The child’s clinical presentation fulfills the specific symptom based

2022 MidTerm

Question 1

 A Relaxation therapy

B Social skills training

 

.

 

C Motivational

 

.   Interviewing

 

D Applied behavioral

 

.  analysis

 

 

 

Question 2

 

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.

 

.

 

C The child’s symptoms are impairing a child’s functioning in at least two

 

. settings.

 

D A and B

 

.

 

Question 3

 

 

 

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 4

 

 

 

A Aripiprazole (Abilify)

 

.

 

B Ziprasidone

 

.  (Geodon)

 

C Haloperidol (Haldol)

 

.

 

D Risperidone

 

.   (Risperdal)

 

 

 

Question 5

 

 

 

A Safety

 

.

 

B Bullying

 

.

 

C Conduct disorder

 

.

 

D Oppositional defiant

 

.  disorder

 

 

 

Question 6

 

 

 

A Substance use disorder

 

.

 

B Substance withdrawal

 

.

 

C Substance tolerance

 

.

 

D Substance induced mental

 

.  disorder

 

 

 

Question 7

 

 

 

A Become a surrogate decision maker for the patient.

 

.

 

B Consult a formally-designated surrogate for patient choices.

 

 

 

.

 

C Make safe choices for the patient based on the nurse’s beliefs

 

.  and values.

 

D Continue to support all the patient’s choices until a surrogate

 

.  can be found.

 

 

 

Question 8

 

 

 

A Obsessive -compulsive

 

.  disorder

 

B Posttraumatic stress

 

.  disorder

 

C Panic disorder

 

.

 

D Separation anxiety

 

.  disorder

 

 

 

Question 9

 

 

 

A Ziprasidone

 

.  (Geodon)

 

B Aripiprazole

 

. (Abilify)

 

C Olanzapine

 

.  (Zyprexa)

 

D Quetiapine

 

.  (Seroquel)

 

 

 

Question 10

 

 

 

A Bipolar II Disorder

 

.

 

B Cyclothymic Disorder

 

.

 

 

 

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.

 

.

 

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

 

.  public places.

 

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

 

 

 

Question 13

 

 

 

A Cognitive theory

 

.

 

B Psychosocial theory

 

.

 

C Psychodynamic theory

 

.

 

D Learned helplessness

 

.  theory

 

 

 

Question 14

 

 

 

A Stigma associated with mental health

 

.

 

B Poor problem recognition

 

.

 

C Limited availability of mental health

 

.  specialists

 

D All of the above

 

.

 

Question 15

 

 

 

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

 

 

 

A Integrity

 

.

 

B Justice

 

.

 

C Beneficence

 

.

 

D Nonmalefice

 

 

 

 

 

 

 

Question 17

 

 

 

.  nce

 

 

 

 

 

 

 

A Fluoxetine

 

. (Prozac)

 

B Trazodone

 

.  (Desyrel)

 

C Amitriptyline

 

. (Elavil)

 

D Venlafaxine

 

. (Effexor)

 

 

 

Question 18

 

Which of the following is the most common eating disorder?      

 

 

 

A Bulimia nervosa

 

.

 

B Anorexia nervosa

 

.

 

C Binge eating

 

.  disorder

 

D Night eating

 

.  syndrome

 

 

 

Question 19

 

 

 

A Ages 0–5

 

.

 

B Ages 6–

 

.  12

 

C Ages 13–

 

.  18

 

D Ages 18+

 

.

 

Question 20

 

 

 

A Suicidality

 

.

 

B Bipolar disorder

 

 

 

.

 

C Major depressive disorder

 

.

 

D Disruptive mood dysregulation

 

.  disorder

 

 

 

Question 21

 

 

 

A Bulimia nervosa

 

.

 

B Anorexia nervosa

 

.

 

C Binge eating

 

.  disorder

 

D Night eating

 

.  syndrome

 

 

 

Question 22

 

 

 

A Mood-congruent manic delusion

 

.

 

B Mood-incongruent manic

 

.  delusion

 

C Mood-congruent manic

 

.   hallucination

 

D Mood-incongruent manic

 

.   hallucination

 

 

 

Question 23

 

 

 

A Group CBT

 

.

 

B Trauma-Focused CBT

 

.

 

C Motivational Interviewing

 

 

 

.

 

D Dialectical-behavioral

 

.  therapy

 

 

 

Question 24

 

 

 

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

 

 

 

A Cognitive behavioral therapy

 

.  (CBT)

 

B Trauma-focused CBT

 

.

 

C Motivational interviewing

 

.

 

D Dialectical-behavioral therapy

 

.

 

Question 26

 

 

 

A 4–6

 

.  weeks

 

B 3–6

 

.  months

 

C 1–2 years

 

.

 

D 8–10

 

 

 

.  years

 

Question 27

 

 

 

A Motivational interviewing

 

.

 

B Dialectical-behavioral therapy

 

.

 

C Cognitive behavioral therapy

 

.  (CBT)

 

D Behavioral management

 

.   training

 

 

 

Question 28

 

 

 

A Stage

 

. 1

 

B Stage

 

. 2

 

C Stage

 

. 3

 

D Stage

 

. 4

 

 

 

Question 29

 

 

 

A Fidelity

 

.

 

B Autonomy

 

.

 

C Beneficence

 

.

 

D Nonmalefice

 

. nce

 

 

 

Question 30

 

 

 

 

 

 

 

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 31

 

 

 

A Conduct disorder

 

.

 

B Autism spectrum disorder

 

.

 

C Generalized anxiety disorder

 

.

 

D Attention-deficit/hyperactivity

 

.  disorder

 

 

 

Question 32

 

 

 

A Dysthymia

 

.

 

B Cyclothymia

 

.

 

C Major Depression, subacute,

 

. recurrent

 

D Bipolar II disorder

 

.

 

Question 33

 

 

 

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

 

.

 

D Repeated episodes of rising from bed and walking about for between several minutes

 

.  to a half hour during nocturnal sleep

 

 

 

Question 35

 

 

 

A Bulimia nervosa

 

.

 

B Anorexia nervosa

 

.

 

C Encopresis

 

.

 

D Autism spectrum

 

.  disorder

 

 

 

Question 36

 

 

 

A Sertraline

 

.

 

B Fluoxetine

 

.

 

C Duloxetine

 

.

 

 

 

D Fluvoxami

 

. ne

 

 

 

Question 37

 

 

 

A Safety

 

.

 

B Self medication

 

.

 

C Substance

 

. tolerance

 

D Substance use

 

.  disorder

 

 

 

Question 38

 

 

 

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

 

.

 

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

 

 

 

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

 

 

 

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

 

 

 

A Sertraline

 

.

 

B Fluoxetine

 

.

 

 

 

C Fluvoxamine

 

.

 

D Clomipramine

 

.

 

Question 44

 

 

 

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

 

 

 

A Sudden onset

 

.

 

B Diurnal variation

 

.

 

C Confabulation

 

.

 

D Can be coached and encouraged into

 

.  remembering

 

 

 

Question 46

 

 

 

A Abuse

 

.

 

B Conduct disorder

 

.

 

C Communication disorder

 

.

 

D Attention deficit/hyperactivity

 

.  disorder

 

 

 

Question 47

 

 

 

A School phobia

 

.

 

B Excessive clinging to parents

 

.

 

C Preferring to spend time with friends from

 

.  school

 

D A and B

 

.

 

Question 48

 

 

 

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

 

 

 

A Metaethics

 

.

 

B Normative

 

. ethics

 

C Applied ethics

 

.

 

D Moral ethics

 

.

 

Question 50

 

 

 

A Sleep state

 

.   misperception

 

B Psychophysiological

 

.

 

 

 

insomnia

 

 

 

C Persistent insomnia

 

.

 

D Non-organic insomnia

 

.

 

Question 51

 

A Fidelity

 

.

 

B Autonomy

 

.

 

C Beneficence

 

.

 

D Nonmalefice

 

. nce

 

 

 

Question 52

 

 

 

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

 

 

 

A Fidelity

 

.

 

B Autonomy

 

.

 

C Beneficence

 

.

 

D Nonmalefice

 

. nce

 

 

 

Question 55

 

 

 

A Paroxetine

 

. (Paxil)

 

B Fluoxetine

 

. (Prozac)

 

C Citalopram

 

. (Celexa)

 

D Sertraline

 

. (Zoloft)

 

 

 

Question 56

 

 

 

A Adjustment disorder with depressed

 

.  mood

 

B Substance abus

 

.

 

C Disruptive mood dysregulatio

 

.

 

D Posttraumatic stress disorder

 

.

 

Question 57

 

 

 

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 Tachycardi

 

. a

 

B Bradycardi

 

. a

 

C Hypotensio

 

. n

 

D Hypotherm

 

. ia

 

 

 

Question 59

 

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?             

 

 

 

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.

 

.

 

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

 

 

 

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

 

 

 

A Ages 0–5

 

.

 

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 A manic episode

 

.

 

B A hypomanic

 

.  episode

 

 

 

C Cyclothymia

 

.

 

D Bipolar II Disorder

 

.

 

Question 68

 

 

 

A Dysthymia

 

.

 

B Cyclothymia

 

.

 

C Bipolar II

 

.  Disorder

 

D Bipolar I

 

.  Disorder

 

 

 

Question 69

 

 

 

A Depression

 

.

 

B Social phobia

 

.

 

C Schizophrenia

 

.

 

D Obsessive-compulsive

 

.  disorder

 

 

 

Question 70

 

 

 

A Sensory impairment

 

.

 

B Intellectual disability

 

.

 

C Substance use

 

.  disorder

 

D Mood or anxiety

 

.  disorder

 

 

 

Question 71

 

 

 

A The AACP Code of Ethics contains laws to direct the professional activities of child

 

.  and adolescent providers.

 

B The AACP Code of Ethics contain guidelines that could be used consistently and

 

. impartially.

 

C The principles and guidelines in the AACP Code of Ethics are to be applied at all

 

. times.

 

D If there is question about how to apply a principle the provider is directed to seek

 

.  consultation from appropriate professional resources.

 

 

 

Question 72

 

 

 

A Keep up regular routines

 

.

 

B Maintain a “low-key” atmosphere

 

.

 

C Follow typical house rules but pick your

 

. battles

 

D All the above

 

.

 

Question 73

 

 

 

A Tofranil

 

.

 

B Zolpidem

 

.

 

C Solriamfetol

 

.

 

D Rotigotine

 

.  patch

 

 

 

Question 74

 

 

 

A Anxiety disorder

 

.

 

 

 

B Adjustment

 

.  disorder

 

C Conversion

 

.  disorder

 

D Abuse or

 

.   maltreatment

 

 

 

Question 75

 

 

 

A No correlation has been found between socioeconomic status and major depressive

 

. disorder.

 

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

 

 

 

A Morality

 

.

 

B Metaethics

 

.

 

C Applied ethics

 

.

 

D Normative

 

. ethics

 

 

 

Question 77

 

 

 

A Gaba and Dopamine

 

.

 

B Serotonin and

 

.  Norepinephrine

 

C Insulin and testosterone

 

 

 

.

 

D Estrogen and Prolactin

 

.

 

Question 78

 

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?

 

 

 

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)

 

.

 

D Thyroid-stimulating hormone

 

.  (TSH)

 

 

 

Question 81

 

 

 

A Lithium

 

.

 

B Olanzapine

 

.

 

C Duloxetine

 

.

 

D Sertraline

 

.

 

Question 82

 

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 83

 

 

 

A Sertraline (Zoloft)

 

.

 

B Citalopram

 

. (Celexa)

 

C Fluvoxamine

 

.  (Luvox)

 

D Paroxetine (Paxil)

 

.

 

Question 84

 

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

 

 

 

A Tofranil

 

.

 

B Flurazepa

 

. m

 

C Fluoxetin

 

 

 

. e

 

D Armodafi

 

. nil

 

 

 

Question 85

 

 

 

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?       

 

 

 

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

 

 

 

A Psychosis

 

.

 

B Weight loss

 

.

 

C Severe

 

.  anhedonia

 

D B and C

 

.

 

Question 88

 

 

 

 

 

 

 

A Nurse educators

 

.

 

B Nurse researchers

 

.

 

C Physician assistants

 

.

 

D Advance practice registered

 

.  nurses

 

 

 

Question 89

 

 

 

A Sertraline

 

.

 

B Quetiapine

 

.

 

C Duloxetine

 

.

 

D Clomipramine

 

.

 

Question 90

 

 

 

A Abuse of laxatives and diuretics

 

.

 

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 Social skills training

 

.

 

B Motivational interviewing

 

.

 

C Applied behavioral analysis

 

.

 

D Behavioral management

 

.   training

 

 

 

 

 

Question 93

 

 

 

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.

 

 

 

B Assent of the child/adolescent should be sought if developmentally feasible in

 

.  situations involving minimal risk.

 

C Regardless of the degree or risk, the refusal of a child or adolescent to assent to

 

.  participation in research should be considered binding.

 

D Children and adolescents should only be forced to participate in medical research if

 

.  the overall benefit strongly outweighs the risk.

 

 

 

Question 94

 

 

 

A Ages 0–5

 

.

 

B Ages 6–

 

.  12

 

C Ages 13–

 

.

 

 

 

18

 

 

 

D Ages 18+

 

.

 

Question 95

 

 

 

A Panic disorder

 

.

 

B Specific phobia

 

.

 

C Generalized anxiety

 

.  disorder

 

D Separation anxiety

 

.  disorder

 

 

 

Question 96

 

 

 

A Poor sleep habits

 

.

 

B Insomnia disorder

 

.

 

C Major depressive

 

.  disorder

 

D Generalized anxiety

 

.  disorder

 

 

 

Question 97

 

 

 

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?    

 

 

 

A Temazepam

 

.

 

B Pramipexole

 

.

 

C Desmopressi

 

. n

 

D Sodium

 

.  oxybate

 

 

 

Question 99

 

 

 

A Sertraline

 

.

 

B Fluoxetine

 

.

 

C Fluvoxamine

 

.

 

D Clomipramine

 

.

 

Question 100

 

 

 

A Fluoxetine

 

.

 

B Quetiapine

 

.

 

C Sertraline

 

.

 

D Bupropion HCL extended-

 

.  release

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