NRNP 6665 MIDTERM EXAM SERAPHIN WITH 100% VERIFIED CORRECT ANSWERS BEST REVIEW LATEST UPD, Exams of Nursing

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NRNP 6665 MIDTERM EXAM SERAPHIN WITH 100%

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Question 1

Biofeedback, deep breathing, mindfulness, and progressive that are typically used in which of the following therapies? muscle relaxation are strategies

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

According to the APA which of the following are required to support a child’s DSM- 5 diagnosis?

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.

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.

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

. settings.

D A and B

.

Question 4

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

A Aripiprazole (Abilify)

.

B Ziprasidone

. (Geodon)

C Haloperidol (Haldol)

.

e

Question 5

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?

A Safety

.

B Bullying

D Risperidon

. (Risperdal)

C Conduct disorder

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.

.

D Oppositional defiant

. disorder

Question 6

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?

A Substance use disorder

.

B Substance withdrawal

.

C Substance tolerance

.

D Substance induced mental

. Disorder

Question 7

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

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.

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Question 8

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 9

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

A Ziprasidone. (Geodon)

B Aripiprazole

. (Abilify)

C Olanzapine

. (Zyprexa)

D Quetiapine

. (Seroquel)

Question 10

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?

A Bipolar II Disorder

.

B Cyclothymic Disorder

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.

C Bipolar I Disorder, mixed

. episode

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

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

. public places.

.

.

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Question 13

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

A Cognitive theory

.

B Psychosocial theory

.

C Psychodynamic theory

.

D Learned helplessness

. theory

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Question 14

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

A Stigma associated with mental health

.

B Poor problem recognition

.

C Limited availability of mental health

. specialists

D All of the above

.

Question 15

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 16

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

A Integrity

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.

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?

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

. )

C Binge eating

. disorder

.

.

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Question 19

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

A Ages 0– 5

.

B Ages 6–

C Ages 13– . 18

D Ages 18+

.

Question 20

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 Suicidality

.

B Bipolar disorder

.

C Major depressive disorder

.

D Disruptive mood dysregulation. disorder

Question 21

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

A Bulimia nervosa

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.

B Anorexia nervosa

.

C Binge eating. disorder

D Night eating. syndrome

Question 22

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

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Question 23

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?

A Group CBT

.

B Trauma-Focused CBT

.

C Motivational Interviewing

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

.

D Dialectical-behavioral

. therapy

Question 24

Which of the following is consistent with recommendations for use of available evidencebased psychopharmacological interventions?

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

The type of therapy typically indicated for individuals with chronic and significant suicidality and self- harm is known as which of the following?

A Cognitive behavioral therapy

. (CBT)

B Trauma-focused CBT

.

C Motivational interviewing

.

D Dialectical-behavioral therapy

.

Question 26

The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?

A 4 – 6

. weeks

B 3 – 6

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

. months C 1 – 2

years

.

D 8 – 10

. years

Question 27

A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.

A Motivational interviewing

.

B Dialectical-behavioral therapy

.

C Cognitive behavioral therapy. (CBT)

D Behavioral management

. training

Question 28

Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep?

A Stage

. 1 B Stage

. 2 C Stage

. 3 D Stage

Question 29

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?

A Fidelity

.

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

B Autonomy

.

C Beneficence

.

D Nonmalefice

. nce

Question 30

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 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 Conduct disorder

.

B Autism spectrum disorder

.

C Generalized anxiety disorder

.

D Attention-deficit/hyperactivity. disorder

Question 32

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?

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

A Dysthymia

.

B Cyclothymia

.

C Major Depression, subacute,

. recurrent D Bipolar II

disorder

.

Question 33

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

.

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

.

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

D Repeated episodes of rising from bed and walking about for between several minutes. to

a half hour during nocturnal sleep

Question 35

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 36

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

A Sertraline

.

B Fluoxetine

.

C Duloxetine

.

D Fluvoxami

. ne

Question 37

When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following?

A Safety

.

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

B Self medication

.

C Substance. tolerance

D Substance use. disorder

Question 38

Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

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?

A Anorexia nervosa is more prevalent in males.

.

B Anorexia nervosa is most frequent in developed countries

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

.

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

The mental health practitioner realizes the following about using a behavioral health rating scale?

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

When responding to a family member about the genetic factors related to mood disorders the APRN would share which of the following?

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

Which of the following medications are approved by the FDA for treating OCD in children ages 6– 17?

A

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

Sertraline

.

B

Fluoxetine

.

C

Fluvoxamine

.

D

Clomipramine

.

Question 44

Universal sleep hygiene would NOT include which of the following?

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

Which of the following is NOT consistent with pseudodementia seen in major depressive disorder?

A Sudden onset

.

B Diurnal variation

.

C Confabulation

.

D Can be coached and encouraged into. remembering

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

Question 46

When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?

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?

A School phobia

.

B Excessive clinging to parents

.

C Preferring to spend time with friends from. school

D A and B

.

Question 48

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)?

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

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

.

Question 49

The domain of ethics concerning the nature of ethics and moral reasoning is known as which of the following?

A Metaethics

.

B Normative

. ethics C Applied

ethics

.

D Moral ethics

.

Question 50

A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following?

A Sleep state

.

misperception

B

Psychophysiological

.

insomnia C Persistent

insomnia

.

D Non-organic insomnia

.

Question 51

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?

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

A Fidelity

.

B Autonomy

.

C Beneficence

.

D Nonmalefice

. nce

Question 52

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

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

Question 54

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?

A Fidelity

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

.

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

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?

A Adjustment disorder with depressed

. mood B Substance

abus

.

C Disruptive mood dysregulatio

.

D Posttraumatic stress disorder

.

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

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?

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

disordersA include which of the following?

Choose a rating scale with fair diagnostic reliability.

.

B

A longer rating scale will provide better diagnostic specificity.

.

NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A)

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

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.