NURS 6660 FINAL EXAM 2024 VERSION 1 WITH

NURS 6660 FINAL EXAM 2024 VERSION 1 WITH

ALL QUESTIONS AND ANSWERS (100% CORRECT

ANSWERS) NURS 6660 FINAL EXAM 2024 SPRING

QTR WALDEN UNIVERSITY (BRAND NEW!!)

Question 1 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 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:

• 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 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?

• Complete blood count, thyroid function tests, and serum calcium
• Liver function tests, complete blood count, ad 12-lead electrocardiogram
• White blood cell differential, fasting glucose, and fasting lipid profile
• 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?

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

maltreatment has occurred. 1 / 3

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

older can give consent for disclosure.

• The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics states

that consent is not required for disclosure. 2 / 3

• 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:

• There is a > 50% likelihood that Debi’s younger sibling will develop depressive symptoms
• The mean length of major depressive episode in adolescents is 4 months
• 20 to 40% of adolescents who have major depressive disorder will develop bipolar I within 5

years

• 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

Question 6 When considering a diagnosis of developmental coordination disorder, the PMHNP knows that

the diagnosis may be associated with:

• Above-average scores on performance subtests of standardized intelligence testing
• Below-average scores on verbal subtests of standardized intelligence testing
• Soft neurologic signs on physical examination such as slight reflex abnormalities
• Physical findings consistent with neuromuscular disease such as muscular dystrophy
• / 3