2025 MidTerm Seraphin Question 1Biofeedback, deep breathing, mindfulness, and progressive muscle relaxation are strategies that are typically used in which of the following therapies?A.Relaxation therapyB.Social skills trainingC.Motivational InterviewingD.Applied behavioral analysisQuestion 2According to the APA which of the following are required to support a child’s DSM-5 diagnosis?A.The child’s clinical presentation fulfills the specific symptom based diagnostic criteria.B.The child’s symptoms are not caused by other diagnoses or stressors.C.The child’s symptoms are impairing a child’s functioning in at least two settings.D.A and BQuestion 3Which of the following is NOT consistent with good sleep hygiene?A.Allow child to keep a cell phone at bedside.B.Establish bedtime routines and maintain consistently.C.Limit use of electronics in the evening i.e., television, computer, etc.D.Set and maintain a bedtime that will allow for adequate sleep.Question 4Which of the following antipsychotic medications have the greatest tendency to increase appetite and body weight?

A.Aripiprazole (Abilify)B.Ziprasidone (Geodon)C.Haloperidol (Haldol)D.Risperidone (Risperdal)Question 5When assessing a child with disruptive or aggressive behavior, the clinician asks “Have you been thinking about or planning to hurt anyone?” to screen for which of the following diagnostic categories?A.SafetyB.BullyingC.Conduct disorderD.Oppositional defiant disorderQuestion 6The clinician assessing substance abuse in an adolescent asks, “Did you develop more moodor anxiety problems after you started using?” to screen for which of the following diagnostic possibilities?A.Substance use disorderB.Substance withdrawalC.Substance toleranceD.Substance induced mental disorderQuestion 7When 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.BConsult a formally-designated surrogate for patient choices.

C.Bipolar I Disorder, mixed episodeD.Bipolar I Disorder, cyclothymictypeQuestion 11Which of the following is NOT true about symptomatology of anorexia nervosa?A.Most aberrant behaviors directed toward losing weight occurs in secret.B.All patients have an intense fear of gaining weight and becoming obese.C.Most patients with anorexia nervosa will have no difficulty eating with their family in public places.D.Fear of gaining weight and becoming obese frequently contributes to the individual’slack of interest in and resistance to therapy/treatment.Question 12Sleep-related hallucinations occurring at sleep onset are known as which of the following?A.HypnagogicB.HypnopompicC.Complex hallucinationsD.Paranormal hallucinationsQuestion 13The theory that depression results from specific thought distortions is consistent with which of the following?A.Cognitive theoryB.Psychosocial theoryC.Psychodynamic theoryD.Learned helplessness theory

Question 14Reasons for the underuse of specific mental health treatments during childhood include which of the following?A.Stigma associated with mental healthB.Poor problem recognitionC.Limited availability of mental health specialistsD.All of the aboveQuestion 15Which of the following is true regarding the cultural formulation interview with a child and caregiver?A.Asking about a child and caregiver’s cultural understanding is an efficient way to build a therapeutic alliance.B.While cultural understanding is important, it is important not to personalize the diagnosis.C.While obtaining cultural information is important, it may increase bias and thus decrease accuracy of the assessment.D.Engaging in a discussion about culture, while interesting and engaging, is a distraction from the problem that brought the child and caregiver to the provider.Question 16According to the APA, “Psychologists seek to promote accuracy, honesty, and truthfulness in the practice of psychology,” reflecting which of the following ethical principles?A.IntegrityB.JusticeC.BeneficenceD.NonmaleficenceQuestion 17Which of the following antidepressant medications have the greatest tendency to increase appetite and body weight?

.C.Major depressive disorderD.Disruptive mood dysregulation disorderQuestion 21Which 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 nervosaB.Anorexia nervosaC.Binge eating disorderD.Night eating syndromeQuestion 22During the evaluation of a patient with a history of Bipolar I Disorder, who is manic, the patient states that she is actually the Queen of England and quite wealthy. This is an example of which of the following?A.Mood-congruent manic delusionB.Mood-incongruent manic delusionC.Mood-congruent manic hallucinationD.Mood-incongruent manic hallucinationQuestion 23A 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 CBTB.Trauma-Focused CBTCMotivational Interviewing

.D.Dialectical-behavioral therapyQuestion 24Which of the following is consistent with recommendations for use of available evidence-based psychopharmacological interventions?A.If a child/adolescent has mild symptoms, prescribe medications prior to psychosocial Interventions.B.If a child/adolescent has mild symptoms, initiate psychotropic medication at the same time as appropriate psychosocial interventions are started.C.If a child/adolescent has moderate to severe range of symptoms initiate psychotropicmedication at the same time as the appropriate psychosocial interventions are started.D.If a child/adolescent has a moderate to severe range of symptoms initiate psychotropic medication prior to initiating psychosocial interventions.Question 25The type of therapy typically indicated for individuals with chronic and significant suicidality and self-harm is known as which of the following?A.Cognitive behavioral therapy (CBT)B.Trauma-focused CBTC.Motivational interviewingD.Dialectical-behavioral therapyQuestion 26The average time from the start of child mental health symptoms until a young person enters mental health treatment is which of the following?A.4–6 weeksB.3–6 monthsC.1–2 yearsD8–10 

In the event of a crisis in which the child is threatening to hurt himself, the first steps should include which of the following?A.Address any acute safety concernsB.Obtain any necessary professional assistanceC.Develop a prevention plan for future crisesD.A and BQuestion 31A 10-year-old child presents with developmentally inappropriate and persistent difficulty withinattention with symptoms which are interfering with academic goals and in social settings. This is consistent with which of the following diagnoses?A.Conduct disorderB.Autism spectrum disorderC.Generalized anxiety disorderD.Attention-deficit/hyperactivity disorderQuestion 32A patient presents endorsing persistent low-grade (sub-acute) depression for the last severalyears, uncertain of when it started, thinks he has always been depressed but still goes through the motions. These symptoms are consistent with which of the following diagnoses?A.DysthymiaB.CyclothymiaC.Major Depression, subacute, recurrentD.Bipolar II disorderQuestion 33Examples of atypical features in a patient with Major Depressive Episode include which of the following?AOvereating and 

.oversleepingB.Loss of appetiteC.InsomniaD.Sleep walkingQuestion 34Somnambulism is characterized by which of the following?A.Waking from sleep/naps with vivid recall of intensely frightening dreamsB.A sleep-wake pattern out of synchrony with the desired sleep-wake scheduleC.Excessive daytime sleepiness or sleep attacksD.Repeated episodes of rising from bed and walking about for between several minutesto a half hour during nocturnal sleepQuestion 35A 15-year-old girl presents with symptoms that include restrictive eating and food avoidance, with a desire to avoid obesity, which persists despite negative consequences. This presentation is consistent with which of the following diagnoses?A.Bulimia nervosaB.Anorexia nervosaC.EncopresisD.Autism spectrum disorderQuestion 36Which of the following antidepressants are approved by the FDA for treating depression in children ages 8–17?A.SertralineB.FluoxetineC.Duloxetine

A.Anorexia nervosa is more prevalent in males.B.Anorexia nervosa is most frequent in developed countriesC.Anorexia nervosa is equally prevalent in males and femalesD.Roughly half of patients with anorexia nervosa will not only diet but will also regularlyengage in binge and purge behaviorsQuestion 41The mental health practitioner realizes the following about using a behavioral health rating scale?A.Rating scare are inherently imperfect.B.Rating scales should never be the sole basis for making a diagnosis.C.Behavioral health rating scales are an efficient tool to quickly diagnosis a patient.D.A and BQuestion 42When responding to a family member about the genetic factors related to mood disorders the APRN would share which of the following?A.There is no evidence that genetics plays a role in mood disorders.B.If one parent has a mood disorder the child has a 50% risk of developing a mood disorder.C.Bipolar I Disorder is typically the most common form of mood disorder in families of bipolar probands.D.Evidence from twin studies provides the most compelling data for the role of genetic factors in mood disorders.Question 43Which of the following medications are approved by the FDA for treating OCD in children ages 6–17?A.SertralineB.Fluoxetine

C.FluvoxamineD.ClomipramineQuestion 44Universal sleep hygiene would NOT include which of the following?A.Getting adequate exerciseB.Avoid heavy meals before bedtimeC.Consistent bedtime and arousal timeD.Only go to bed when you are actually feeling sleepyQuestion 45Which of the following is NOT consistent with pseudodementia seen in major depressive disorder?A.Sudden onsetB.Diurnal variationC.ConfabulationD.Can be coached and encouraged into rememberingQuestion 46When evaluating a child due to disruptive or aggressive behavior, which diagnostic category should be considered first?A.AbuseB.Conduct disorderC.Communication disorderD.Attention deficit/hyperactivity disorderQuestion 47Which of the following may be symptoms of depression in children?

insomniaC.Persistent insomniaD.Non-organic insomniaQuestion 51The 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.FidelityB.AutonomyC.BeneficenceD.NonmaleficenceQuestion 52Ethical questions about what we “ought” to do or be are addressed within which domain ethics?A.MetaethicsB.Applied ethicsC.Normative ethicsD.None of the above as this is not an ethical questionQuestion 53The most powerful predictors of the onset of a depressive episode is which of the following?A.Resent stressful eventsB.Persons with antisocial personality disorderC.Persons with paranoid personality disorderD.Person with borderline personality disorder

Question 54Attempts to influence providers through use of dinners, gifts, educational opportunities, and medication samples provide a conflict from which of the following American Academy of Child and Adolescent Psychiatry ethical perspectives?A.FidelityB.AutonomyC.BeneficenceD.NonmaleficenceQuestion 55Which of the following SSRIs is a first line treatment for depression in children?A.Paroxetine (Paxil)B.Fluoxetine (Prozac)C.Citalopram (Celexa)D.Sertraline (Zoloft)Question 56When evaluating a child/adolescent who presents with irritable or labile mood the clinician should first consider and screen for which of the following diagnostic categories?A.Adjustment disorder with depressedmoodB.Substance abusC.Disruptive mood dysregulatioD.Posttraumatic stress disorderQuestion 57The ARNP asks the teenager, who according to parents has been extremely moody, “Have you been using drugs or alcohol?” to assess for which of the following diagnostic possibilities?

D.All the aboveQuestion 61Which of the following questions should be considered prior to prescribing any medication?A.What is the patient or caregiver preference?B.How rapid of a treatment response is needed?C.How does the child’s age effect your risk-benefitanalysis?D.All of the aboveQuestion 62Strategies that enhance therapeutic engagement include which of the following?A.Engage the child/adolescent in a manner to encourage them feeling noticed, heard, and appreciated.B.Make sure that the parent/caregiver is always in the room.C.Start off with targeted diagnostic questions to save time.D.Always take the child/adolescent’s side if there is disagreement with caregiver.Question 63Which of the following is true about educating children and their families about their diagnosed mental health disorder?A.There is an inherent desire to better understand problems.B.It is important to focus on understanding the stigma of mental health.C.It is important to connect the specific diagnosis with the recommended treatment.D.A and CQuestion 64Which of the following BMIs is associated with severe anorexia nervosa?ABMI >17 kg/m2

.B.BMI 16–16.99kg/m2C.BMI 15–15.99 kg/m2D.BMI <15kg>

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