NURS 6665 Midterm Exam Solutions

(NURS 6665 Midterm Exam)

1. Question: 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?
2. Question: Examples of atypical features in a patient with Major Depressive Episode include which of the following?
3. Question: Indicators for a good prognosis in treatment of Major Depressive Disorder (MDD) includes which of the following? Check all that apply.
4. Question: When assessing a child who has … with concerns of being anxious and …, 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?
5. Question: Which of the following is not consistent with the purpose of The ANA’s Code of Ethics for Nurses?
6. Question: ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?
7. Question: A patient in their early 20s presents reporting chronic fluctuating moods ranging from mild depression to at times some hypomania. Recalls being sensitive and moody as a child. These symptoms are consistent with which of the following diagnoses?
8. Question: A clinical course of one or more manic episodes and sometimes major depressive episodes is consistent with which of the following diagnoses?
9. Question: The most powerful predictors of the onset of a depressive episode is which of the following?
10. Question: Which of the following medications are FDA … for the treatment of insomnia?
11. Question: Which of the following would … an initial screening question for a child with sleep problems?
12. Question: A strategy by which caregivers shape a young child’s behavior through selective and temporary removal of that child’s access to … attention, activities, or other reinforcements following a behavioral transgression is … as which of the following?
13. Question: Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically … in which of the following therapies?
14. Question: 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?
15. Question: In evaluating an adolescent who has been … from her PCP for recurrent abdominal pain, the clinician asks “Is there something stressful in the past 3 months that … right before these symptoms …?” to screen for which of the following diagnostic categories?
16. Question: Nightmares and night terrors are … with disorganization and arousal during which stage of sleep?
17. Question: Depression is frequently under … in the elderly population due to which of the following reasons? Check all that apply.
18. Question: When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should … first?
19. Question: A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it …, thinks he has always been … but still goes through the motions. These symptoms are consistent with which of the following diagnoses?
20. Question: Somnambulism is … by which of the following?
21. Question: When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic categories?
22. Question: Which of the following medications is … by the FDA for treatment of excessive sleepiness in narcolepsy?
23. Question: The most common age of onset of anorexia nervosa is which of the following?
24. Question: A variant of Bipolar I disorder … by episodes of major depression and hypomania is … as which of the following?
25. Question: Which of the following would … consistent with ethical principles regarding relationships with patients in the ANA’s Code of Ethics for Nurses (Provision 1.2)?
26. Question: Which of the following is true about consent to medication? Check all that apply.
27. Question: In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?
28. Question: Which of the following medications … for ADHD has a gastrointestinal bioactivation mechanism?
29. Question: The APRN working with a young person who is … encourages the young person to identify a variety of activities that are motivating and rewarding, and that are specific and can … The APRN is using which of the following psychosocial interventions?
30. Question: 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?
31. Question: Which of the following SSRIs is a first line treatment for depression in children?
32. Question: Which of the following medications is NOT FDA … to treat Restless Leg syndrome?
33. Question: The principle that competent mental health care and a full array of services should … 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?
34. Question: Which of the following is inconsistent with what is … sleep deprivation?
35. Question: Which of the following should first … when assessing a child with sleep problems?
36. Question: When evaluating a child who is sad and withdrawn, the clinician should first consider which of the following diagnostic categories?
37. Question: Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
38. Question: When evaluating a child who is … or anxious, which of the following diagnostic categories should first … ?
39. Question: The comorbid psychiatric condition most frequently … with anorexia nervosa is which of the following?
40. Question: The APRN should initially focus on which of the following as the first step to successful diagnosis and treatment of adolescents and children?
41. Question: The APRN working with a child who is having temper tantrums every time his mother takes him to the grocery store. In talking to the mother, the ARNP discovers that whenever the child has a temper tantrum at the store, the mother gives the child candy to calm the child down. The ARNP is using which of the following psychosocial interventions?
42. Question: Ethical questions about what we “ought” to do or … within which domain ethics?
43. Question: In working with a child who is struggling with being … or anxious, the provider asks the child “Do worries affect your sleep or performance at school?” in screening for which of the following common diagnostic possibilities?
44. Question: Which of the following medications are … by the FDA for treatment of mania in children ages 12-17?
45. Question: Which of the following is important to realize when treating a child with an anxiety disorder?
46. Question: A patient presents reporting a history of depressive episodes which typically occur every winter, you recognize this is most likely which of the following?
47. Question: The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you … using?” to screen for which of the following diagnostic possibilities?
48. Question: Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges:
49. Question: Which of the following questions should … prior to prescribing any medication?
50. Question: Which of the following disorders is … by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior?
51. Question: 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?
52. Question: A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are … as which of the following?
53. Question: Which of the following is consistent with recommendations for use of available evidence … psychopharmacological interventions?
54. Question: The type of therapy typically … for individuals with chronic and significant suicidality and self-harm is … as which of the following?
55. Question: The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?
56. Question: A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.
57. Question: The right to assent of dissent from treatment for a child or adolescent is … in which of the following American Academy of Child and Adolescent Psychiatry ethical issues?
58. Question: In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?
59. Question: A 10-year-old child presents with developmentally inappropriate and persistent difficulty with inattention with symptoms which are interfering with academic goals and in social settings. This is consistent with which of the following diagnoses?
60. Question: A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it …, thinks he has always been … but still goes through the motions. These symptoms are consistent with which of the following diagnoses?
61. Question: Examples of atypical features in a patient with Major Depressive Episode include which of the following?
62. Question: 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?
63. Question: Which of the following antidepressants are … by the FDA for treating depression in children ages 8-17?
64. Question: When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following?
65. Question: Which of the following is consistent with what is … about prevalence of Bipolar I disorder?
66. Question: Which of the following is NOT consistent with the code of ethics for the nursing profession?
67. Question: Which of the following is NOT consistent with what is … about anorexia nervosa?
68. Question: Which of the following is NOT consistent with the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?
69. Question: Which of the following medications is FDA … for the treatment of Major Depressive Disorder with Seasonal variation (previously … as Seasonal affective disorder)?
70. Question: Which of the following medications is FDA … for the treatment of bulimia?
71. Question: The clinician asks the child who is being seen for labile mood “Have you felt really down … or … in things you … to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories?
72. Question: According the American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics, the provider is … when providing care to which of the following individuals?
73. Question: A strategy by which caregivers shape a young child’s behavior through selective and temporary removal of that child’s access to … attention, activities, or other reinforcements following a behavioral transgression is … as which of the following?
74. Question: Which of the following hormone levels is … in anorexia nervosa?
75. Question: A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is … as which of the following?
76. Question: The APRN would recommend which of the following … in a post-crisis plan?
77. Question: Which of the following patients have the right to refuse treatment? Check all that apply.
78. Question: Which of the following symptoms are … with Major Depressive Disorder with Melancholic Features?
79. Question: Sleep-… hallucinations occurring at sleep onset are … as which of the following?
80. Question: Which of the following medications are … by the FDA for treating Bipolar Depression in children ages 10–17?
81. Question: Which of the following are medical complications NOT … with anorexia nervosa?
82. Question: Which of the following may … symptoms of depression in children?
83. Question: A way for a caregiver and young child to re-establish the enjoyment of each other’s company is … as which of the following psychosocial interventions?
84. Question: A patient presents with persistent feelings of detachment fromone’s self, like watching one’s self in a movie. The ARNP recognizes this as which of the following?
85. Question: Attempts to influence providers through use of dinners, gifts, educational opportunities, and medication samples provide a conflict from which of the following American Academy of Child and Adolescent Psychiatry ethical perspectives?
86. Question: A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis?
87. Question: Which of the following is NOT true about symptomatology of anorexia nervosa?
88. Question: The theory that depression results from specific thought distortions is consistent with which of the following?
89. Question: Reasons for the underuse of specific mental health treatments during childhood include which of the following?
90. Question: Which of the following is true regarding the cultural formulation interview with a child and caregiver?
91. Question: According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?
92. Question: Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?
93. Question: Which of the following is the most common eating disorder?
94. Question: Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes?
95. Question: When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?
96. Question: Which of the following is NOT consistent with good sleep hygiene?
97. Question: According to the APA which of the following are … to support a child’s DSM5 diagnosis?
98. Question: The clinician asks the child who is anxious/…, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories?
99. Question: Which of the following is NOT consistent with guidelines for obtaining … consent involving child/adolescents?
100. Question: Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?
101. Question: A therapy … on readiness to change … to health behaviors is … as which of the following?

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