Mental Health Midterm Exam Questions and Answers, Exams of Nursing

Download Mental Health Midterm Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! 1 Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies? According to the APA which of the following are required to support a child’s DSM- 5 diagnosis? NRNP 6665 2022-2023 Mid Term Seraphin 100 QUESTIONS WITH ANSWERS 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 Which of the following is NOT consistent with good sleep hygiene? 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. 2 Question 4 Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight? 5 The theory that depression results from specific thought distortions is consistent with which of the following? 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 6 Reasons for the underuse of specific mental health treatments during childhood include which of the following? Which of the following is true regarding the cultural formulation interview with a child and caregiver? According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles? 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 . nce Question 17 Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight? 7 ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges? 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? 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors. Nightmares and night terrors are associated with disorganization and arousal during which stage of sleep? 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? . 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? 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? Examples of atypical features in a patient with Major Depressive Episode 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 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 In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following? NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? Which of the following antidepressants are approved by the FDA for treating depression in children ages 8–17? . 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 . NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS Universal sleep hygiene would NOT include which of the following? Which of the following is NOT consistent with pseudodementia seen in major depressive disorder? When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first? 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 Which of the following may be symptoms of depression in children? NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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 domain of ethics concerning the nature of ethics and moral reasoning is known as which of the following? A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following? 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 . NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? Ethical questions about what we “ought” to do or be are addressed within which domain ethics? 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS Which of the following questions should be considered prior to prescribing any medication? Strategies that enhance therapeutic engagement include which of the following? Which of the following is true about educating children and their families about their diagnosed mental health disorder? Which of the following BMIs is associated with severe anorexia nervosa? D All the above . Question 61 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 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 A BMI >17 kg/m2 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS Developmental impairments and disruptive behavior problems are predominant issues during which of the following age ranges: 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? . 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? The comorbid psychiatric condition most frequently associated with anorexia nervosa is which of the following? When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first? 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS The strongest predictors of a future suicide completion include which of the follow A ing? Check all that apply. Which of the following medications are approved by the FDA for treatment of mania in children ages 12–17? . D Estrogen and Prolactin . Question 78 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS Which of the following medications is considered a first-line treatment for anxiety in children? 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features? . 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS 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? Which of the following should first be considered when assessing a child with sleep problems? 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? 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 NRNP 6665 2022 MID TERM SERAPHIN 100 QUESTIONS WITH ANSWERS Which of the following medications are approved by the FDA for treating obsessive- compulsive disorder in children ages 10–17? Check all that apply. Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective 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