NRNP 6665 Final Exam Questions and Answers

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NRNP 6665 Final Exam Questions and Answers Latest (2023 / 2024) (Verified Answers)

• Q

Christine is a 9-year-old female who presents for care after having been placed in the local foster care system. She has been in and out of foster care for the last 4 years after her parents were killed in an automobile accident. Christine has been placed in a variety of homes and residential care facilities. The PMHNP recognizes that Christine is at high risk for ANS A. Dissociative disorders

• Post-traumatic stress disorder
• Impulse-control disorder
• Attachment disorder

• Q

Caylee is a 5-year-old girl who is referred for evaluation by child protective services. She was recently removed from her biological family and placed in foster care, as her home environment was reportedly unsafe due to conditions of extreme neglect. Her foster mother reports that Caylee is very quiet and withdrawn and always appears sad and disinterested in her surroundings; however, she becomes very irritable when anything unexpected or unplanned occurs. The foster mother became very concerned when it appeared that 1 / 4

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Caylee was hallucinating. The PMHNP considers that ANS A. Caylee is at high risk for suicide and precautions should be taken

• The hallucinations are consistent with brief psychotic disorder or schizophrenia
• The history and reported symptoms are typical of depressive disorder in young

children

• This is a common situation when prepubertal children are removed from the

biological parents regardless of how dysfunctional they are

• Qu

Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very proactive and involved in her care, and Debi has achieved remission 2 months after beginning treatment with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling Debi's parents about important issues in management, the PMHNP advises that ANS A. There is a > 50% likelihood that Debi's younger sibling will develop depressive symptoms

• The mean length of major depressive episode in adolescents is 4 months
• 20 to 40% of adolescents who have major depressive disorder will develop bipolar

I within 5 years

• Adolescent-onset depression typically need long-term pharmacologic manage-

ment to prevent relapses

• Q

In which demographic is depression twice as prevalent in girls as compared to boys ANS A. Preschoolers

• School aged 2 / 4

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• Adolescents
• All children

• Which of the following is not a true statement with respect to confidential-

ity of the child or adolescent client ANS A. The PMHNP should not be concerned with consent for disclosure when child abuse or maltreatment has occurred.

• In 1979, the American Psychiatric Association (APA) stated that children 12 years

of age or older can give consent for disclosure.

• The American Academy of Child and Adolescent Psychiatry (AACAP) Code of

Ethics states that consent is not required for disclosure.

• Regardless of code or position statement by any organization, the best approach

is when the child and PMHNP agree on disclosure.

• Q

Andrew is a 14-year-old male who is being managed for bipolar I disorder.He was started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work. Andrew says he doesn't feel any different, but both his parents and teachers report improvement in his mood. He has been more stable, is getting along better with friends and siblings, and is even more interested in his schoolwork. The PMHNP plans to maintain Andrew on this medication and knows that he will need which of the following ongoing laboratory assessments ANS A. Complete blood count, thyroid function tests, and serum calcium

• Liver function tests, complete blood count, and 12-lead electrocardiogram 3 / 4

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• White blood cell differential, fasting glucose, and fasting lipid profile
• Comprehensive metabolic panel, complete blood count, and thyroid function tests

• Q

The therapeutic outcomes for children with disorders of written expression are most favorable when they are characterized by ANS A. Concomitant pharma- cotherapy with a psychostimulant to promote attention and focus

• Multimodal therapy to include group interaction with peer-to-peer feedback on

writing samples

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