NRNP 6665 Mid Term exam Seraphin- with CORRECT ANSWERS 2023-2024, Exams of Nursing

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Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies? According to the APA which of the following are required to support a child’s DSM- 5 diagnosis?

C The child’s symptoms are impairing a child’s functioning in at least two

.settings.

NRNP 6665 Mid Term exam Seraphin-

with CORRECT ANSWERS 2023-

Question 1

A Relaxation therapy

.

B Social skills training

.

C Motivational

.

Interviewing

D Applied^ behavioral

.

analysis

Question 2

Which of the following is NOT consistent with good sleep hygiene?

A Allow child to keep a cell phone at bedside.

.

B Establish bedtime routines and maintain consistently.

.

C Limit^ use^ of^ electronics^ in^ the^ evening^ i.e.,^ television,

.

computer, etc.

D Set^ and^ maintain^ a^ bedtime^ that^ will^ allow^ for^ adequate

.

sleep.

Question 3

A The^ child’s^ clinical^ presentation^ fulfills^ the^ specific^ symptom^ based

.

diagnostic criteria.

B The child’s symptoms are not caused by other diagnoses or stressors.

.

Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight? 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? The clinician assessing substance abuse in an adolescent asks, “Did you develop more mood or anxiety problems after you started using?” to screen for which of the following diagnostic possibilities?

D Substance induced mental

. Disorder

D A and B

.

Question 4

A Aripiprazole (Abilify)

.

B Ziprasidone

.

(Geodon)

C Haloperidol (Haldol)

.

D Risperidone

.

(Risperdal) Question 5

A Safety

.

B Bullying

.

C Conduct disorder

.

D Oppositional^ defiant

.

disorder Question 6

A Substance use disorder

.

B Substance withdrawal

.

C Substance tolerance

.

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? Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes?

COlanzapine

.

(Zyprexa)

A Become a surrogate decision maker for the patient.

.

B Consult^ a^ formally-designated^ surrogate^ for^ patient^ choices.

.

C Make^ safe^ choices^ for^ the^ patient^ based^ on^ the^ nurse’s^ beliefs

.

and values.

D Continue^ to^ support^ all^ the^ patient’s^ choices^ until^ a^ surrogate

.

can be found. Question 8

A Obsessive^ - compulsive

.

disorder

B Posttraumatic^ stress

.

disorder

C Panic disorder

.

D Separation^ anxiety

.

disorder Question 9

A Ziprasidone

.

(Geodon)

B Aripiprazole

.

(Abilify)

D Quetiapine

.

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

C Bipolar I Disorder, mixed

. episode

C Most patients with anorexia nervosa will have no difficulty eating with their family in

. public places.

Question 10

A Bipolar II Disorder

.

B Cyclothymic Disorder

.

D Bipolar^ I^ Disorder,^ cyclothymic

.

type Question 11 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.

.

D Fear^ of^ gaining^ weight^ and^ becoming^ obese^ frequently^ contributes^ to^ the

individual’s

.

lack of interest in and resistance to therapy/treatment. Question 12 Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A

Hypnagogic

.

B

Hypnopompic

.

C Complex

.

hallucinations

D Paranormal

.

Hallucinations 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?

Question 13

A Cognitive theory

.

B Psychosocial theory

.

C Psychodynamic theory

.

D Learned^ helplessness

.

theory The theory that depression results from specific thought distortions is consistent with which of the following?

Reasons for the underuse of specific mental health treatments during childhood include which of the following? 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.

According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles? Question 14

A Stigma associated with mental health

.

B Poor problem recognition

.

C Limited^ availability^ of^ mental^ health

.

specialists

D All of the above

.

Question 15

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 16

A Integrity

.

B Justice

.

C Beneficence

.

D Nonmalefice

.

nce

BTrazodone

.

(Desyrel)

C Binge eating

. disorder

ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?

B Ages 6–

Question 17

A Fluoxetine

.

(Prozac)

C Amitriptyline

.

(Elavil)

D Venlafaxine

.

(Effexor) Question 18 Which of the following is the most common eating disorder?

A Bulimia nervosa

.

B Anorexia nervosa

.

D Night^ eating

.

syndrome Question 19

A Ages 0–

.

C Ages^ 13–

.

D Ages 18+

.

Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?

Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior? 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? Question 20

A Suicidality

.

B Bipolar^ disorder

.

C Major depressive disorder

.

D Disruptive^ mood^ dysregulation

.

disorder Question 21

A Bulimia nervosa

.

B Anorexia nervosa

.

C Binge^ eating

.

disorder

D Night^ eating

.

syndrome Question 22

A Mood-congruent manic delusion

.

B Mood-incongruent^ manic

.

delusion

C Mood-congruent^ manic

.

hallucination

D Mood-incongruent^ manic

.

hallucination The clinician asks the child who is being seen for labile mood “Have you felt really down depressed or uninterested in things you used to enjoy for more than 2 weeks? to screen for which of the following diagnostic categories?

Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions? The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following? The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following? Question 23

A Group CBT

.

B Trauma-Focused CBT

.

C Motivational^ Interviewing

.

D Dialectical-behavioral

.

therapy Question 24

A If^ a^ child/adolescent^ has^ mild^ symptoms,^ prescribe^ medications^ prior^ to

psychosocial

.

Interventions.

B If^ a^ child/adolescent^ has^ mild^ symptoms,^ initiate^ psychotropic^ medication^ at^ the

.

same time as appropriate psychosocial interventions are started. If a child/adolescent has moderate to severe range of symptoms initiate psychotropic

C medication at the same time as the appropriate psychosocial interventions are

. started.

D If^ a^ child/adolescent^ has^ a^ moderate^ to^ severe^ range^ of^ symptoms^ initiate

.

psychotropic medication prior to initiating psychosocial interventions. Question 25

A Cognitive^ behavioral^ therapy

.

(CBT)

B Trauma-focused CBT

.

C Motivational interviewing

.

D Dialectical-behavioral therapy

.

Question 26

A 4–

.

weeks A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?

B 3–

.

months

C 1–2 years

.

D 8–

A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors. Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep? The right to assent of dissent from treatment for a child or adolescent is reflected in which of the following American Academy of Child and Adolescent Psychiatry ethical issues?

. years

Question 27

A Motivational interviewing

.

B Dialectical-behavioral therapy

.

C Cognitive^ behavioral^ therapy

.

(CBT)

D Behavioral^ management

.

training Question 28

A Stage

.

B Stage

.

C Stage

.

D Stage

.

Question 29

A Fidelity

.

B Autonomy

.

C Beneficence

.

D Nonmalefice

.

nce Question 30

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? A patient presents endorsing persistent low-grade (sub-acute) depression for the last several years, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with which of the following diagnoses? Examples of atypical features in a patient with Major Depressive Episode include which of the following?

A Address any acute safety concerns

.

B Obtain^ any^ necessary^ professional

.

assistance

C Develop^ a^ prevention^ plan^ for^ future

.

crises

D A and B

.

Question 31

A Conduct disorder

.

B Autism spectrum disorder

.

C Generalized anxiety disorder

.

D Attention-deficit/hyperactivity

.

disorder Question 32

A Dysthymia

.

B Cyclothymia

.

C Major^ Depression,^ subacute,

.

recurrent

D Bipolar II disorder

.

Question 33

A Overeating^ and

In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?

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? Which of the following antidepressants are approved by the FDA for treating depression in children ages 8–17?

. oversleeping

B Loss of appetite

.

C Insomnia

.

D Sleep walking

.

Question 34 Somnambulism is characterized by which of the following?

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

.

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

.

C Excessive daytime sleepiness or sleep attacks

.

D Repeated^ episodes^ of^ rising^ from^ bed^ and^ walking^ about^ for^ between^ several

minutes

.

to a half hour during nocturnal sleep Question 35

A Bulimia nervosa

.

B Anorexia nervosa

.

C Encopresis

.

D Autism^ spectrum

.

disorder Question 36

A Sertraline

.

B Fluoxetine

.

C Duloxetine

.

When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following? Which of the following is consistent with what is known about prevalence of Bipolar I disorder? Which of the following is NOT consistent with what is known about anorexia nervosa?

D Fluvoxami

.

ne Question 37

A Safety

.

B Self medication

.

C Substance

.

tolerance

D Substance^ use

.

disorder Question 38

A Bipolar I Disorder is more prevalent in men

.

B Bipolar I Disorder is more prevalent in women

.

C Manic episodes are more prevalent in women.

.

D Bipolar^ I^ Disorder^ has^ equal^ prevalence^ among^ men

.

and women. Question 39

The mental health practitioner realizes the following about using a behavioral health rating scale? When responding to a family member about the genetic factors related to mood disorders the APRN would share which of the following? Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?

A Anorexia nervosa is more prevalent in males.

.

B Anorexia nervosa is most frequent in developed countries

.

C Anorexia nervosa is equally prevalent in males and females

.

D Roughly^ half^ of^ patients^ with^ anorexia^ nervosa^ will^ not^ only^ diet^ but^ will^ also

regularly

.

engage in binge and purge behaviors Question 41

A Rating scare are inherently imperfect.

.

B Rating scales should never be the sole basis for making a diagnosis.

.

C Behavioral^ health^ rating^ scales^ are^ an^ efficient^ tool^ to^ quickly

.

diagnosis a patient.

D A and B

.

Question 42

A There is no evidence that genetics plays a role in mood disorders.

.

B If^ one^ parent^ has^ a^ mood^ disorder^ the^ child^ has^ a^ 50%^ risk^ of^ developing^ a

mood

.

disorder.

C Bipolar^ I^ Disorder^ is^ typically^ the^ most^ common^ form^ of^ mood^ disorder^ in^ families

of

.

bipolar probands.

D Evidence^ from^ twin^ studies^ provides^ the^ most^ compelling^ data^ for^ the^ role^ of

genetic

.

factors in mood disorders. Question 43

A

Sertraline

.B

Fluoxetine

.

Universal sleep hygiene would NOT include which of the following? Which of the following is NOT consistent with pseudodementia seen in major depressive disorder? When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?

C

Fluvoxamine

.

D

Clomipramine

.

Question 44

A Getting adequate exercise

.

B Avoid heavy meals before bedtime

.

C Consistent bedtime and arousal time

.

D Only^ go^ to^ bed^ when^ you^ are^ actually

.

feeling sleepy Question 45

A Sudden onset

.

B Diurnal variation

.

C Confabulation

.

D Can^ be^ coached^ and^ encouraged^ into

.

remembering Question 46

A Abuse

.

B Conduct disorder

.

C Communication disorder

.

D Attention^ deficit/hyperactivity

.

disorder Question 47 Which of^ the^ following^ may^ be^ symptoms^ of^ depression^ in^ children?

Which of the following would be consistent with ethical principles regarding relationships with patients in the ANA’s Code of Ethics for Nurses (Provision 1.2)? The domain of ethics concerning the nature of ethics and moral reasoning is known as which of the following? A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following?

A School phobia

.

B Excessive clinging to parents

.

C Preferring^ to^ spend^ time^ with^ friends^ from

.

school

D A and B

.

Question 48

A The^ nurse^ must^ respect^ patient’s

.

decisions.

B The^ nurse^ must^ support^ all^ patient

.

choices.

C The^ nurse^ must^ agree^ with^ all^ patient

.

choices.

D A and B only

.

Question 49

A Metaethics

.

B Normative

.

ethics

C Applied ethics

.

D Moral ethics

.

Question 50

A Sleep^ state

.

misperception

B Psychophysiological

.

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? Ethical questions about what we “ought” to do or be are addressed within which domain ethics? insomnia

C Persistent insomnia

.

D Non-organic insomnia

.

Question 51

A Fidelity

.

B Autonomy

.

C Beneficence

.

D Nonmalefice

.

nce Question 52

A Metaethics

.

B Applied ethics

.

C Normative ethics

.

D None^ of^ the^ above^ as^ this^ is^ not^ an^ ethical

.

question Question 53 The most powerful predictors of the onset of a depressive episode is which of the following?

A Resent stressful events

.

B Persons^ with^ antisocial^ personality

.

disorder

C Persons^ with^ paranoid^ personality

.

disorder

D Person^ with^ borderline^ personality

.

disorder

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? 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? 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? Question 54

A Fidelity

.

B Autonomy

.

C Beneficence

.

D Nonmalefice

.

nce Question 55

A Paroxetine

.

(Paxil)

B Fluoxetine

.

(Prozac)

C Citalopram

.

(Celexa)

D Sertraline

.

(Zoloft) Question 56

A Adjustment^ disorder^ with^ depressed

.

mood

B Substance abus

.

C Disruptive mood dysregulatio

.

D Posttraumatic stress disorder

.

Question 57 Which of the following SSRIs is a first line treatment for depression in children?

A

Substance use disorder

.B

Major depressive disorder

.

C

Generalized anxiety disorder

.

D Posttraumatic stress

. disorder

Question 58 Which of the following are medical complications NOT associated with anorexia nervosa?

A Tachycardi

.

a

B Bradycardi

.

a

C Hypotensio

.

n

D Hypotherm

.

ia Question 59

Principles to be considered when using a rating scale to assess for mood and

anxiety disor

A

ders include which of the following?

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 60 Hypersomnolence disorder (excessive sleeping) can be caused by which of the following?

A Insufficient sleep

.

B Disrupted sleep

.

C Basic^ neurologic^ dysfunction^ in^ the^ brain^ systems

.

regulating sleep

Which of the following is true about educating children and their families about their diagnosed mental health disorder?

D All the above

.

Question 61 Which of the following questions should be considered prior to prescribing any medication?

A What is the patient or caregiver preference?

.

B How rapid of a treatment response is needed?

.

C How^ does^ the^ child’s^ age^ effect^ your^ risk-benefit

.

analysis?

D All of the above

.

Question 62 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 63

A There is an inherent desire to better understand problems.

.

B It^ is^ important^ to^ focus^ on^ understanding^ the^ stigma^ of^ mental

.

health.

C It^ is^ important^ to^ connect^ the^ specific^ diagnosis^ with^ the

.

recommended treatment.

D A and C

.

Question 64 Which of the following BMIs is associated with severe anorexia nervosa?

A BMI >17 kg/m2

Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges: 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?

.

B BMI^ 16–

.

16.99kg/m2

C BMI^ 15–15.99

.

kg/m2

D BMI <15kg/m2

.

Question 65

A Ages 0–5

.

B Ages^ 6–

.

C Ages^ 13–

.

D Ages 18+

.

Question 66 Applied behavioral analysis is typically indicated for which of the following disorders?

A Anxiety disorder

.

B Depressive disorder

.

C Autism^ spectrum

.

disorder

D Oppositional^ defiant

.

disorder Question 67

A A manic episode

.

B A^ hypomanic

.

episode

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? The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following? When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?

C Cyclothymia

.

D Bipolar II Disorder

.

Question 68

A Dysthymia

.

B Cyclothymia

.

C Bipolar^ II

.

Disorder

D Bipolar^ I

.

Disorder Question 69

A Depression

.

B Social phobia

.

C Schizophrenia

.

D Obsessive-compulsive

.

disorder Question 70

A Sensory impairment

.

B Intellectual disability

.

C Substance^ use

.

disorder

D Mood^ or^ anxiety

.

disorder

Which of the following is NOT an American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics? In evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic possibility? Question 71

A The^ AACP^ Code^ of^ Ethics^ contains^ laws^ to^ direct^ the^ professional^ activities^ of^ child

.

and adolescent providers.

B The^ AACP^ Code^ of^ Ethics^ contain^ guidelines^ that^ could^ be^ used^ consistently^ and

.

impartially.

C The^ principles^ and^ guidelines^ in^ the^ AACP^ Code^ of^ Ethics^ are^ to^ be^ applied^ at^ all

.

times.

D If^ there^ is^ question^ about^ how^ to^ apply^ a^ principle^ the^ provider^ is^ directed^ to^ seek

.

consultation from appropriate professional resources. Question 72 The APRN would recommend which of the following be included in a post-crisis plan?

A Keep up regular routines

.

B Maintain a “low-key” atmosphere

.

C Follow^ typical^ house^ rules^ but^ pick^ your

.

battles

D All the above

.

Question 73 Which of the following medications is approved by the FDA for treatment of enuresis?

A Tofranil

.

B Zolpidem

.

C Solriamfetol

.

D Rotigotine

.

patch Question 74

A Anxiety disorder

.

Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders? “Is it ever right to deceive a research subject?” is a question which specifically falls under the category of which of the following domain of ethics? The two neurotransmitters most implicated in the pathophysiology of mood disorders are which of the following?

B Adjustment

.

disorder

C Conversion

.

disorder

D Abuse^ or

.

maltreatment Question 75

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.

.

D The prevalence of mood disorder does not differ among races.

.

Question 76

A Morality

.

B Metaethics

.

C Applied ethics

.

D Normative

.

ethics Question 77

A Gaba and Dopamine

.

B Serotonin^ and

.

Norepinephrine

C Insulin^ and^ testosterone