NRNP 6665 NRNP6665 Final Test

NRNP 6665 / NRNP6665 Final Test Questions | (2024 / 2025) Questions and Verified Answers

Question:

Learning disorders affect at least 5% of all school-aged children in the United States. Since 1975, Public Law 94-142 mandates that all states provide free, appropriate services to all children. Among the various types of learning

disorders, the PMHNP knows that the overwhelming majority are:

Answer:

• Reading disorders
• Mathematics disorders
• Disorders of written expression
• Learning disorders not otherwise specified (NOS)

Question:

The PMHNP has been trained in custody evaluations and is preparing to perform his first evaluation as a guardian ad litem. The case involves a 6-year- old boy and his 4-year-old sister. The parents are very angry and not able to talk or come to any agreements at all. Both parents want full custody and support from the other parent, both of whom are working professionals. After interviewing each party alone and then conducting a family interview, the PMHNP reviews all records made available, including the legal filings and petitions. There are no allegations of abuse or neglect or unsuitability from 1 / 4

either parent; they just each want full custody. In addition to considering the best interests of the children, the PMHNP knows that the elements

considered by the court will include all the following except the:

Answer:

• Children's current adjustment to home, school, and community
• Wishes of the children and parents
• Physical health of parents and children
• Parent's degree of financial resources

Question:

Marion is a 17-year-old female who has been referred by her high school guidance counselor for evaluation. The counselor is concerned that Marion has an eating disorder because she has seen her in the bathroom on several occasions vomiting, but there is no other indicator of illness like fever or missing school days. When considering the diagnosis of anorexia nervosa, the

PMHNP knows that all of the following must be present except:

Answer:

• A voluntary, unhealthy degree of weight loss and maintenance
• An intense fear of becoming fat
• Some form of disorder of menstruation
• Symptoms present for at least 3 months

Question:

Ryan is a 6-year-old male who is being evaluated because his pediatrician is concerned that he demonstrates a marked inability to perform the daily 2 / 4

motor skills consistent with what is expected at his age. At the age of 3 he was assessed due to delay in developmental milestones and was found to have an IQ of 68, consistent with mild mental retardation. When interpreting his

motor coordination today, the PMHNP considers that:

Answer:

• Deficits in coordination are consistent with mental retardation; mental

retardation precludes a diagnosis of developmental coordination disorder

• This diagnosis is unlikely for Ryan as developmental coordination disorder

is almost exclusively a diagnosis of females

• Gross motor problems are often associate with comorbid language

disturbance

• Secondary peer relationship problems are common in children with

developmental coordination disorder

Question:

Kelly is a 14-year-old female who has finally been referred for management of anorexia nervosa. She was diagnosed almost 1 year ago with the food- restricting subtype, but attempts to get her into psychiatric care were unsuccessful. She continues to be resistant but her caloric intake is now < 400 daily and she finally appears to be unable to sustain the supraphysiologic levels of exercise that she has maintained to try and "keep her weight down." She is 5'2" tall and weighs 82 lbs., which is approximately 75% of ideal body weight for her height. Her vital signs are stable and surprisingly there are no profound laboratory or ECG abnormalities. When counseling Kelly and her parents about the recommended course of treatment, the PMHNP advises

that Kelly will require:

Answer:

• Intensive dynamic psychotherapy to alter eating behavior
• Hospitalization for controlled weight gain 3 / 4

• Pharmacotherapy with selective serotonin reuptake inhibitors
• Family therapy to include all members living in the home

Question:

Rumination is a feeding disorder most commonly seen in infants, but it can

occur at any point in the lifespan. Characteristic findings in infants include:

Answer:

• Resultant soothing
• Comorbid hiatal hernia
• Failure to thrive
• Onset at 4-6 weeks of age

Question:

neural tube defects

Answer:

malformations of the brain, spinal cord, or both during embryonic development that often result in lifelong disability or death

Question:

Ms. Stevenson is a 21-year-old woman who brings her 3-week-old infant to the PMHNP for an "emergency" evaluation. Ms. Stevenson has a 2-year-old who was diagnosed with rumination disorder when he was 10 months old and had to be hospitalized for tube feedings while the family started treatment. Ms.

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