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NRNP 6665 Midterm Seraphin Exam

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NRNP6665 Mid Term Seraphin Exam All 100 Questions and Answer

Question 1
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?

Relaxation therapy

Social skills training
Motivational
Interviewing
Applied behavioral analysis

Question 2
According to the APA which of the following are required to support a child’s DSM- 5 diagnosis?

Question 3
Which of the following is NOT consistent with good sleep hygiene?

Allow child to keep a cell phone at bedside

Establish bedtime routines and maintain consistently

Limit use of electronics in the evening i.e., television, computer, etc

Set and maintain a bedtime that will allow for adequate sleep

Question 4
Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
Aripiprazole (Abilify)

Ziprasidone (Geodon)

Haloperidol (Haldol)

Risperidone (Risperdal)

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?

Safety

Bullying

Conduct disorder

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?

Question 7
When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?

Become a surrogate decision maker for the patient

Consult a formally-designated surrogate for patient choices

Make safe choices for the patient based on the nurse’s beliefs and values
Continue to support all the patient’s choices until a surrogate can be found

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?

Obsessive -compulsive disorder
Posttraumatic stress disorder
Panic disorder

Separation anxiety disorder

Question 9
Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes?

Ziprasidone (Geodon)

Aripiprazole
(Abilify)
Olanzapine (Zyprexa)
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?

Bipolar II Disorder

Cyclothymic Disorder

Bipolar I Disorder, mixed episode
Bipolar I Disorder, cyclothymic type

Question 11
Which of the following is NOT true about symptomatology of anorexia nervosa?

Most aberrant behaviors directed toward losing weight occurs in secret

All patients have an intense fear of gaining weight and becoming obese

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

Complex
hallucinations
Paranormal
hallucinations

Question 13
The theory that depression results from specific thought distortions is consistent with which of the following?

Cognitive theory

Psychosocial theory

Psychodynamic theory

Learned helplessness theory
Question 14
Reasons for the underuse of specific mental health treatments during childhood include which of the following?

Stigma associated with mental health

Poor problem recognition

Limited availability of mental health specialists
All of the above

Question 15
Which of the following is true regarding the cultural formulation interview with a child and caregiver?

Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance
While cultural understanding is important, it is important not to personalize the diagnosis
While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment

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?

Integrity

Justice

Beneficence

Nonmalefice nce

Question 17
Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?
Fluoxetine (Prozac)
Trazodone (Desyrel)
Amitriptyline
(Elavil)
Venlafaxine (Effexor)

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

Bulimia nervosa

Anorexia nervosa

Binge eating disorder
Night eating syndrome

Question 19
ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges?

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?

Suicidality

Bipolar disorder

Major depressive disorder

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?

Bulimia nervosa

Anorexia nervosa

Binge eating disorder
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 wealthyThis is an example of which of the following?

Mood-congruent manic delusion

Mood-incongruent manic delusion
Mood-congruent manic hallucination
Mood-incongruent manic hallucination

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?

Group CBT

Trauma-Focused CBT

Motivational Interviewing

Dialectical-behavioral therapy

Question 24
Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions?

If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial Interventions
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?

Cognitive behavioral therapy
(CBT)
Trauma-focused CBT

Motivational interviewing

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?

4–6 weeks

3–6 months

1–2 years

8–10
years
Question 27
general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors

Motivational interviewing

Dialectical-behavioral therapy

Cognitive behavioral therapy
(CBT)
Behavioral management training

Question 28
Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep?

A Stage

Stage

Stage

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?

Fidelity

Autonomy

Beneficence

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?
Address any acute safety concerns

Obtain any necessary professional assistance
Develop a prevention plan for future crises
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?

Conduct disorder

Autism spectrum disorder

Generalized anxiety disorder

Attention-deficit/hyperactivity disorder

Question 32
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 motionsThese symptoms are consistent with which of the following diagnoses?

Dysthymia

Cyclothymia

Major Depression, subacute, recurrent
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
Loss of appetite

Insomnia

Sleep walking

Question 34
Somnambulism is characterized by which of the following?

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

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

Excessive daytime sleepiness or sleep attacks

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 consequencesThis presentation is consistent with which of the following diagnoses?

Bulimia nervosa

Anorexia nervosa

Encopresis

Autism spectrum disorder

Question 36
Which of the following antidepressants are approved by the FDA for treating depression in children ages 8–17?

Sertraline

Fluoxetine

Duloxetine
Fluvoxami ne

Question 37
When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following?

Safety

Self medication

Substance tolerance
Substance use disorder

Question 38
Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

Bipolar I Disorder is more prevalent in men

Bipolar I Disorder is more prevalent in women

Manic episodes are more prevalent in women

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 code of ethics for the nursing profession informs every aspect of the nurse’s life
A code of ethics makes explicit the primary obligations of the nursing profession
A code of ethics addresses the values and ideals of the nursing profession
B and C only

Question 40
Which of the following is NOT consistent with what is known about anorexia nervosa?
Anorexia nervosa is more prevalent in males

Anorexia nervosa is most frequent in developed countries

Anorexia nervosa is equally prevalent in males and females

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?

Rating scare are inherently imperfect

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

Behavioral health rating scales are an efficient tool to quickly diagnosis a patient

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?

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

If one parent has a mood disorder the child has a 50% risk of developing a mood disorder
Bipolar I Disorder is typically the most common form of mood disorder in families of bipolar probands
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
Sertraline

B
Fluoxetine
C
Fluvoxamine

D
Clomipramine

Question 44
Universal sleep hygiene would NOT include which of the following?

Getting adequate exercise

Avoid heavy meals before bedtime

Consistent bedtime and arousal time

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?

Sudden onset

Diurnal variation

Confabulation

Can be coached and encouraged into remembering

Question 46
When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?

Abuse

Conduct disorder

Communication disorder

Attention deficit/hyperactivity disorder

Question 47
Which of the following may be symptoms of depression in children?
School phobia

Excessive clinging to parents

Preferring to spend time with friends from school
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)?

The nurse must respect patient’s decisions

The nurse must support all patient choices

The nurse must agree with all patient choices

A and B only

Question 49
The domain of ethics concerning the nature of ethics and moral reasoning is known as which of the following?

Metaethics

Normative ethics
Applied ethics

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?

Sleep state misperception

Psychophysiological
insomnia

Persistent insomnia

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?
Fidelity

Autonomy

Beneficence

Nonmalefice nce

Question 52
Ethical questions about what we “ought” to do or be are addressed within which domain ethics?

Metaethics

Applied ethics

Normative ethics

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?

Resent stressful events

Persons with antisocial personality disorder
Persons with paranoid personality disorder
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?

Fidelity

Autonomy

Beneficence

Nonmalefice nce

Question 55
Which of the following SSRIs is a first line treatment for depression in children?

Paroxetine
(Paxil)
Fluoxetine (Prozac)
Citalopram (Celexa)
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?

Adjustment disorder with depressed mood

Substance abus

Disruptive mood dysregulatio

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?
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?

Tachycardi a
Bradycardi a
Hypotensio n
Hypotherm ia

Question 59
Principles to be considered when using a rating scale to assess for mood and anxiety disorders include which of the following?
A
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?

Insufficient sleep

Disrupted sleep

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?

What is the patient or caregiver preference?

How rapid of a treatment response is needed?

How does the child’s age effect your risk-benefit analysis?

All of the above

Question 62
Strategies that enhance therapeutic engagement include which of the following?

Engage the child/adolescent in a manner to encourage them feeling noticed, heard, and appreciated

Make sure that the parent/caregiver is always in the room

Start off with targeted diagnostic questions to save time

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?

There is an inherent desire to better understand problems

It is important to focus on understanding the stigma of mental health
It is important to connect the specific diagnosis with the recommended treatment

A and C

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

A BMI >17 kg/m2

BMI 16– 16.99kg/m2

BMI 15–15.99 kg/m2

BMI <15kg/m2

Question 65
Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges:

Ages 0–5

Ages 6– 12
Ages 13– 18
Ages 18+

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

Anxiety disorder

Depressive disorder

Autism spectrum disorder
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 manic episode

A hypomanic episode

Cyclothymia

D Bipolar II Disorder

Question 68
A patient in their early 20s presents reporting chronic fluctuating moods ranging from mild depression to at times some hypomaniaRecalls being sensitive and moody as a childThese symptoms are consistent with which of the following diagnoses?

Dysthymia

Cyclothymia

Bipolar II Disorder
Bipolar I Disorder

Question 69
The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?

Depression

Social phobia

Schizophrenia

Obsessive-compulsive disorder

Question 70
When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?

Sensory impairment

Intellectual disability
Substance use disorder
Mood or anxiety disorder
Question 71
Which of the following is NOT an American Academy of Child and Adolescent Psychiatry (AACP) Code of Ethics?

The AACP Code of Ethics contains laws to direct the professional activities of child and adolescent providers
The AACP Code of Ethics contain guidelines that could be used consistently and impartially
The principles and guidelines in the AACP Code of Ethics are to be applied at all times
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?

Keep up regular routines

Maintain a “low-key” atmosphere

Follow typical house rules but pick your battles
All the above

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

Tofranil

Zolpidem

Solriamfetol

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?

Anxiety disorder

Adjustment disorder
Conversion disorder
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?

No correlation has been found between socioeconomic status and major depressive disorder
A higher-than-average incidence of Bipolar I disorder is found among the upper socioeconomic groups

Bipolar I disorder is more common among persons who graduated from college

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?

Morality

Metaethics

Applied ethics

Normative ethics

Question 77
The two neurotransmitters most implicated in the pathophysiology of mood disorders are which of the following?

Gaba and Dopamine

Serotonin and Norepinephrine
Insulin and testosterone

Estrogen and Prolactin

Question 78
The strongest predictors of a future suicide completion include which of the following? Check all that apply
A
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?

Do worries keep you awake?

What is your routine before going to bed?

Do you startle easily or get frequent nightmares?

Do you feel tense, restless or worried most of the time?

Question 80
Which of the following hormone levels is increased in anorexia nervosa?

Corticotrophin-releasing hormone
(CRH)
Luteinizing hormone (LH)

Follicle-stimulating hormone (FSH)

Thyroid-stimulating hormone
(TSH)

Question 81
Which of the following medications are approved by the FDA for treatment of mania in children ages 12–17?
A Lithium

B
Olanzapine

C Duloxetine

D
Sertraline

Question 82
The most common age of onset of anorexia nervosa is which of the following?

Early 20s

10–13 years of age
14–18 years of age
19–29 years of age

Question 83
Which of the following medications is considered a first-line treatment for anxiety in children?

Sertraline (Zoloft)

Citalopram (Celexa)
Fluvoxamine (Luvox)
Paroxetine (Paxil)

Question 84
Which of the following medications is FDA approved for the treatment of bulimia?

Tofranil

Flurazepa m

Fluoxetin
e
Armodafi nil

Question 85
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?

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?

Social skills training is used to teach social problem solving

Social skills training is more potent in a one-to-one setting

Social skills training is more potent in a group setting due to the peer influences
A and C

Question 87
Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features?

Psychosis

Weight loss

Severe anhedonia

B and C

Question 88

The ANA’s Code of Ethics for Nurses applies to which of the following EXCEPT:

Nurse educators

Nurse researchers

Physician assistants

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?

Abuse of laxatives and diuretics

Purging does not occur as a result of a binge episode

Purging behavior occurs after eating small quantities of food or drink
B and C

Question 91
Which of the following is important to realize when treating a child with an anxiety disorder?

Anxiety disorders are commonly diagnosed in families

Repeated exposures to feared situations will always help the child to unlearn the fear response

Parents should encourage avoidance of feared situations as this will help the fear dissipate
SSRI’s are the MOST effective treatment in relieving symptoms of anxiety

Question 92
therapy focused on readiness to change related to health behaviors is known as which of the following?

Social skills training
Motivational interviewing

Applied behavioral analysis

Behavioral management training

Question 93
Which of the following is NOT consistent with guidelines for obtaining informed consent involving child/adolescents?

It is crucial that potential risks and benefits of research are clearly described to the A guardian(s) and in a developmentally appropriate manner to the involved children/adolescents

Assent of the child/adolescent should be sought if developmentally feasible in situations involving minimal risk
Regardless of the degree or risk, the refusal of a child or adolescent to assent to participation in research should be considered binding

Children and adolescents should only be forced to participate in medical research if the overall benefit strongly outweighs the risk

Question 94
Major depressive disorder, eating disorders, and substance use disorders predominate at which of the following ages?

Ages 0–5

Ages 6– 12
Ages 13–

18

Ages 18+

Question 95
The clinician asks the child who is anxious/worried, “Is there something in particular or a situation that makes you immediately afraid?” to screen for which of the following diagnostic categories?

Panic disorder

Specific phobia

Generalized anxiety disorder
Separation anxiety disorder

Question 96
Which of the following should first be considered when assessing a child with sleep problems?

Poor sleep habits

Insomnia disorder

Major depressive disorder
Generalized anxiety disorder

Question 97
The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than a year?” to assess for which of the following common diagnostic possibilities?

A
Bipolar disorder

B Substance use disorder

C
Major depressive disorder

D Persistent depressive disorder
.
Question 98
Which of the following medications are FDA approved for the treatment of insomnia?

Temazepam

Pramipexole

Desmopressi n
Sodium oxybate

Question 99
Which of the following medications are approved by the FDA for treating obsessive- compulsive disorder in children ages 10–17? Check all that apply

A
Sertraline

B
Fluoxetine

C
Fluvoxamine

D
Clomipramine

Question 100
Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective disorder)?

Fluoxetine

Quetiapine

Sertraline

Bupropion HCL extended- release

 

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