NURS 6660 Final Exam Question and Answers Walden University GradeAplus

Question 1

In which demographic is depression twice as prevalent in girls as compared to boys?

A. Preschoolers

B. School aged

C. Adolescents

D. All children

Question 2

Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6

weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work.

Andrew says he does not feel any different, but both his parents and teachers report improvement in his

mood. He has been more stable, is getting along better with friends and siblings, and is even more

interested in his schoolwork. The PMHNP plans to maintain Andrew on this medication and knows that

he will need which of the following ongoing laboratory assessments?

A. Complete blood count, thyroid function tests, and serum calcium

B. Liver function tests, complete blood count, and 12-lead electrocardiogram

C. White blood cell differential, fasting glucose, and fasting lipid profile

D. Comprehensive metabolic panel, complete blood count, and thyroid function tests

Question 3

Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to 50 years

have been characterized by increased attention to this issue and the publication of various ethical codes

and practice position statements by professional organizations. Which of the following is not a true

statement with respect to confidentiality of the child or adolescent client?

A. The PMHNP should not be concerned with consent for disclosure when child abuse or

maltreatment has occurred.

B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age or older

can give consent for disclosure.

C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics states that

consent is not required for disclosure.

D. Regardless of code or position statement by any organization, the best approach is when the

child and PMHNP agree on disclosure

Question 4

Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very

proactive and involved in her care, and Debi has achieved remission 2 months after beginning treatment

with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling Debi’s

parents about important issues in management, the PMHNP advises that:

A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive symptoms

B. The mean length of major depressive episode in adolescents is 4 months

C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I within 5

years

D. Adolescent-onset depression typically needs long-term pharmacologic management to prevent

relapse

Question 5

The therapeutic outcomes for children with disorders of written expression are most favorable when

they are characterized by:

Concomitant pharmacotherapy with a psychostimulant to promote attention and focus

Multimodal therapy to include group interaction with peer-to-peer feedback on writing samples

A variety of tutors who will offer a variety of writing techniques, composition strategies, and critiques

Intensive, continuous administration of individually tailored, one-on-one expressive and creative

writing therapy