NURS 6660 FINAL EXAM

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.

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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

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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