Question 27 A variety of questionnaires, scales, guided-interview tools, and

Get college assignment help at Smashing Essays Question Question 27  A variety of questionnaires, scales, guided-interview tools, and other standardized instruments are available to aid with various aspects of assessment. The majority are intended only to be used as an aid to information gathering and not to make a diagnosis. Which of the following tools requires training to administer and can be used to determine diagnoses?  A. Child and Adolescent Psychiatric Assessment (CAPA)  B. Brief Impairment Scale  C. Pictorial Instrument for Children and Adolescents (PICA-III-R)  D. Achenbach Child Behavior Checklist 

Question 8 Psychiatric assessment of children and adolescents is best

Question Question 8  Psychiatric assessment of children and adolescents is best achieved by a combination of tools and techniques best suited to the child’s age and developmental stage. When interviewing a 10-year-old, the PMHNP may have the best success by having the patient:  A. Talk with the examiner via dolls  B. Respond to open-ended questions  C. Draw family members and peers  D. Complete a MMPI

The clinical interview is an important part of psychiatric assessment

Question The clinical interview is an important part of psychiatric assessment and should be conducted early in the diagnostic process. However, a comprehensive assessment should include other information-gathering modalities because the clinical interview:  A. Does not offer flexibility in understanding the evolution of the problem  B. Frequently deemphasizes the influence of environmental factors  C. May not systematically cover all psychiatric diagnostic categories  D. Creates a dialogue in which patients cannot give subjective responses 

Imagine you are an “arm chair,” psychologist: Please choose a

Question Imagine you are an “arm chair,” psychologist: Please choose a fictional TV, movie, or cartoon character to diagnose with a psychological disorder. This person must never have been alive (it can’t be an actual person, living or dead).1)In you must give the following information:Background and history for your client that makes it likely your diagnosis is correct. If you don’t have it, make it up. Your “client” won’t be offended.2)Current symptoms your client is experiencing. The diagnostic criteria for the diagnosis you have assigned, and the reasons why you have assigned this diagnosis.Be detailed and complete. The more convincing you are that your client has this disorder, the better.3)How/why is your client’s history, behavior, and symptoms consistent with this diagnosis? Give plentiful detail.

Caleb is a 10-year-old boy who is referred for assessment

Question Caleb is a 10-year-old boy who is referred for assessment because he is not following any of the rules of discipline at home. His parents report that they have had three separate nannies resign in the last 4 months because Caleb is unmanageable. This is a long-standing problem, going back to daycare even before kindergarten. The PMHNP knows that when conducting her initial interview of Caleb she should:  A. Anticipate that he can tolerate up to a 45-minute session  B. Consider that symbolic play with dolls will be informative  C. Interview him alone before involving the parents  D. Be clear that he is there because of problem behavior

What is example of cognitive dissonance. Based on this example,

Question What is example of cognitive dissonance. Based on this example, how would one overcome this cognitive dissonance?

Explain the difference between internal and external reinforcement. Based on

Question Explain the difference between internal and external reinforcement. Based on the over-justification effect, what is one effective strategy to encourage a child to complete their daily chores.

True experimental design: A researcher wants to test the effect

Question True experimental design: A researcher wants to test the effect of violent video games on aggressive behavior – In this experiment, please identify the independent and dependent variables. What steps could be taken to allow the researcher to infer causality? 

Parents often worry about kidnapping and terrorism much more than

Question Parents often worry about kidnapping and terrorism much more than car accidents and drowning despite the fact that the latter occur much more frequently. What concept explains this flaw in thinking (please be specific)? What can be done to increase the accuracy of our thoughts in relation to this concept?

Comprehensive psychiatric/mental health assessment of children includes an interview with

Question Comprehensive psychiatric/mental health assessment of children includes an interview with the parents or caregivers. Which of the following is not a true statement with respect to the parental interview?  A. The parents’ own emotional adjustments should be determined.  B. The parents are usually more aware of symptoms than the child.  C. The parents may prefer to speak with the PMHNP separately.  D. The parents’ upbringings are relevant to the child’s diagnosis.

Question 13 Karen is a 7-year-old girl who has been

Get college assignment help at Smashing Essays Question Question 13  Karen is a 7-year-old girl who has been started on atomoxetine 18 mg once daily for ADHD, which is just under the recommended starting dose of 0.5 mg/kg/day. After just 1 week, her parents report that she is not eating, complains of stomach pain almost every day, is having trouble sleeping, and is ―really cranky.‖ Her teacher says she never seen anything like it; that Karen is actually worse on her ADHD medication. A careful review reveals that Karen is taking her medication just as prescribed. She is not on any other prescribed, over-the-counter, or herbal medications. The PMHNP considers that:  A. These are common in the first weeks of therapy and the dose should be increased to a therapeutic regimen  B. Karen may be a poor metabolizer of CYP2D6 medications and will need a change of therapy  C. Behavioral modalities should be started as optimal management of ADHD is multimodal  D. Fluoxetine should be added to the regimen as it has demonstrated efficacy with coincident anxiety

Question 14 When treating anxiety disorders in young children, cognitive

Question Question 14  When treating anxiety disorders in young children, cognitive behavioral therapy (CBT) is preferred as initial treatment if the child is able to function sufficiently to engage in daily activities while in treatment. Which of the following therapies is appropriate for those children too young to engage in traditional CBT?  A. Selective serotonin reuptake inhibitors (SSRI)  B. SSRI in combination with CBT  C. Coaching Approach behavior and Leading by Modeling (CALM)  D. CALM in combination with a first-generation antihistamine

Question 15 Adam is a 26-month-old boy referred by his

Question Question 15  Adam is a 26-month-old boy referred by his pediatrician for evaluation of speech delay. He has not spoken any intelligible words. Adam is an only child, and the parents deny any contributory medical history. Adam was delivered at 38 weeks 5 days’ gestation without complication. At 5 weeks of age he developed respiratory failure due to respiratory syncytial virus (RSV) and was hospitalized on a ventilator for several days; since then, the parents report only the occasional upper respiratory virus. They report that Adam is a ―really good‖ child and will often entertain himself for periods of time with his building blocks; rarely he will have a ―temper tantrum.‖ The parents confirm that Adam does not speak any recognizable words. While he does make sounds, his parents admit that he does not appear to be trying to communicate with them. When considering a diagnosis of autism spectrum disorder (ASD), the PMNHP would expect further history and examination to reveal:  A. The presence of imaginary play  B. A failed hearing test  C. Exaggerated response to minor injury  D. Notable decrease in attachment behaviors 

Question 16 Comprehensive psychiatric assessment of young school-aged children requires

Question Question 16  Comprehensive psychiatric assessment of young school-aged children requires a variety of information sources. Input is necessary from parents, caregivers, and teachers because children of this age group cannot reliably provide information about:  A. Their own fears and anxieties  B. Psychotic episodes they have experienced  C. The chronology of symptom presentation  D. Episodes of mood extremes

Question 17 Mark is a 5-year-old boy brought in for

Question Question 17  Mark is a 5-year-old boy brought in for evaluation because his behavior at school has become so disruptive. According to the parents, Mark’s teacher says he just refuses to follow the rules of the classroom, openly defies her, and actually seems to try and upset his classmates. The teacher says Mark gets frustrated very easily when he cannot finish a task and is resistant to any effort to help him. This happens almost every day, and the teacher has indicated that she will not be able to keep him in the classroom if things do not change. Mark’s parents admit that he has always been ―willful‖ and difficult to manage, but as he is an only child with a stay-at-home mom, the family overlooked his disruptive tendencies and accommodated Mark. The parents report that they often skip social events and family outings because they don’t know how Mark will behave. While counseling Mark’s parents about the theories of causation of oppositional defiant disorder (ODD), the PMHNP tells the parents that psychiatric theories include all of the following except:  A. Unresolved conflict as a fuel for aggressive behavior targeting authority figures  B. The concept that oppositionality is a reinforced, learned behavior in which the child exerts control over authority figures  C. A maladaptive response to parents’ modeling of conflict avoidance as manifested by even-tempered responses to parent-toddler struggles  D. That the behavior is reinforced by increased parental attention in response to the undesirable behavior

Question 18 Trauma-focused cognitive behavior therapy is a CBT approach

Question Question 18  Trauma-focused cognitive behavior therapy is a CBT approach characterized by 10-16 sessions comprised of four components: (1) psychoeducation, (2) stress inoculation, (3) gradual exposure, and (4) cognitive reprocessing. This is a management strategy for posttraumatic stress disorder (PTSD) that is:  A. Most effective when paired with eye movement desensitization and reprocessing (EMDR)  B. Considered by experts to be the first-line management approach for treatment of PTSD symptoms  C. Very effective in individuals but generally not recommended for group treatment, e.g., school-based traumas  D. Gaining widespread acceptance as a first-line management strategy for other forms of anxiety disorders 

Question 19 Being Brave: A Program for Coping With Anxiety

Question Question 19  Being Brave: A Program for Coping With Anxiety for Young Children and Their Parents is a manualized intervention for anxiety disorders in young children between the ages of 4 and 7 years old. It uses a combination of parent-only and parent-child sessions and demonstrates significant improvement in children with all forms of anxiety disorders except:  A. Separation anxiety  B. Social anxiety  C. Generalized anxiety  D. Specific phobia 

Question 20 During the mental status exam of Oliver, a

Question Question 20  During the mental status exam of Oliver, a 4-year-old child, the PMHNP appreciates that he appears to be having transient visual and auditory hallucinations. The PMHNP knows that the best approach to this finding is to consider that:  A. This is most consistent with early-onset schizophrenia  B. An organic brain disorder should be ruled out   C. These are normal findings in very young children  D. Comprehensive psychiatric assessment is indicated

Question 22 Harmony is a 4-year-old female who has been

Question Question 22  Harmony is a 4-year-old female who has been through several evaluations for behavioral abnormalities that have become increasingly disruptive, and the family is concerned for the safety of both Harmony and her 2-year-old brother. Comprehensive assessment of Harmony includes neuropsychiatric testing. The PMHNP documents the presence of neurological hard signs. These suggest:  A. Brain lesions  B. Early-onset schizophrenia  C. Low intelligence  D. Learning disability 

Question 24 Wendy is a 6-year-old female being evaluated by

Question Question 24  Wendy is a 6-year-old female being evaluated by the PMHNP following a suicide attempt. The police were called when a neighbor saw Wendy jump out of the open window of her first-floor apartment. She was unhurt, but when the neighbor asked why she jumped out she said she wanted to kill herself. Which coincident finding would warrant an inpatient psychiatric admission for Wendy?  A. This was not the first episode.  B. The caretaker is incapable of arranging follow-up.  C. One or both of the biological parents has a history of suicide attempts.  D. Wendy was left with a babysitter when the incident occurred.   

Question 25 Psychiatric assessment of the adolescent patient is different

Question Question 25  Psychiatric assessment of the adolescent patient is different in several ways from assessment of younger children. While trying to establish a therapeutic environment with an adolescent who is openly hostile, one of the most important things the PMHNP can do is to:  A. Be more liberal in terms of limit setting and tolerating hostility in order to facilitate honest communication  B. Ensure the patient that under no circumstances will anything said be repeated to the parents  C. Allow silences to last as long as necessary until the patient is inclined to offer any verbal input  D. Communicate to the patient that his or her perspective is valued and will not be judged or critiqued 

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