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
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 . 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
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
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?
A . Fidelity
B . Autonomy
C . Beneficence
D . Nonmaleficence
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
B . Autonomy
C . Beneficence
D . Nonmaleficence
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 abuse
C . Disruptive mood dysregulation
D . 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?
A . Tachycardia
B . Bradycardia
C . Hypotension
D . Hypothermia
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 Hyper somnolence 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