NURS 6660 MIDTERM EXAM/Nurs 6660 Midterm Exam 2020 Walden University

Jack is a 3-year-old boy who is being evaluated for developmental delay. The mental status examination is significant for an inability to stack two blocks or draw a circle. The PMHNP also appreciates the inability to attend to any task for more than a few seconds. These findings indicate an abnormality in:

A.

Social relatedness

B.

Thought process and content

C.

Motor behavior

D.

Judgment and insight

C

During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he appears to be having transient visual and auditory hallucinations. The PMHNP knows that the best approach to this finding is to consider that:

A.

This is most consistent with early-onset schizophrenia

B.

An organic brain disorder should be ruled out 

C.

These are normal findings in very young children

D.

Comprehensive psychiatric assessment is indicated

B

Jason is a 17-month-old male who is referred for evaluation of an unusually high level of irritability. His mother says he cries “all the time,” and sometimes he just cannot be comforted; Jason’s pediatrician felt that the complaint warranted an evaluation by child psychiatry. Comprehensive assessment of Jason’s irritability should include all the following except:

A.

A comprehensive medical assessment

B.

Standardized developmental measures

C.

Assessment without the parents present

D.

Observation of Jason during play

D

Which of the following is the most common anxiety disorder of childhood?

A.

Generalized anxiety disorder

B.

Separation anxiety disorder

C.

Social anxiety disorder

D.

Obsessive-compulsive disorder

A

When evaluating treatment strategies for a 14-year-old patient with obsessive-compulsive disorder (OCD), the PMHNP considers that evidence-based data from the Pediatric OCD Treatment Study (POTS) suggests that best outcomes are achieved with cognitive behavioral therapy (CBT) and:

A.

Clomipramine (Anafranil)

B.

Sertraline (Zoloft)

C.

Aripiprazole (Abilify)