Download NRNP 6665 Midterm Exam / NRNP6665 Midterm Exam(100 Q & A)(Latest, 2024):Walden university and more Exams Nursing in PDF only on Docsity! 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? Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight? NRNP 6665 Midterm Exam Question 1 A Relaxation therapy . B Social skills training . C Motivational . Interviewing D Applied behavioral . analysis Question 2 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. . C The child’s symptoms are impairing a child’s functioning in at least two . settings. D A and B . Question 3 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 4 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? When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following? 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 . D Substance induced mental . disorder Question 7 A Become a surrogate decision maker for the patient. . B Consult a formally-designated surrogate for patient choices. 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? According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical 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 A Asking about a child and caregiver’s cultural understanding is an efficient wayto . 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 16 A Integrity . B Justice . C Beneficence . D Nonmalefice . nce Question 17 Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight? ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges? 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? A Fluoxetine . (Prozac) B Trazodone . (Desyrel) C Amitriptyline . (Elavil) D Venlafaxine . (Effexor) Question 18 Which of the following is the most common eating disorder? A Bulimia nervosa . B Anorexia nervosa . C Binge eating . disorder D Night eating . syndrome Question 19 A Ages 0–5 . B Ages 6– . 12 C Ages 13– . 18 D Ages 18+ . Question 20 A Suicidality . B Bipolar disorder 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? 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? . 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 Question 23 A Group CBT . B Trauma-Focused CBT . C Motivational Interviewing 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 Examples of atypical features in a patient with Major Depressive Episode include which of the following? 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 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 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? 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 Which of the following is NOT consistent with the code of ethics for the nursing profession? A A code of ethics for the nursing profession informs every aspect of . the nurse’s life. B A code of ethics makes explicit the primary obligations of the nursing . profession. C A code of ethics addresses the values and ideals of the nursing . profession. D B and C only . Question 40 Which of the following is NOT consistent with what is known about anorexia nervosa? 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 Question 54 A Fidelity . B Autonomy . C Beneficence . D Nonmalefice . nce Question 55 Which of the following SSRIs is a first line treatment for depression in children? 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 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? 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 . 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– . 12 C Ages 13– . 18 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? The APRN would recommend which of the following be included in a post-crisis plan? Which of the following medications is approved by the FDA for treatment of enuresis? In evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic 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 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 A Tofranil . B Zolpidem . C Solriamfetol . D Rotigotine . patch Question 74 A Anxiety disorder . Which of the following medications is considered a first-line treatment for anxiety in children? A Lithium .B Olanzapine . C Duloxetine .D Sertraline . Question 82 The most common age of onset of anorexia nervosa is which of the following? A Early 20s . B 10–13 years of . age C 14–18 years of . age D 19–29 years of . age Question 83 A Sertraline (Zoloft) . B Citalopram . (Celexa) C Fluvoxamine . (Luvox) D Paroxetine (Paxil) . Question 84 Which of the following medications is FDA approved for the treatment of bulimia? A Tofranil . B Flurazepa . m C Fluoxetin Time-consuming internal repetitions of unwanted thoughts and or a persistent focus on repeating specific types of behaviors or mental acts are symptoms consistent with which of the following diagnoses? Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features? . e D Armodafi . nil Question 85 A Bipolar disorder .B Major depressive disorder .C Generalized anxiety disorder . D Obsessive-compulsive . disorder Question 86 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 87 A Psychosis . B Weight loss . C Severe . anhedonia D B and C . Question 88 Which of the following medications are approved by the FDA for treating generalized anxiety disorder in children ages 7–17? Which of the following symptoms assists in differentiating purging disorder from bulimia nervosa? The ANA’s Code of Ethics for Nurses applies to which of the following EXCEPT: A Nurse educators . B Nurse researchers . C Physician assistants . D Advance practice registered . nurses Question 89 A Sertraline .B Quetiapine .C Duloxetine .D Clomipramine . Question 90 A Abuse of laxatives and diuretics . B Purging does not occur as a result of a binge episode . C Purging behavior occurs after eating small quantities of . food or drink D B and C . Question 91 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.