Question 52
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?
A.
Fidelity
B.
Autonomy
C.
Beneficence
D.
Nonmaleficence
Question 53
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 54
Indicators for a good prognosis in treatment of Major Depressive Disorder (MDD) includes which of the following? Check all that apply.
A.
A history of dysthymia
B.
Absence of psychotic symptoms
C.
An advanced age of onset
D.
No more than one previous hospitalization for MDD
Question 55
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 56
Which of the following is not consistent with the purpose of The ANA’s Code of Ethics for Nurses?
A.
It is a succinct statement of the ethical values, obligation, duties, and professional ideals of nurses individually and collectively.
B.
It is the profession’s non-negotiable ethical standard.
C.
It is an expression of nursing’s own understanding of its commitment to society.
D.
It clearly determines how ethical obligations of nurses are met.
Question 57
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 6-12
C.
Ages 13-18
D.
Ages 18+
Question 58
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?
A.
Dysthymia
B.
Cyclothymia
C.
Bipolar II Disorder
D.
Bipolar I Disorder
Question 59
A clinical course of one or more manic episodes and sometimes major depressive episodes is consistent with which of the following diagnoses?
A.
Bipolar II Disorder
B.
Bipolar I Disorder
C.
Cyclothymic Disorder
D.
Major Depressive Episode
Question 60
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 61
Which of the following medications are FDA approved for the treatment of insomnia?
A.
Temazepam
B.
Pramipexole
C.
Desmopressin
D.
Sodium oxybate
Question 62
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 63
A strategy by which caregivers shape a young child’s behavior through selective and temporary removal of that child’s access to desired attention, activities, or other reinforcements following a behavioral transgression is known as which of the following?
A.
Time-out
B.
Special time
C.
Behavioral activation
D.
Functional analysis of behavior
Question 64
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?
A.
Relaxation therapy
B.
Social skills training
C.
Motivational Interviewing
D.
Applied behavioral analysis
Question 65
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
C.
Conduct disorder
D.
Oppositional defiant disorder
Question 66
In evaluating an adolescent who has been referred from her PCP for recurrent abdominal pain, the clinician asks “Is there something stressful in the past 3 months that happened right before these symptoms appeared?” to screen for which of the following diagnostic categories?
A.
Adjustment disorder
B.
Anxiety disorders
C.
Depressive disorders
D.
Conversion disorder
Question 67
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 4
Question 68
Depression is frequently under recognized in the elderly population due to which of the following reasons? Check all that apply.
A.
Depression is less common in the older adult than in the general population.
B.
Older persons with depression often present with more somatic complaints.
C.
Providers/clinicians may accept depressive symptoms as normal in older individuals.
D.
All of the above
Question 69
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 70
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?
A.
Dysthymia
B.
Cyclothymia
C.
Major Depression, subacute, recurrent
D.
Bipolar II disorder
Question 71
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 72
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
Question 73
Which of the following medications is approved by the FDA for treatment of excessive sleepiness in narcolepsy?
A.
Lisdexamfetamine
B.
Desmopressin
C.
Pitolisant
D.
Ramelteonuestion 74
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 75
A variant of Bipolar I disorder characterized by episodes of major depression and hypomania is known as which of the following?
A.
Bipolar II Disorder
B.
Dysthymic Disorder
C.
Cyclothymic Disorder
D.
Bipolar I Disorder, hypomanic type
Question 76
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
Question 77
Which of the following is true about consent to medication? Check all that apply.
A.
Consent to medication means the uncoerced and informed treatment by a person competent to give it.
B.
Children are typically competent to make decisions about their medications.
C.
Children may not be competent, but their assent and their views respected even if over-ruled.
D.
Child should not be over-ruled under any circumstances.
Question 78
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 79
Which of the following medications indicated for ADHD has a gastrointestinal bioactivation mechanism?
A.
Methylphenidate (Ritalin, Methylin)
B.
Amphetamine Salt combination (Adderall)
C.
Oros Methylphenidate (Concerta)
D.
Lisdexamfetamine (Vyvanse) Question 80
The APRN working with a young person who is worried encourages the young person to identify a variety of activities that are motivating and rewarding, and that are specific and can be measured when completed. The APRN is using which of the following psychosocial interventions?
A.
Special time
B.
Psychoanalysis
C.
Behavioral activation
D.
Functional analysis of behavior
Question 81
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 82
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 83
Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?
A.
Ropinirole
B.
Modafinil
C.
Pramipexole
D.
Gabapentin enacarbil
Question 84
The principle that competent mental health care and a full array of services should be available for all children, adolescents, and their families address which of the following domains in the American Academy of Child and Adolescent Psychiatry Code of Ethics?
A.
Justice
B.
Fidelity
C.
Autonomy
D.
Nonmaleficence
Question 85
Which of the following is inconsistent with what is known about prolonged sleep deprivation?
A.
Prolonged sleep deprivation leads to death.
B.
Prolonged sleep deprivation leads to severe physical impairment.
C.
Prolonged sleep deprivation leads to severe cognitive impairment.
D.
Prolonged sleep deprivation while annoying and frustrating is not life threatening.
Question 86
Which of the following should first be considered when assessing a child with sleep problems?
A.
Poor sleep habits
B.
Insomnia disorder
C.
Major depressive disorder
D.
Generalized anxiety disorder
Question 87
When evaluating a child who is sad and withdrawn, the clinician should first consider which of the following diagnostic categories?
A.
Self-harm
B.
Substance use disorder
C.
Major depressive disorder
D.
Adjustment disorder with depressed mood
Question 88
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)
D.
Risperidone (Risperdal)
Question 89
When evaluating a child who is worried or anxious, which of the following diagnostic categories should first be considered?
A.
Trauma
B.
Separation anxiety disorder
C.
Generalized anxiety disorder
D.
Obsessive-compulsive disorder
Question 90
The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following?
A.
Depression
B.
Social phobia
C.
Schizophrenia
D.
Obsessive-compulsive disorder
Question 91
The APRN should initially focus on which of the following as the first step to successful diagnosis and treatment of adolescents and children?
A.
Building a therapeutic alliance with the child/adolescent
B.
Creating a therapeutic alliance with the child/adolescent’s caregiver
C.
Prior to meeting with the child/adolescent, get the full story from the caregiver.
D.
Be prepared to provide a diagnosis and treatment plan to the child/adolescent’s caregiver.
Question 92
The APRN working with a child who is having temper tantrums every time his mother takes him to the grocery store. In talking to the mother, the ARNP discovers that whenever the child has a temper tantrum at the store, the mother gives the child candy to calm the child down. The ARNP is using which of the following psychosocial interventions?
A.
Reflection
B.
Psychoanalysis
C.
Behavioral activation
D.
Functional analysis of behavior
Question 93
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 94
In working with a child who is struggling with being worried or anxious, the provider asks the child “Do worries affect your sleep or performance at school?” in screening for which of the following common diagnostic possibilities?
A.
Generalized anxiety disorder
B.
Separation anxiety disorder
C.
Obsessive-compulsive disorder
D.
Posttraumatic stress disorder
Question 95
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 96
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 97
A patient presents reporting a history of depressive episodes which typically occur every winter, you recognize this is most likely which of the following?
A.
Cyclothymia
B.
Bipolar II Disorder
C.
Intermittent Dysthymia
D.
Major Depressive Disorder with seasonal pattern
Question 98
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 99
Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges:
A.
Ages 0-5
B.
Ages 6-12
C.
Ages 13-18
D.
Ages 18+
Question 100
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