Download NRNP 6665 MIDTERM EXAM SERAPHIN WITH 100% VERIFIED CORRECT ANSWERS BEST REVIEW LATEST UPD and more Exams Nursing in PDF only on Docsity! NRNP 6665 MIDTERM EXAM SERAPHIN WITH 100% VERIFIED CORRECT ANSWERS BEST REVIEW LATEST UPDATE 2023/2024 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. NRNP 6665 – Mid Term exam Seraphinwith 100% verified CORRECT Answers BEST REVIEW (Latest Update) 2023/2024 100Q&A . 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 NRNP 6665 MIDTERM EXAM SERAPHIN WITH 100% VERIFIED CORRECT ANSWERS BEST REVIEW LATEST UPDATE 2023/2024 . 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. . . NRNP 6665 – Mid Term exam Seraphin- with 100% verified CORRECT Answers BEST REVIEW (Latest Update) 2023/2024 100Q&A 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 NRNP 6665 – Mid Term exam Seraphinwith 100% verified CORRECT Answers BEST REVIEW (Latest Update) 2023/2024 100Q&A 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 NRNP 6665 – Mid Term exam Seraphinwith 100% verified CORRECT Answers BEST REVIEW (Latest Update) 2023/2024 100Q&A . 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 NRNP 6665 – Mid Term exam Seraphin- with 100% verified CORRECT Answers BEST REVIEW (Latest Update) 2023/2024 100Q&A 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) 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) 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) 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. NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) . 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 Which of the following is true about educating children and their families about their diagnosed mental health disorder? 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 . B BMI 16– . 16.99kg/m2 C BMI 15– 15.99 . kg/m2 D BMI <15kg/m2 . Question 65 Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges: A Ages 0–5 . NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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 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? A A manic episode . B A hypomanic . episode NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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 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? A Anxiety disorder . B Adjustment . disorder C Conversion . disorder D Abuse or . maltreatment Question 75 Which of the following is NOT consistent with what is known about socioeconomic and cultural factors related to mood disorders? A No correlation has been found between socioeconomic status and major depressive . disorder. NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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 “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? A Morality . B Metaethics . C Applied ethics . D Normative . ethics Question 77 The two neurotransmitters most implicated in the pathophysiology of mood disorders are which of the following? A Gaba and Dopamine . B Serotonin and . Norepinephrine C Insulin and testosterone . D Estrogen and Prolactin NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) . Question 78 The strongest predictors of a future suicide completion include which of the following?A Check all that apply. An active mood disorder . B A history of suicide attempts . C Current substance use disorder . D A family history of suicidal behaviors . Question 79 Which of the following would be an initial screening question for a child with sleep problems? A Do worries keep you awake? . B What is your routine before going to bed? . C Do you startle easily or get frequent . nightmares? D Do you feel tense, restless or worried most of . the time? Question 80 Which of the following hormone levels is increased in anorexia nervosa? A Corticotrophin-releasing hormone . (CRH) B Luteinizing hormone (LH) . C Follicle-stimulating hormone (FSH) NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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 Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features? A Psychosis . B Weight loss . C Severe . anhedonia D B and C . Question 88 NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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 Which of the following medications are approved by the FDA for treating generalized anxiety disorder in children ages 7–17? A Sertraline . B Quetiapine . C Duloxetine . D Clomipramine . Question 90 Which of the following symptoms assists in differentiating purging disorder from bulimia nervosa? A Abuse of laxatives and diuretics . NRNP 6665 Midterm Exam (Latest-2023/2024, 100 Q & A) 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. C Parents should encourage avoidance of feared situations as this will help the . fear dissipate. D SSRI’s are the MOST effective treatment in relieving symptoms of anxiety. . Question 92 A therapy focused on readiness to change related to health behaviors is known as which of the following? A Social skills training . B Motivational interviewing . C Applied behavioral analysis . D Behavioral management . training