Exam midterm

The ARNP asks the patient “Has there ever been a period of a week or more when you
were the opposite of depressed with super high energy and little need for sleep?” to
assess for which of the following diagnoses?

A
.

Bipolar disorder

B
.

Substance use disorder

C
.

Major depressive disorder

D
.

Persistent depressive disorder
(dysthymia)

The ARNP asks the patient “Has there ever been a period of a week or more when you
were the opposite of depressed with super high energy and little need for sleep?” to
assess for which of the following diagnoses?

A
.

Bipolar disorder

B
.

Substance use disorder

C
.

Major depressive disorder

D
.

Persistent depressive disorder
(dysthymia)

Applied behavioral analysis is typically indicated for which of the following disorders?

A
.

Anxiety disorder

B
.

Depressive disorder

C
.

Autism spectrum
disorder

D
.

Oppositional defiant
disorder

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Which of the following is true regarding prescribing guidelines?

A
.

Prescribing guidelines have formal legal status

B
.

Guidelines are intended to apply to every individual for consistency and safety.

C
.

The prescriber, not the prescribing guideline, has responsibility for the treatment.

D
.

The prescriber following the prescribing guidelines will be legally protected if there is an
adverse response to the treatment.

ADHD, impulse-control, conduct disorder, and intellectual disabilities and anxiety disorders
are predominant during which of the following age ranges?

A
.

Ages 0–5

B
.

Ages 6–
12

C
.

Ages 13–
18

D
.

Ages 18+

Which of the following is inconsistent with what is known about prolonged sleep deprivation?

A
.

Prolonged sleep deprivation leads to death.

B
.

Prolonged sleep deprivation leads to severe physical impairment.

C
.

Prolonged sleep deprivation leads to severe cognitive impairment.

D
.

Prolonged sleep deprivation while annoying and frustrating is not life
threatening.

When the patient lacks capacity to make a decision the nurse has the ethical responsibility
to do which of the following?

A
.

Become a surrogate decision maker for the patient.

B
.

Consult a formally-designated surrogate for patient choices.

C
.

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

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D
.

Continue to support all the patient’s choices until a surrogate
can be found.

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.

D
.

It clearly determines how ethical obligations of nurses are met.

Which of the following medications is approved by the FDA for treatment of excessive
sleepiness in narcolepsy?

A
.

Lisdexamfetam
ine

B
.

Desmopressin

C
.

Pitolisant

D
.

Ramelteon

Which of the following symptoms are associated with Major Depressive Disorder with
Melancholic Features?

A
.

Psychosis

B
.

Weight loss

C
.

Severe
anhedonia

D
.

B and C

Which of the following is consistent with what is known about prevalence of Bipolar I
disorder?

A Bipolar I Disorder is more prevalent in men

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.

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.

Psychotherapy is an important treatment strategy for young people for which of the
following reasons? Check all that apply.
A
.

Psychotherapy is almost always the safest treatment option.

B
.

Psychotherapy has the least potential for adverse effects.

C
.

Psychotherapy has shown superior efficacy over psychotropic medications.

D
.

When a person attributes behavior changes to their own actions the behavior is
more enduring.

When evaluating a child with poor academic performance which of the following diagnostic
categories should be considered first?

A
.

Sensory impairment

B
.

Intellectual disability

C
.

Substance use
disorder

D
.

Mood or anxiety
disorder

When evaluating a child who is sad and withdrawn the clinician asks, “Did all your symptoms
seem to start with fatigue?” in screening for which of the following diagnostic categories?

A
.

Abuse

B
.

Bullying

C
.

Medical conditions

D
.

Persistent depressive disorder
(dysthymia)

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Sleep-related hallucinations occurring at sleep onset are known as which of the following?

A
.

Hypnagogic

B
.

Hypnopompic

C
.

Complex
hallucinations

D
.

Paranormal
hallucinations

Which of the following medications is FDA approved for the treatment of Major Depressive
Disorder with Seasonal variation (previously known as Seasonal affective disorder)?

A
.

Fluoxetine

B
.

Quetiapine

C
.

Sertraline

D
.

Bupropion HCL extended-release

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?

A
.

Bipolar II Disorder

B
.

Cyclothymic Disorder

C
.

Bipolar I Disorder, mixed
episode

D
.

Bipolar I Disorder, cyclothymic
type

According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in
the practice of psychology,” reflecting which of the following ethical principles?

A
.

Integrity

B
.

Justice

C Beneficence

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.

D
.

Nonmalefice
nce

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

D
.

Nonmalefice
nce

Which of the following disorders is characterized by episodic bouts of intake of excessive
amounts of food but without purging or similar compensatory behavior?

A
.

Bulimia nervosa

B
.

Anorexia nervosa

C
.

Binge eating
disorder

D
.

Night eating
syndrome

The ARNP working with a 5-year-old child in a busy pediatric practice is seeking to use
Level 1 and Level 2 cross-cutting symptoms measures. Which of the following is true in
this situation?
A
.

These easy-to-use screens can be filled out prior to coming in for a formal evaluation
to expedite assessment of this child

B
.

These Level 1 and Level 2 assessments can help the practitioner identify the presenting
problem for this child.

C
.

Systematic use of the Level 1 and Level 2 cross cutting assessments will provide
measurable outcomes for this child.

D
.

There is no Level 1 and Level 2 cross-cutting assessments for use with a 5-year-old.

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Which of the following medications are approved by the FDA for treating OCD in children
ages 6–17?

A
.

Sertraline

B
.

Fluoxetine

C
.

Fluvoxamine

D
.

Clomipramine

A form of cognitive behavioral therapy (CBT) that requires attending skills groups in addition
to individual therapy sessions are known as which of the following?

A
.

Group CBT

B
.

Trauma-Focused CBT

C
.

Motivational Interviewing

D
.

Dialectical-behavioral
therapy

Manic episodes are considered distinct when they are separated by what length of time
without significant symptoms of mania or hypomania.?

A
.

2
weeks

B
.

1
month

C
.

2
months

D
.

3
months

Which of the following medications is NOT FDA approved to treat Restless Leg syndrome?

A
.

Ropinirole

B Modafinil

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.
C
.

Pramipexole

D
.

Gabapentin
enacarbil

The clinician asks an adolescent “Have you felt persistently sad or gloomy for more than
a year?” to assess for which of the following common diagnostic possibilities?

A
.

Bipolar disorder

B
.

Substance use disorder

C
.

Major depressive disorder

D
.

Persistent depressive disorder

A dissociation between the patient’s experience of sleeping and the objective polygraphy
measures of sleep is known as which of the following?

A
.

Sleep state
misperception

B
.

Psychophysiological
insomnia

C
.

Persistent insomnia

D
.

Non-organic insomnia

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

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Which of the following medications are approved by the FDA for treating obsessive-
compulsive disorder in children ages 10–17? Check all that apply.

A
.

Sertraline

B
.

Fluoxetine

C
.

Fluvoxamine

D
.

Clomipramine

A variant of Bipolar I disorder characterized by episodes of major depression and hypomania
is known as which of the following?

A
.

Bipolar II Disorder

B
.

Dysthymic Disorder

C
.

Cyclothymic Disorder

D
.

Bipolar I Disorder, hypomanic
type

Which of the following hormone levels is increased in anorexia nervosa?

A
.

Corticotrophin-releasing hormone
(CRH)

B
.

Luteinizing hormone (LH)

C
.

Follicle-stimulating hormone (FSH)

D
.

Thyroid-stimulating hormone
(TSH)

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