NRNP 6665 Midterm Exam: Questions and Answers for Walden University, Exams of Nursing

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NRNP 6665 Midterm Exam / NRNP

Midterm Exam (100 Q & A)(2024-

2025):Walden university

NRNP 6665 Midterm Exam

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? Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?

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.

Question 4

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 Which of the following antipsychotic medications has the greatest risk for weight gain and lipid changes? 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?

C

Make safe choices for the patient based on the nurse’s beliefs

and values.

D

Continue to support all the patient’s choices until a surrogate

can be found.

Question 8

A

Obsessive -compulsive

disorder

B

Posttraumatic stress

disorder

C Panic disorder

D

Separation anxiety

disorder

Question 9

A

Ziprasidone

(Geodon)

B

Aripiprazole

(Abilify)

C

Olanzapine

(Zyprexa)

D

Quetiapine

(Seroquel)

Question 10

A Bipolar II Disorder

B Cyclothymic Disorder

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

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–

B

Ages 6–

C

Ages 13–

D Ages 18+

Question 20

A Suicidality

B Bipolar^ disorder

Which of the following is consistent with recommendations for use of available evidence- based psychopharmacological interventions? The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following? The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?

D

Dialectical-behavioral

therapy

Question 24

A

If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial

Interventions.

B

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

C medication at the same time as the appropriate psychosocial interventions are

. started.

D

If a child/adolescent has a moderate to severe range of symptoms initiate

psychotropic medication prior to initiating psychosocial interventions.

Question 25

A

Cognitive behavioral therapy

(CBT)

B Trauma-focused CBT

C Motivational interviewing

D Dialectical-behavioral therapy

Question 26

A

weeks

B

months

C 1–2 years

D 8–

• Question

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 Examples of atypical features in a patient with Major Depressive Episode include which of the following? In the event of a crisis in which the child is threatening to hurt himself, the first steps should 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 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

When assessing for substance abuse in an adolescent, the clinician should initially assess for which of the following? Which of the following is consistent with what is known about prevalence of Bipolar I disorder?

D

Fluvoxami

ne

Question 37

A Safety

B Self medication

C

Substance

tolerance

D

Substance use

disorder

Question 38

A Bipolar I Disorder is more prevalent in men

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.

Question 39

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

The mental health practitioner realizes the following about using a behavioral health rating scale? When responding to a family member about the genetic factors related to mood disorders the APRN would share which of the following? Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?

A Anorexia nervosa is more prevalent in males.

B Anorexia nervosa is most frequent in developed countries

C Anorexia nervosa is equally prevalent in males and females

D

Roughly half of patients with anorexia nervosa will not only diet but will also regularly

engage in binge and purge behaviors

Question 41

A Rating scare are inherently imperfect.

B Rating scales should never be the sole basis for making a diagnosis.

C

Behavioral health rating scales are an efficient tool to quickly

diagnosis a patient.

D A and B

Question 42

A There is no evidence that genetics plays a role in mood disorders.

B

If one parent has a mood disorder the child has a 50% risk of developing a mood

disorder.

C

Bipolar I Disorder is typically the most common form of mood disorder in families of

bipolar probands.

D

Evidence from twin studies provides the most compelling data for the role of genetic

factors in mood disorders.

Question 43

A

Sertraline

B

Fluoxetine