NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10)
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Free NUR7350900 - Acute & Chronic Management of Child-Adolescent with Psychiatric Mental (2006 10) Questions
The PMHNP educates the family and child that another way to build resiliency is to encourage ___________.
- Dance therapy
- Mystical therapy
- Equine therapy
Explanation
Equine therapy, which involves interactions with horses, is often used to build emotional resilience, improve social skills, and manage mental health challenges. Dance therapy (A) and mystical therapy (B) may be beneficial in specific cases but are not as widely recognized for fostering resiliency as equine therapy.
Correct Answer Is:
C. Equine therapy
Which of the following best describes attachment theory as proposed by John Bowlby?
- A Children are born as blank slates and shaped entirely by their environment
- B Cognitive development is the key to emotional regulation
- C Early relationships with caregivers form a blueprint for future social and emotional development
- D Behavior is shaped through reinforcement and punishment
Explanation
John Bowlby’s attachment theory emphasizes that early emotional bonds between infants and primary caregivers are crucial for healthy psychological development. These early attachments create an internal working model that influences future relationships, emotional regulation, and social functioning. Secure attachment supports resilience and healthy development, while insecure attachment may contribute to emotional and relational difficulties later in life.
Correct Answer Is:
C Early relationships with caregivers form a blueprint for future social and emotional development
Past family history includes clues for mental disorders therefore, -------- is part of the psychiatric assessment.
- Sister history
- Brother history
- Family history
Explanation
Family history is a critical component of the psychiatric assessment, as it can provide clues about genetic predispositions to mental health disorders. Understanding the mental health history of family members helps the clinician assess potential risk factors and hereditary conditions that may influence the patient’s condition. Sister history (A) and brother history (B) are part of the family history, but "family history" (C) is the most accurate and comprehensive term.
Correct Answer Is:
C. Family history
During stressful times, symptoms may include insomnia, irritability, and ------- in children.
- Hyperactivity
- Depression
- Chest pain
Explanation
During stressful times, children may exhibit symptoms such as insomnia and irritability, along with hyperactivity. Hyperactivity is a common reaction to stress in children, manifesting as increased energy or restlessness. Depression (B) is a potential symptom but less commonly associated with immediate stress compared to hyperactivity. Chest pain (C) is not typically a direct symptom of stress in children, although it may be related to anxiety or other medical conditions.
Correct Answer Is:
A. Hyperactivity
Angie is a 16-year-old athlete. She presents to the PMHNP's clinic for an evaluation for a chief complaint of "anxiety." Her body mass index is 16. The PMHNP's next interview question is:
- "Do you have anxiety about gaining weight?"
- "Why do you think you have anxiety?"
- "When was your last menstrual period?"
Explanation
Given Angie’s low body mass index (BMI of 16), which suggests possible malnutrition or an eating disorder, it's important to address her relationship with weight and body image. Asking if she has anxiety about gaining weight is a direct approach to understanding potential disordered eating behaviors, such as anorexia nervosa or bulimia nervosa, that often present with anxiety about weight gain. This is a key question to identify the underlying causes of her anxiety and to assess for eating disorders.
Correct Answer Is:
A. "Do you have anxiety about gaining weight?"
Greg, a 15-year-old male, presents with oppositional behavior, and his father is requesting a full psychiatric evaluation. The number one co-occurring disorder with oppositional defiant disorder is:
- Major depressive disorder
- Anxiety disorders
- Attention deficit hyperactivity disorder (ADHD)
- Conduct disorder
Explanation
Oppositional Defiant Disorder (ODD) is often comorbid with attention deficit hyperactivity disorder (ADHD). Both conditions share similar symptoms, including impulsivity, difficulties with attention, and challenges with behavioral regulation. Children with ADHD often exhibit oppositional behaviors, which makes it important for the PMHNP to assess for ADHD when working with a child with ODD. Although ODD can also occur with other conditions like conduct disorder, ADHD is the most common co-occurring disorder.
Correct Answer Is:
C. Attention deficit hyperactivity disorder (ADHD)
What herbal supplement must be avoided when taking SSRI or serotonin-norepinephrine reuptake inhibitors (SNRI) medications?
- St. John's Wort
- Ginseng
Explanation
St. John's Wort is an herbal supplement often used for mild to moderate depression, but it can interact with SSRIs and SNRIs by increasing the risk of serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin in the brain. Ginseng, while it may have some interactions with medications, is not known to have the same dangerous effect on serotonin levels as St. John's Wort. Therefore, St. John's Wort must be avoided when taking these types of antidepressant medications.
Correct Answer Is:
A. St. John's Wort
Trisomy 21 is a phenotype expressed in ______ syndrome.
- Rett's
- Down's
- Autosomal
Explanation
Trisomy 21 is the genetic condition that causes Down syndrome. It occurs when an individual has three copies of chromosome 21 instead of the usual two. Rett’s syndrome (A) is a separate genetic disorder that typically affects girls, and "autosomal" (C) refers to chromosomes that are not sex chromosomes, but does not specifically describe the condition associated with trisomy 21.
Correct Answer Is:
B. Down's
The black box warnings concerning teens and young adults taking antidepressants include:
- Rapid weight loss
- Suicidal ideation
- Growth retardation
- Increased use of recreational drugs
Explanation
The black box warning for antidepressants, especially SSRIs, in teens and young adults highlights the increased risk of suicidal ideation and behavior, particularly in the initial stages of treatment. This warning emphasizes the need for close monitoring of patients, especially when starting or adjusting doses of these medications. Rapid weight loss (A), growth retardation (C), and increased use of recreational drugs (D) are not commonly associated with antidepressants in this population.
Correct Answer Is:
B. Suicidal ideation
The PMHNP educates the family and child that the way to build resiliency is to encourage ____________.
- Exercising
- Eating chocolate
- Singing
- Sleeping
Explanation
Exercising is an effective way to build resiliency, as it promotes physical health, mental clarity, and emotional well-being. Regular physical activity is known to help reduce stress, improve mood, and enhance resilience. Eating chocolate (B), singing (C), and sleeping (D) may have positive effects, but they are not as directly tied to building resiliency as regular exercise is.
Correct Answer Is:
A. Exercising
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