WEEK6 NRNP 6675

Exam midterm

The ARNP asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?” to assess for which of the following diagnoses?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder (dysthymia)

The ARNP asks the patient “Has there ever been a period of a week or more when you were the opposite of depressed with super high energy and little need for sleep?” to assess for which of the following diagnoses?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder (dysthymia)

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

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Which of the following is true regarding prescribing guidelines?

A .

Prescribing guidelines have formal legal status

B .

Guidelines are intended to apply to every individual for consistency and safety.

C .

The prescriber, not the prescribing guideline, has responsibility for the treatment.

D .

The prescriber following the prescribing guidelines will be legally protected if there is an adverse response to the treatment.

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+

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.

When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?

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.

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D .

Continue to support all the patient’s choices until a surrogate can be found.

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.

Which of the following medications is approved by the FDA for treatment of excessive sleepiness in narcolepsy?

A .

Lisdexamfetam ine

B .

Desmopressin

C .

Pitolisant

D .

Ramelteon

Which of the following symptoms are associated with Major Depressive Disorder with Melancholic Features?

A .

Psychosis

B .

Weight loss

C .

Severe anhedonia

D .

B and C

Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

A Bipolar I Disorder is more prevalent in men

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.

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.

Psychotherapy is an important treatment strategy for young people for which of the following reasons? Check all that apply. A .

Psychotherapy is almost always the safest treatment option.

B .

Psychotherapy has the least potential for adverse effects.

C .

Psychotherapy has shown superior efficacy over psychotropic medications.

D .

When a person attributes behavior changes to their own actions the behavior is more enduring.

When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?

A .

Sensory impairment

B .

Intellectual disability

C .

Substance use disorder

D .

Mood or anxiety disorder

When evaluating a child who is sad and withdrawn the clinician asks, “Did all your symptoms seem to start with fatigue?” in screening for which of the following diagnostic categories?

A .

Abuse

B .

Bullying

C .

Medical conditions

D .

Persistent depressive disorder (dysthymia)

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Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A .

Hypnagogic

B .

Hypnopompic

C .

Complex hallucinations

D .

Paranormal hallucinations

Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective disorder)?

A .

Fluoxetine

B .

Quetiapine

C .

Sertraline

D .

Bupropion HCL extended-release

A period of at least one week in which both a manic episode and a major depressive episode occur almost daily is consistent with which diagnosis?

A .

Bipolar II Disorder

B .

Cyclothymic Disorder

C .

Bipolar I Disorder, mixed episode

D .

Bipolar I Disorder, cyclothymic type

According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?

A .

Integrity

B .

Justice

C Beneficence

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.

D .

Nonmalefice nce

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 .

Nonmalefice nce

Which of the following disorders is characterized by episodic bouts of intake of excessive amounts of food but without purging or similar compensatory behavior?

A .

Bulimia nervosa

B .

Anorexia nervosa

C .

Binge eating disorder

D .

Night eating syndrome

The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in this situation? A .

These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child

B .

These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.

C .

Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.

D .

There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

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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

A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition to individual therapy sessions are known as which of the following?

A .

Group CBT

B .

Trauma-Focused CBT

C .

Motivational Interviewing

D .

Dialectical-behavioral therapy

Manic episodes are considered distinct when they are separated by what length of time without significant symptoms of mania or hypomania.?

A .

2 weeks

B .

1 month

C .

2 months

D .

3 months

Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?

A .

Ropinirole

B Modafinil

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. C .

Pramipexole

D .

Gabapentin enacarbil

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?

A .

Bipolar disorder

B .

Substance use disorder

C .

Major depressive disorder

D .

Persistent depressive disorder

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

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

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Which of the following medications are approved by the FDA for treating obsessive- compulsive disorder in children ages 10–17? Check all that apply.

A .

Sertraline

B .

Fluoxetine

C .

Fluvoxamine

D .

Clomipramine

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

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)

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