NRNP 6665 midterm exam Walden University 2025
nrnp 6665 midterm exam Walden University 2025
Question 1 1 pts
Which of the following may be symptoms of depression in children?
Group of answer choices
- School phobia
- Excessive clinging to parents
- Preferring to spend time with friends from school
- A and B
Question 2 1 pts
The mental health practitioner realizes the following about using a behavioral health rating scale?
Group of answer choices
- Rating scare are inherently imperfect.
- Rating scales should never be the sole basis for making a diagnosis.
- Behavioral health rating scales are an efficient tool to quickly diagnosis a patient.
- A and B
Question 3 1 pts
Which of the following medications is approved by the FDA for treatment of excessive sleepiness in narcolepsy?
Group of answer choices
Lisdexamfetamine
Desmopressin
Pitolisant
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Ramelteon
Question 4 1 pts
Which of the following medications are approved by the FDA for treatment Bipolar Disorder in children ages 10 – 17?
Group of answer choices
Lithium
Olanzapine
Aripiprazole
Clomipramine
Question 5 1 pts
Hypersomnolence disorder (excessive sleeping) can be caused by which of the following?
Group of answer choices
Insufficient sleep
Disrupted sleep
Basic neurologic dysfunction in the brain systems regulating sleep
All the above
Question 6 1 pts
Which of the following patients have the right to refuse treatment? Check all that apply.
Group of answer choices
A patient who is psychotic
A patient who has been declared incompetent by a civil authority and mandated to treatment
A patient who been involuntarily admitted to an acute inpatient psychiatric unit on an emergency hold
None of the above
Question 7 1 pts
Which of the following medications are approved by the FDA for treating Bipolar Depression in children ages 10–17?
Group of answer choices
Duloxetine
Lurasidone
Aripiprazole
Escitalopram
Question 8 1 pts
Which of the following questions should be considered prior to prescribing any medication?
Group of answer choices
What is the patient or caregiver preference?
How rapid of a treatment response is needed?
How does the child’s age effect your risk-benefit analysis?
All of the above
Question 9 1 pts
In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?
Group of answer choices
- Address any acute safety concerns
- Obtain any necessary professional assistance
- Develop a prevention plan for future crises
- A and B
Question 10 1 pts
During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following?
Group of answer choices
Mood-congruent manic delusion
Mood-incongruent manic delusion
Mood-congruent manic hallucination
Mood-incongruent manic hallucination
Question 11 1 pts
Which of the following symptoms assists in differentiating purging disorder from bulimia nervosa?
Group of answer choices
- Abuse of laxatives and diuretics
- Purging does not occur as a result of a binge episode
- Purging behavior occurs after eating small quantities of food or drink
- B and C
Question 12 1 pts
Which of the following factors are implicated in the causes of anorexia nervosa?
Group of answer choices
Biological factors
Biological factors, social factor
Social factors and psychological factors
Biological factor, social factors, and psychological factors
Question 13 1 pts
The strongest predictors of a future suicide completion include which of the following? Check all that apply.
Group of answer choices
An active mood disorder
A history of suicide attempts
Current substance use disorder
A family history of suicidal behaviors
Question 141 pts
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?
Group of answer choices
Justice
Fidelity
Autonomy
Nonmaleficence
Question 151 pts
The two neurotransmitters most implicated in the pathophysiology of mood disorders are which of the following?
Group of answer choices
Gaba and Dopamine
Serotonin and Norepinephrine
Insulin and testosterone
Estrogen and Prolactin
Question 161 pts
The most powerful predictors of the onset of a depressive episode is which of the following?
Group of answer choices
Resent stressful events
Persons with antisocial personality disorder
Persons with paranoid personality disorder
Person with borderline personality disorder
Question 171 pts
When evaluating a child who is sad and withdrawn, the clinician should first consider which of the following diagnostic categories?
Group of answer choices
Self-harm
Substance use disorder
Major depressive disorder
Adjustment disorder with depressed mood
Question 181 pts
The APRN should initially focus on which of the following as the first step to successful diagnosis and treatment of adolescents and children?
Group of answer choices
Building a therapeutic alliance with the child/adolescent
Creating a therapeutic alliance with the child/adolescent’s caregiver
Prior to meeting with the child/adolescent, get the full story from the caregiver.
Be prepared to provide a diagnosis and treatment plan to the child/adolescent’s caregiver.
Question 191 pts
A dissociation between the patient’s experience of sleeping and the objective polygraphy measures of sleep is known as which of the following?
Group of answer choices
Sleep state misperception
Psychophysiological insomnia
Persistent insomnia
Non-organic insomnia
Question 201 pts
When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following?
Group of answer choices
Safety
Self medication
Substance tolerance
Substance use disorder
Question 211 pts
Which of the following may be symptoms of depression in children?
Group of answer choices
- School phobia
- Excessive clinging to parents
- Preferring to spend time with friends from school
- A and B
Question 221 pts
Somnambulism is characterized by which of the following?
Group of answer choices
Waking from sleep/naps with vivid recall of intensely frightening dreams
A sleep-wake pattern out of synchrony with the desired sleep-wake schedule
Excessive daytime sleepiness or sleep attacks
Repeated episodes of rising from bed and walking about for between several minutes to a half hour during nocturnal sleep
Question 231 pts
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?
Group of answer choices
Obsessive -compulsive disorder
Posttraumatic stress disorder
Panic disorder
Separation anxiety disorder
Question 241 pts
When evaluating a child who is worried or anxious, which of the following diagnostic categories should first be considered?
Group of answer choices
Trauma
Separation anxiety disorder
Generalized anxiety disorder
Obsessive-compulsive disorder
Question 251 pts
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?
Group of answer choices
Bipolar disorder
Major depressive disorder
Generalized anxiety disorder
Obsessive-compulsive disorder
Question 261 pts
Which of the following medications is FDA approved for the treatment of Major Depressive Disorder with Seasonal variation (previously known as Seasonal affective disorder)?
Group of answer choices
Fluoxetine
Quetiapine
Sertraline
Bupropion HCL extended-release
Question 271 pts
Which of the following are medical complications NOT associated with anorexia nervosa?
Group of answer choices
Tachycardia
Bradycardia
Hypotension
Hypothermia
Question 281 pts
A general term for programs that teach and encourage skillful parent and caregiver responses to challenging child behaviors.
Group of answer choices
Motivational interviewing
Dialectical-behavioral therapy
Cognitive behavioral therapy (CBT)
Behavioral management training
Question 291 pts
When evaluating a child for developmental delay the following question: “Has your child lost any previously acquired skills or abilities?” would be a screening question for which diagnostic category?
Group of answer choices
Sensory impairment
Neurobehavioral disorder
Autism spectrum disorder
Neurodegenerative conditions
Question 301 pts
A child who presents with more than 6 months of persistent but diffuse, changing worries for more days than not, that cause symptoms such as tension, fatigue, irritability, and poor concentration has symptoms congruent with which of the following diagnoses?
Group of answer choices
Major depressive disorder
Generalized anxiety disorder
Posttraumatic stress disorder
Attention-deficit/hyperactivity disorder
Question 311 pts
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?
Group of answer choices
Adjustment disorder with depressed mood
Substance abus
Disruptive mood dysregulatio
Posttraumatic stress disorder
Question 321 pts
The theory that depression results from specific thought distortions is consistent with which of the following?
Group of answer choices
Cognitive theory
Psychosocial theory
Psychodynamic theory
Learned helplessness theory
Question 331 pts
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?
Group of answer choices
Fidelity
Autonomy
Beneficence
Nonmaleficence
Question 341 pts
Universal sleep hygiene would NOT include which of the following?
Group of answer choices
Getting adequate exercise
Avoid heavy meals before bedtime
Consistent bedtime and arousal time
Only go to bed when you are actually feeling sleepy
Question 351 pts
Ethical standards set forth by the APA are which of the following?
Group of answer choices
They are guidelines for psychologists.
They are enforceable rules for psychologists.
They are an exhaustive list of professional standards.
They are standards that apply to professional and private conduct of psychologists.
Question 361 pts
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?
Group of answer choices
Abuse
Bullying
Medical conditions
Persistent depressive disorder (dysthymia)
Question 371 pts
The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following?
Group of answer choices
Cognitive behavioral therapy (CBT)
Trauma-focused CBT
Motivational interviewing
Dialectical-behavioral therapy
Question 381 pts
Which of the following medications has been extensively studied for use in children and is FDA approved for use in children ≥ 13 for schizophrenia; ≥ 10 for bipolar mania; and ≥ 5 for autism irritability?
Group of answer choices
Aripiprazole (Abilify)
Quetiapine (Seroquel)
Ziprasidone (Geodon)
Risperidone (Risperdal)
Question 391 pts
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?
Group of answer choices
Dysthymia
Cyclothymia
Bipolar II Disorder
Bipolar I Disorder
Question 401 pts
Indicators for a good prognosis in treatment of Major Depressive Disorder (MDD) includes which of the following? Check all that apply.
Group of answer choices
A history of dysthymia
Absence of psychotic symptoms
An advanced age of onset
No more than one previous hospitalization for MDD
Question 411 pts
Which of the following is NOT consistent with a DSM -5 diagnosis of major depressive episode?
Group of answer choices
Must last at least 2 week
Patient may have a history of hypomania, but none of those symptoms may be present currently.
Patient does not have a history of mania.
A least four symptoms, which may include change in appetite, sleep, decreased energy, and cognitive difficulty.
Question 421 pts
Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?
Group of answer choices
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Haloperidol (Haldol)
Risperidone (Risperdal)
Question 431 pts
The ANA’s Code of Ethics for Nurses applies to which of the following EXCEPT:
Group of answer choices
Nurse educators
Nurse researchers
Physician assistants
Advance practice registered nurses
Question 441 pts
Which of the following is consistent with recommendations for use of available evidence-based psychopharmacological interventions?
Group of answer choices
If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial Interventions.
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 medication at the same time as the appropriate psychosocial interventions are started.
If a child/adolescent has a moderate to severe range of symptoms initiate psychotropic medication prior to initiating psychosocial interventions.
Question 451 pts
Which of the following symptoms assists in differentiating anorexia nervosa from depression include which of the following?
Group of answer choices
Crying spells
Sleep disturbance
Decreased appetite
Occasional suicidal thoughts
Question 461 pts
Which of the following is true about educating children and their families about their diagnosed mental health disorder?
Group of answer choices
- There is an inherent desire to better understand problems.
- It is important to focus on understanding the stigma of mental health.
- It is important to connect the specific diagnosis with the recommended treatment.
- A and C
Question 471 pts
Which of the following is true regarding the cultural formulation interview with a child and caregiver?
Group of answer choices
Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance.
While cultural understanding is important, it is important not to personalize the diagnosis.
While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment.
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 481 pts
Which of the following is NOT consistent with pseudodementia seen in major depressive disorder?
Group of answer choices
Sudden onset
Diurnal variation
Confabulation
Can be coached and encouraged into remembering
Question 491 pts
Sleep-related hallucinations occurring at sleep onset are known as which of the following?
Group of answer choices
Hypnagogic
Hypnopompic
Complex hallucinations
Paranormal hallucinations
Question 501 pts
Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?
Group of answer choices
Ropinirole
Modafinil
Pramipexole
Gabapentin enacarbil
Question 511 pts
According to the APA which of the following are required to support a child’s DSM-5 diagnosis?
Group of answer choices
- The child’s clinical presentation fulfills the specific symptom based diagnostic criteria.
- The child’s symptoms are not caused by other diagnoses or stressors.
- The child’s symptoms are impairing a child’s functioning in at least two settings.
- D. A and B
Question 521 pts
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?
Group of answer choices
Panic disorder
Specific phobia
Generalized anxiety disorder
Separation anxiety disorder
Question 531 pts
Which of the following is not consistent with the purpose of The ANA’s Code of Ethics for Nurses?
Group of answer choices
It is a succinct statement of the ethical values, obligation, duties, and professional ideals of nurses individually and collectively.
It is the profession’s non-negotiable ethical standard.
It is an expression of nursing’s own understanding of its commitment to society.
It clearly determines how ethical obligations of nurses are met.
Question 541 pts
Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?
Group of answer choices
Sertraline
Fluoxetine
Fluvoxamine
Clomipramine
Question 551 pts
Which of the following is NOT consistent with what is known about anorexia nervosa?
Group of answer choices
Anorexia nervosa is more prevalent in males.
Anorexia nervosa is most frequent in developed countries
Anorexia nervosa is equally prevalent in males and females
Roughly half of patients with anorexia nervosa will not only diet but will also regularly engage in binge and purge behaviors
Question 561 pts
According to the APA which of the following are required to support a child’s DSM-5 diagnosis?
Group of answer choices
- The child’s clinical presentation fulfills the specific symptom based diagnostic criteria.
- The child’s symptoms are not caused by other diagnoses or stressors.
- The child’s symptoms are impairing a child’s functioning in at least two settings.
- A and B
Question 721 pts
Clinical features predictive of Bipolar Disorder include which of the following?
Group of answer choices
Agitated depression
Hyperthymic temperament
Psychotic depression before the age of 25
All of the above
Question 731 pts
According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?
Group of answer choices
Integrity
Justice
Beneficence
Nonmaleficence
Question 74 1 pts
In evaluating an adolescent with recurrent and excessive physical complaints, the clinician would first consider all of the following prior to which other diagnostic possibility?
Group of answer choices
Anxiety disorder
Adjustment disorder
Conversion disorder
Abuse or maltreatment
Question 75
When depression and medical conditions co-exist, the clinician should all of the following EXCEPT:
Group of answer choices
Attempt to determine if the medical condition is pathophysiological related to the depression.
Attempt to determine whether any medications the patient is taking for the medical condition are causing the depression.
Do not attempt to treat the depression until the medical condition is improved.*
If indicated and medically safe to do so, treat the co-existing depression.
Question 761 pts
The presence of psychotic features in a patient with a Major Depressive Disorder (MDD) indicates which of the following?
Group of answer choices
Misdiagnosis – patient most likely has Schizophrenia
This indicated patient likely has a Schizoaffective Disorder.
Severe depression with poor prognosis indicator
Patient is manic, so appropriate diagnosis would be Bipolar I Disorder.
Question 771 pts
Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?
Group of answer choices
Relaxation therapy
Social skills training
Motivational Interviewing
Applied behavioral analysis
Question 781 pts
When the patient lacks capacity to make a decision the nurse has the ethical responsibility to do which of the following?
Group of answer choices
Become a surrogate decision maker for the patient.
Consult a formally-designated surrogate for patient choices.
Make safe choices for the patient based on the nurse’s beliefs and values.
Continue to support all the patient’s choices until a surrogate can be found.
Question 791 pts
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?
Group of answer choices
Adjustment disorder
Anxiety disorders
Depressive disorders
Conversion disorder
Question 801 pts
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?
Group of answer choices
A manic episode
A hypomanic episode
Cyclothymia
Bipolar II Disorder
Question 811 pts
In working with a child who is struggling with being worried or anxious, the provider asks the child “Do your worries affect your sleep or performance at school?” in screening for which of the following common diagnostic possibilities?
Group of answer choices
Generalized anxiety disorder
Separation anxiety disorder
Obsessive-compulsive disorder
Posttraumatic stress disorder
Question 821 pts
Which of the following is NOT consistent with the code of ethics for the nursing profession?
Group of answer choices
- A code of ethics for the nursing profession informs every aspect of the nurse’s life.
- A code of ethics makes explicit the primary obligations of the nursing profession.
- A code of ethics addresses the values and ideals of the nursing profession.
- B and C only
Question 831 pts
Which of the following SSRIs is a first line treatment for depression in children?
Group of answer choices
Paroxetine (Paxil)
Fluoxetine (Prozac)
Citalopram (Celexa)
Sertraline (Zoloft)
Question 841 pts
Which of the following medications are FDA approved for the treatment of insomnia?
Group of answer choices
Temazepam
Pramipexole
Desmopressin
Sodium oxybate
Question 851 pts
Which of the following medications is FDA approved for the treatment of bulimia?
Group of answer choices
Tofranil
Flurazepam
Fluoxetine
Armodafinil
Question 861 pts
A therapy focused on readiness to change related to health behaviors is known as which of the following?
Group of answer choices
Social skills training
Motivational interviewing
Applied behavioral analysis
Behavioral management training
Question 871 pts
Which of the following hormone levels is increased in anorexia nervosa?
Group of answer choices
Corticotrophin-releasing hormone (CRH)
Luteinizing hormone (LH)
Follicle-stimulating hormone (FSH)
Thyroid-stimulating hormone (TSH)
Question 88 1 pts
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?
Group of answer choices
Dysthymia
Cyclothymia
Major Depression, subacute, recurrent
Bipolar II disorder
Question 891 pts
Which of the following is true about social skills training with teens?
Group of answer choices
- Social skills training is used to teach social problem solving.
- Social skills training is more potent in a one-to-one setting.
- Social skills training is more potent in a group setting due to the peer influences.
- A and C
Question 901 pts
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?
Group of answer choices
These easy-to-use screens can be filled out prior to coming in for a formal evaluation to expedite assessment of this child
These Level 1 and Level 2 assessments can help the practitioner identify the presenting problem for this child.
Systematic use of the Level 1 and Level 2 cross cutting assessments will provide measurable outcomes for this child.
There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.
Question 911 pts
Which of the following BMIs is associated with severe anorexia nervosa?
Group of answer choices
BMI >17 kg/m2
BMI 16–16.99kg/m2
BMI 15–15.99 kg/m2
BMI <15kg/m2
Question 921 pts
When evaluating a child with poor academic performance which of the following diagnostic categories should be considered first?
Group of answer choices
Sensory impairment
Intellectual disability
Substance use disorder
Mood or anxiety disorder
Question 931 pts
“Is it ever right to deceive a research subject?” is a question which specifically falls under the category of which of the following domain of ethics?
Group of answer choices
Morality
Metaethics
Applied ethics
Normative ethics
Question 941 pts
Which of the following medications are approved by the FDA for treatment of mania in children ages 12–17?
Group of answer choices
Lithium
Olanzapine
Duloxetine
Sertraline
Question 951 pts
Which of the following is true about consent to medication? Check all that apply.
Group of answer choices
Consent to medication means the uncoerced and informed treatment by a person competent to give it.
Children are typically competent to make decisions about their medications.
Children may not be competent, but their assent and their views respected even if over-ruled.
Child should not be over-ruled under any circumstances.
Question 961 pts
Which of the following is important to realize when treating a child with an anxiety disorder?
Group of answer choices
Anxiety disorders are commonly diagnosed in families.
Repeated exposures to feared situations will always help the child to unlearn the fear response.
Parents should encourage avoidance of feared situations as this will help the fear dissipate.
SSRI’s are the MOST effective treatment in relieving symptoms of anxiety.
Question 97 1 pts
Applied behavioral analysis is typically indicated for which of the following disorders?
Group of answer choices
Anxiety disorder
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Depressive disorder
Autism spectrum disorder
Oppositional defiant disorder
Question 98 1 pts
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?
Group of answer choices
Suicidality
Bipolar disorder
Major depressive disorder
Disruptive mood dysregulation disorder
Question 99 1 pts
Depression is frequently under recognized in the elderly population due to which of the following reasons? Check all that apply.
Group of answer choices
Depression is less common in the older adult than in the general population.
Older persons with depression often present with more somatic complaints.
Providers/clinicians may accept depressive symptoms as normal in older individuals.
All of the above
Question 100 1 pts
Which of the following is the most common eating disorder?
Group of answer choices
Bulimia nervosa
Anorexia nervosa
Binge eating disorder
Night eating syndrome