtaining cultural information is important, it may increase bias and thus 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 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 an 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
The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following? NRNP 6665: PMHNP Care Across the Lifespan I Midterm Exam
A.
4–6 weeks
B.
3–6 months
C.
1–2 years
D.
8–10 years
Question 99
Which of the following should first be considered when assessing a child with sleep problems?
A.
Poor sleep habits
B.
Insomnia disorder
C.
Major depressive disorder
D.
Generalized anxiety disorder
Question 100
Which of the following 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
