NRNP 6665 Week 6 Midterm Exam 2023

NRNP 6665 WEEK 6 MIDTERM EXAM Question 1 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-This centers on the obligation to assisst the optimal wellbeing, functioning and development of youth, both as individuals and as a group. This adherence must be prioritized over familial or societal pressures. The activities of the child and adolescent psychiatrist must be based on solid scientific knowledge, incorporating accurately conducted research, clinical experience and sound judgment, and an understanding of the important relationships between the child, adults, and agencies. The well-being, security and needs of the child must be uppermost. D. Nonmaleficence Question 2 Examples of atypical features in a patient with Major Depressive Episode include which of the following? A.Overeating and oversleeping- Atypical depression usually involves many specific symptoms, incorporating increased appetite or weight gain, sleepiness or excessive sleep, marked fatigue or weakness, moods that are powerfully reactive to environmental circumstances, and feeling extremely sensitive to rejection. B. Loss of appetite C. Insomnia D. Sleep walking Question 3 Indicators for a good prognosis in treatment of Major Depressive Disorder (MDD) includes which of the following? Check all that apply. A. A history of dysthymia B.Absence of psychotic symptoms C. An advanced age of onset D. No more than one previous hospitalization for MDD The Answers are B and D- Cases when outcome is good are associated with absence of pyschosis and no more than one previous hospitalization for MDD. Cases when outcome is really are linked with improper treatment, extreme initial symptoms incorporating psychosis, early age of onset, previous episodes, not complete recovery after one year of treatment, pre-existing severe mental or medical disorder, and family dysfunction. 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 possibilities? A. Obsessive -compulsive disorder B.Posttraumatic stress disorder C.Panic disorder -Shaking is one of the most usual symptoms of anxiety and a direct response to the activation of your sympathetic nervous system. If you have anxiety, you'll find yourself shaking. Panic attacks before, during, or after, shaking can be very usual. This type of shaking is entirely due to the intense fear that those with panic attacks experience. People with panic attacks may also experience from time to time shaking with no apparent provoke, and that shaking can actually cause a panic attack itself as the person worries that something is wrong. D.Separation anxiety disorder Question 5 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. -The nursing code of ethics is a basis for taking out nursing roles in a manner uniform with quality in nursing care and the ethical responsibilities of the profession. Ethical values are essential for all healthcare workers, especially nurses. Sadly, nurses are frequently unable to make complex ethical decisions, it is significant to consult the ethics committee before making any major decisions. D. It clearly determines how ethical obligations of nurses are met. Question 6 ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders are predominant during which of the following age ranges? A. Ages 0-5- The usual onset is before ages 6-12. B. Ages 6-12 C. Ages 13-18 D. Ages 18+ Question 7 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? A.Dysthymia B.Cyclothymia C.Bipolar II Disorder- It is characterized by at least one episode of hypomania and at least one episode of major depression. It necessitates that the individual must never have experienced a full manic episode. D.Bipolar I Disorder Question 8 A clinical course of one or more manic episodes and sometimes major depressive episodes is consistent with which of the following diagnoses? A.Bipolar II Disorder B. Bipolar I Disorder- It is characterized by the development of at least one manic episode, with or without mixed or psychotic features. C.Cyclothymic Disorder D.Major Depressive Episode Question 9 The most powerful predictors of the onset of a depressive episode is which of the following? A.Resent stressful events- Stressful life incidents along with current minor difficulties have been determined as predictors of an episode of depression. B.Persons with antisocial personality disorder C.Persons with paranoid personality disorder D.Person with borderline personality disorder Question 10 Which of the following medications are FDA approved for the treatment of insomnia? A.Temazepam- The prescribed and FDA-approved medications for the treatment of insomnia includes Temazepam a type of benzodiazepine. B. Pramipexole C. Desmopressin D. Sodium oxybate Question 11 Which of the following would be an initial screening question for a child with sleep problems? A.Do worries keep you awake? B.What is your routine before going to bed?- Bedtime routines set ups habits that aids child's brains to acknowledge when it's time to sleep and by doing the same activities in the same order every night, child's brain comes to see those activities as a precursor to sleep. C.Do you startle easily or get frequent nightmares? D.Do you feel tense, restless or worried most of the time? Question 12 A strategy by which caregivers shape a young child's behavior through selective and temporary removal of that child's access to desired attention, activities, or other reinforcements following a behavioral transgression is known as which of the following? A.Time-out- Time-out is when the child is eliminated from where the misbehavior occurred. The child is away from all things that are enjoyed. He or she does not get any attention in time-out. He or she can't join or communicate with her parents or anyone else. Time-out functions to change problem behaviors because children don't commonly like to be bored. B. Special time C. Behavioral activation D. Functional analysis of behavior